三级甲等医院护士第二受害者经验与支持和出勤主义现状及其相关性研究  

Study on current situation and correlation of nurses'second victim's experience,support andpresenteeism in tertiary grade A hospitals

作　　者：张萍 聂婷瑶 易琴 何彩云[1] ZHANG Ping;NIE Tingyao;YI Qin;HE Caiyun(Medical College of Hunan Normal University,Changsha Hunan,410000,China;Department of Hematology Oncology,the First Affiliated Hospital of Hunan University of Traditional Chinese Medicine,Changsha Hunan,410000,China)

机构地区：[1]湖南师范大学医学院,湖南长沙410000 [2]湖南中医药大学第一附属医院血液肿瘤科,湖南长沙410000

出　　处：《职业与健康》2023年第17期2369-2374,共6页Occupation and Health

基　　金：2023湖南省卫生健康委科研计划项目(D202314058411)。

摘　　要：目的了解三级甲等医院护士第二受害者经验与支持、出勤主义现状,进一步探究二者间的相关性。方法2022年1—4月,用便利抽样法选湖南省6所三级甲等医院320名临床护士为研究对象,用一般资料问卷、第二受害者经验与支持调查问卷及出勤主义量表进行调查,并对数据进行分析。结果湖南省6所三级甲等医院320名护士第二受害者经验与支持和出勤主义总分分别为(69.76±14.25)和(6.68±2.52)分;是否独生子女、是否喜欢护理、不同婚姻状况、夜班数、健康状况及工作支持度的护士第二受害者经验与支持水平得分比较,差异均有统计学意义(均P<0.05);不同年龄、是否独生子女、婚姻状况、工作时间、在职方式、职称等级、是否有子女、每周工作时长级健康状况和工作支持度的护士出勤主义水平得分比较,差异均有统计学意义(均P<0.05)。是否独生子女、婚姻状况和健康状况均是护士第二受害者经验与支持的影响因素(均P<0.01),是否独生子女、每周工作时长及健康状况均是护士出勤主义行为的影响因素(均P<0.01)。护士第二受害者经验与支持和出勤主义呈正相关(r=0.169,P<0.05),其中生理痛苦维度、同事支持维度、上级支持维度、组织支持维度、其他支持维度、离职与缺勤和出勤主义行为均呈正相关(均P<0.05)。结论湖南省6所医院320名临床护士第二受害者经验与支持和出勤主义均处于一般水平,医院护士应该理性认识自身的出勤主义行为引导自身降低第二受害者经验与支持。护理管理者应采取措施以降低不同特征护士的第二受害者经验与支持水平,减少其出勤主义行为。Objective To understand the second victim experience support score and presenteeism in tertiary hospitals,the correlation between the two was further explored.Methods From January to April 2022,320 clinical nurses from 6 tertiary hospitals in Hunan Province were selected by convenience sampling as the research subjects,and the general information questionnaire,the second victim experience and support questionnaire and the presenteeism scale were used to investigate and analyze the data.Results The total scores of experience,support and presenteeism of the second victim of 320 nurses in 6 tertiary hospitals in Hunan Province were(69.76±14.25)and(6.68±2.52)points,respectively.The scores of experience and support level of the second victim of nurses who were only children,whether they liked nursing,marital status,number of night shifts,health status and work support were statistically significant(all P<0.05),and the scores of nurses of different ages,whether they were only children,marital status,working hours,working style,title level,whether they had children,weekly working hours health status,and job support were statistically significant(all P<0.05).Whether the only child,marital status and health status were all influencing factors of the experience and support of the second victim of nurses(all P<0.01),and whether there was only one child,weekly working hours and health status were the influencing factors of nurses'presenteeism behavior(all P<0.01).The experience of the second victim of nurses was positively correlated with support and presenteeism(r=0.169,P<0.05),among which the physiological pain dimension,colleague support dimension,superior support dimension,organizational support dimension,other support dimension,separation and absenteeism and presenteeism behavior were positively correlated(all P<0.05).Conclusion The experience and support and presenteeism of the second victim of 320 clinical nurses in 6 hospitals in Hunan Province were at the average level,and hospital nurses should rationally underst

关 键 词：三级甲等医院护士 第二受害者经验与支持 出勤主义 

分 类 号：R181.31[医药卫生—流行病学]