某专科医院护理工作环境调查中不良得分条目情况分析  

Analysis of poor-scoring items in the nursing work environment survey in a specialized hospital

作　　者：杨琼[1] 吴金瑶[2] 包婉玲[2] 刘玉美[3] 周敏娟[4] 梁敏青[3] 曾华志[4] Yang Qiong;Wu Jinyao;Bao Wanling;Liu Yumei;Zhou Minjuan;Liang Minqing;Zeng Huazhi(Department of Pharmacy,Guangzhou Chest Hospital,Guangzhou 510095,China;Out-patient Department,Guangzhou Chest Hospital,Guangzhou 510095,China;Department of Prevention and Health-care,Guangzhou Chest Hospital,Guangzhou 510095,China;Department of Nursing,Guangzhou Chest Hospital,Guangzhou 510095,China)

机构地区：[1]广州市胸科医院药剂科,广州510095 [2]广州市胸科医院门诊部,广州510095 [3]广州市胸科医院预防保健科,广州510095 [4]广州市胸科医院护理部,广州510095

出　　处：《国际医药卫生导报》2022年第12期1674-1678,共5页International Medicine and Health Guidance News

基　　金：广州市高水平临床重点专科和培育专科建设项目(穗卫函[2019]155号);广州市医学重点学科(结核病学)建设项目(2021-2023)。

摘　　要：目的通过深入分析不良得分调查条目的具体情景,持续改进医院护理管理。方法采用横断面研究,对2020年7月9日至22日广州市胸科医院护士进行问卷调查,应参加护士441人,反馈问卷调查结果249人。依据≤25岁、>25~30岁、>30~35岁、>35~40岁、>40~45岁、>45~50岁、≥50岁7个年龄段和护士、护师、主管护师、高级护师(包括副主任护师与主任护师)4个职称类别进行护士人群分类,对护理工作环境量表(PES-NWI)问卷调查中Likert 4级计分平均分值≤2.50的不良得分条目分别计算其“非常不同意、不同意、同意、非常同意”Likert 4级分布频数、百分比及均数±标准差(xˉ±s)。结果(1)在11类护士人群、PES-NWI的4个维度31个条目形成的341个(11×31)人群条目集(以下简称“群目”)中,有24个得分平均值≤2.50的不良得分群目,占群目总数的7.04%(24/341);得分不良群目涉及PES-NWT的“护士参与医院事务”维度的6个条目和“充足的人力和物力”维度的2个条目。(2)7个年龄段护士人群得分不良群目18个,占其群目总数(7×31)的8.29%(18/217),得分不良群目涉及PES-NWT的“护士参与医院事务”维度的6个条目和“充足的人力和物力”维度的2个条目。(3)4个职称类别护士人群得分不良群目6个,占其群目总数(4×31)的4.84%(6/124),得分不良群目涉及PES-NWT的“护士参与医院事务”维度的3个条目和“充足的人力和物力”维度的3个条目。(4)年龄由小到大7个年龄段护士人群得分不良群目分别涉及0、1、5、4、3、2、3个条目,职位由低到高4个护士人群得分不良群目分别涉及0、2、3、1个条目。结论护士年龄对护理工作环境的感知比职称类别敏感,护士在医院中的地位与护理人员数量是否充足则最受关注。Objective To improve the hospital nursing management by analyzing the poor-scoring survey items.Methods In the cross-sectional study,a questionnaire survey was conducted among nurses in Guangzhou Chest Hospital from July 9 to 22,2020;441 nurses should participate in the survey,and 249 nurses actually gave feedback on the questionnaire results.The nurses were classified according to 7 age groups of≤25 years old,>25-30 years old,>30-35 years old,>35-40 years old,>40-45 years old,>45-50 years old,and≥50 years old,or 4 professional title levels of nurse,registered nurse,supervisor nurse,and senior nurse(including deputy chief nurse and chief nurse).Poor-scoring items with a Likert 4-point average score≤2.50 in the Practice Environment Scale of the Nursing Work Index(PES-NWI)survey were selected.The distribution frequencies,percentages,and their mean±standard deviation(xˉ±s)of"strongly disagreed","disagreed","agreed",and"strongly agreed"on Likert 4 levels were calculated.Results(1)There were 341(11×31)population item sets(hereinafter referred to as"groups")formed by 11 types of nurse populations and 31 items in 4 dimensions of PES-NWI.There were 24 poor-scoring groups with an average score of≤2.50,accounting for 7.04%of the total number of groups.The poor-scoring groups involved 6 items in the dimension of"nurses'participation in hospital affairs"and 2 items in the dimension of"adequate human and material resources"of PES-NWT.(2)There were 18 poor-scoring groups in the nurses of 7 age groups,accounting for 8.29%of the total number of groups(7×31).The poor-scoring groups involved 6 items in the dimension of"nurses'participation in hospital affairs"and 2 items in the dimension of"adequate human and material resources"of PES-NWT.(3)There were 6 poor-scoring groups in the nurses of 4 professional title levels,accounting for 4.84%of the total number of groups(4×31).The poor-scoring groups involved 3 items in the dimension of"nurses'participation in hospital affairs"and 3 items in the dimension of"adequate hum

关 键 词：护理 环境 护理工作环境量表 问卷调查 

分 类 号：R47[医药卫生—护理学]