护士职业使命感现状及其影响因素  

A study on the current situation and influencing factors of career calling of nurses

作　　者：刘珂嘉 刘璟莹[1] 曹玉迪 唐明霞[2] 刘彦慧[1] Liu Kejia;Liu Jingying;Cao Yudi;Tang Mingxia;Liu Yanhui(300140 Nursing Department,Tianjin 4th Centre Hospital,Tianjin 300140,China;School of Nursing,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China)

机构地区：[1]天津中医药大学护理学院,301617 [2]天津市第四中心医院护理部,300140

出　　处：《中华劳动卫生职业病杂志》2020年第8期585-589,共5页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：国家自然科学基金(71974143)。

摘　　要：目的:了解护士职业使命感现状,探讨护士职业使命感的影响因素。方法:于2018年11~12月,便利选取天津市3所三级甲等医院的316名护士为研究对象,采用《一般资料调查表》、《职业使命感量表》、《护理工作环境量表》及《工作-家庭冲突量表》进行调查。护理工作环境及工作-家庭冲突的相关性用Pearson相关性分析,职业使命感影响因素分析用多元线性回归分析。结果:护士的职业使命感得分为(2.90±0.56)分。平均月收入、护理工作环境、工作-家庭冲突是护士职业使命感的影响因素(P<0.05)。分层回归结果表明,平均月收入越高(β=0.252),护士的职业使命感越高(R2=0.064);控制一般资料后,护理工作环境中的两个维度:护士参与医院事务(β=0.263)和高质量护理服务基础(β=0.368),以及工作-家庭冲突(β=-0.145)可解释职业使命感总变异的43.1%。结论:护士的职业使命感处于中等偏上的水平。护理管理者应从平均月收入、护理工作环境及工作-家庭冲突等影响因素入手,激发或提高护士的职业使命感。Objective To understand the status quo of nurses'professional mission and explore the influencing factors of nurses'professional mission.Methods From November to December,2018,316 nurses from three tertiary hospitals in Tianjin were selected as the research objects.The occupational mission scale was used to investigate the sense of professional mission,the nursing work environment scale was used for the nursing work environment survey,and the work family conflict scale was used for the work family conflict investigation.Pearson correlation analysis was used to analyze the correlation among nurses'sense of professional mission,nursing work environment and work family conflict;multiple linear regression analysis was used to analyze the influencing factors of nurses'sense of professional mission.Results The score of professional mission of nurses was(2.90±0.56).Average monthly income,nursing work environment and work family conflict were the influencing factors of nurses'professional mission(P<0.05).The results of hierarchical regression showed that the higher the average monthly income(β=0.252),the higher the sense of professional mission of nurses(R2=0.064);after controlling general data,the two dimensions of nursing work environment:Nurses'participation in hospital affairs(β=0.263),high-quality nursing service foundation(β=0.368),and work family conflict(β=-0.145)could explain 43.1%of the total variation of professional mission.Conclusion The sense of professional mission of nurses is above the middle level.Nursing managers should start with the influencing factors such as average monthly income,nursing working environment and work family conflict,so as to stimulate or improve nurses'sense of professional mission.

关 键 词：使命感 护士 影响因素 职业应激 

分 类 号：R47[医药卫生—护理学]