农村卫生人才激励政策下社区卫生服务中心护士离职意愿分析  

Analysis on community healthcare center nurses’turnover intention under rural health personnel incentive policy

作　　者：刘坤 舒之群 荆丽梅 王瀚 周徐红 娄继权 LIU Kun;SHU Zhiqun;JING Limei;WANG Han;ZHOU Xuhong;LOU Jiquan(Research and Development Department,Shanghai Proton and Heavy Ion Center,Shanghai Engineering Research Center of Proton and Heavy Ion Radiation Therapy,Shanghai 201315,China;Research Center of Health and Development,Pudong Institute for Health Development,Shanghai 200129,China;Center for Specialty Strategy Research of China Hospital Development Institute,Shanghai Jiao Tong University,Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China;School of Public Health,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Department of Computer Science and Software Engineering,Xi’an Jiaotong-Liverpool University,Suzhou 215123,Jiangsu,China;Organization of Personnel Division,Pudong New Area Health Commission,Shanghai 200125,China)

机构地区：[1]上海市质子重离子医院研发部,上海质子重离子放射治疗工程技术研究中心,上海201315 [2]上海市浦东卫生发展研究院卫生发展研究中心,上海200129 [3]上海交通大学医学院附属第九人民医院,上海交通大学中国医院发展研究院学科建设研究所,上海200011 [4]上海中医药大学公共健康学院,上海201203 [5]西交利物浦大学计算机科学与软件工程系,苏州215123 [6]上海市浦东新区卫生健康委员会组织人事处,上海200125

出　　处：《中国卫生资源》2020年第4期421-426,共6页Chinese Health Resources

基　　金：上海市浦江人才计划(2019PJ099);上海市哲学社会科学规划课题(2019BGL032);上海中医药大学科研项目(19GJ101);上海市浦东新区卫生和计划生育委员会科研课题(PW2016A-1)。

摘　　要：目的探讨上海市浦东新区农村卫生人才激励政策下社区卫生服务中心护士(以下简称“社区护士”)的离职意愿情况,为激励政策的完善提供参考。方法通过整群抽样法,运用离职意愿量表等,对上海市浦东新区46家社区卫生服务中心的1693名在职护士进行问卷调查。结果浦东新区农村社区护士的离职意愿较强,总分为(12.98±3.43)分。护士的年龄越大,离职意愿越弱。全科诊室护士辞去目前工作的可能性较大(4.30±1.40)分。工作压力越大、健康状况越差的护士表现出相对较强的离职意愿。有离职意向的护士中近半数想离开卫生行业。结论浦东新区农村社区护士的离职意愿情况不容乐观,年龄、工作岗位、工作压力、自评健康状况均是重要的影响因素。建议政策制定者及医院管理者在制定和实施人才激励政策时,重视护士的工作环境、工作获得感、职业发展、身心健康等,为社区护士创造更好的职业发展环境。Objective To discuss the nurses’turnover intention in rural community health centers(CHCs)under the rural health personnel incentive policy in Pudong New Area of Shanghai,and to provide reference for the improvement of the policy.Methods By cluster sampling,a questionnaire survey for turnover intention was conducted among 1693 nurses in 46 CHCs in Pudong New Area of Shanghai.Results The turnover intention of nurses in rural CHCs in Pudong New Area was strong,with the total score of(12.98±3.43)points.Elder nurses were less willing to leave the CHCs than the younger ones.General nurses were more likely to quit their current jobs,whose score was(4.30±1.40)points.Nurses with higher work pressure or in worse health condition showed relatively stronger turnover intention.Nearly half of the nurses intended to leave health industry.Conclusion The turnover intention of nurses in rural CHCs in Pudong New Area was not optimistic.Age,job position,work pressure and health status were all important influencing factors.It is suggested that policy makers and hospital managers pay attention to the nurses’working environment,job acquisition,career development,physical and mental health in formulating and implementing the incentive policy so as to comprehensively improve their stability in work.

关 键 词：社区卫生服务中心 护士 农村卫生人才激励 稳定性 上海市浦东新区 

分 类 号：R192.6[医药卫生—卫生事业管理]