护士工作疏离感潜在剖面分析及影响因素  

Potential profile analysis and influencing factors of nurses′work alienation

作　　者：冯小娟 周志南[1] 马琼琼 苑春杰 鲁美苏 刘思雨 FENG Xiaojuan;ZHOU Zhinan;MA Qiongqiong;YUAN Chunjie;LU Meisu;LIU Siyu(The Third Affiliated Hospital of Zhengzhou University,Henan 450052 China)

机构地区：[1]郑州大学第三附属医院,450052

出　　处：《全科护理》2023年第34期4772-4776,共5页Chinese General Practice Nursing

基　　金：河南省医学教育研究项目,编号:Wjlx2021314;河南省医学科技攻关计划联合共建项目,编号:LHGJ20210459。

摘　　要：目的:识别护士工作疏离感潜在类别,并比较不同类别护士在人口学方面的特征差异及影响因素。方法:采用便利抽样法,选取2023年5月郑州市3所三级甲等医院的335名护士为研究对象。采用一般资料调查表、护士工作疏离感量表进行调查,以护士工作疏离感量表的12个条目作为指标进行潜在剖面分析,通过无序多分类Logistic回归分析探讨工作疏离感不同潜在剖面的影响因素。结果:护士的工作疏离感分为“低水平-高无奈型”(15.8%)、“中水平-高意义型”(40.6%)、“高水平-低无助型”(43.6%),性别、工作年限及职务是护士工作疏离感的影响因素。结论:护士工作疏离感处于中高等水平,且具有明显的异质性,护理管理者应早期识别护士的工作疏离感,并根据不同潜在剖面的影响因素进行个体化干预以预防或减轻护士的工作疏离感。Objective:To identify the potential categories of nurses′work alienation and compare the demographic differences and influencing factors among different categories of nurses.Methods:A total of 335 nurses from 3 Grade A hospitals in Zhengzhou in May 2023 were selected by convenience sampling method.General data questionnaire and nurses′work alienation scale were used to investigate.12 items of nurses′work alienation scale were used as indicators for potential profile analysis.The influencing factors of different potential profiles of work alienation were discussed by disordered multiple Logistic regression analysis.Results:Nurses′work alienation was divided into"low level-high helplessness type"(15.8%),"medium level-high significance type"(40.6%)and"high level-low helplessness type"(43.6%).Gender,working years and position were the influencing factors of nurses′work alienation.Conclusions:Nurses′work alienation is in the middle and high level,and has obvious heterogeneity.Nursing managers should identify nurses′work alienation early,and conduct individualized intervention according to different potential profile factors to prevent or reduce nurses′work alienation.

关 键 词：护士 工作疏离感 潜在剖面分析 影响因素 

分 类 号：R47[医药卫生—护理学]