儿童血液肿瘤科护士护理缺失现状及影响因素研究  

The Current Situation and Influencing Factors of Nurses' Lack of Nursing Care in Pediatric Hematologic Oncology Department

作　　者：吴思婷 王春立[1] 王莉[1] 陈芳娇[1] 张颖[1] 李怡 WU Siting;WANG Chunli;WANG Li(Beijing Children's Hospital,Capital Medical University,National Center for Children's Health,Beijing,100045,China)

机构地区：[1]国家儿童医学中心/首都医科大学附属北京儿童医院,北京100045

出　　处：《中国卫生质量管理》2024年第1期38-43,共6页Chinese Health Quality Management

基　　金：2022年度中华护理专项课题(编号:ZHKY202202);中华医学会杂志社2021-2022年护理课题(编号:CMAPH-NRI2021044)。

摘　　要：目的 构建儿童血液肿瘤科护士护理缺失影响因素的结构方程模型,分析护理缺失影响因素。方法 采用便利抽样法,应用一般资料调查表、职业倦怠量表、医院磁性要素量表、杰弗逊共情量表、护理缺失信息反馈量表对北京市3所医院儿童血液肿瘤科的198名护士进行调查。采用SPSS 22.0软件进行数据统计分析。结果 儿童血液肿瘤科护士护理缺失总分为(121.41±18.77)分,得分率为73.58%。儿童血液肿瘤科护士护理缺失自评得分与医院磁性水平、护士共情能力水平呈正相关(P<0.05),与职业倦怠呈负相关(P<0.05)。医院磁性水平和护士共情能力水平在职业倦怠和护理缺失中的中介效应为0.023,占总间接效应的18.5%。结论 儿童血液肿瘤科护士护理缺失现状处于中等偏上水平,医院磁性水平和护士共情能力水平在职业倦怠和护理缺失中的中介效应成立。护理管理者应通过干预措施增强护士的共情能力,提升工作环境的磁性水平,减少护士的职业倦怠感,以减少或预防护理缺失。Objective To construct a structural equation model of influencing factors of nurses'lack of nursing care in pediatric hematologic oncology department,and analyze the influencing factors of nursing lack.Methods 198 nurses from children's hematology and oncology departments of 3 hospitals in Beijing were investigated by convenience sampling,general data questionnaire,job burnout scale,hospital magnetic factor scale,Jefferson Empathy Scale and self-rating nursing item deficiency scale.SPSS 22.0 software was used for statistical analysis.Results The total score of nursing deficiency was(121.41±18.77),and the scoring rate was 73.58%.There was a positive correlation between nursing deficit and hospital magnetism level and nurses'empathy level(P<0.05),and a negative correlation between nurses'burnout(P<0.05).The mediating effect of hospital magnetism level and nurses'empathy level on burnout and nursing loss was 0.023,accounting for 18.5%of the total indirect effect.Conclusion The current situation of nurses'lack of nursing care in pediatric hematologic oncology department is above the medium level,and the mediating effect of hospital magnetism level and nurses'empathy level on job burnout and nursing lack is established.It is suggested that nursing managers should enhance the empathy ability of nurses,improve the magnetic level of the working environment,and reduce the sense of burnout of nurses,so as to reduce or prevent the lack of nursing.

关 键 词：儿童血液肿瘤科 护理缺失 职业倦怠 医院磁性水平 护士共情能力 

分 类 号：R47[医药卫生—护理学]