武汉市轮转护士职业不确定感现状及影响因素研究  

Study on current situation and influencing factors of occupational uncertainty among rotating nurses in Wuhan City

作　　者：付逗 龚甜甜 杨欣[2] 王鑫梅 王滟[1] 刘珊珊 FU Dou;GONG Tiantian;YANG Xin;WANG Xinmei;WANG Yan;LIU Shanshan(Geriatrcs Department,Renmin Hospital of Wuhan University,Wuhan Hubei,430000,China;Nursing Department,Renmin Hospital of Wuhan University,Wuhan Hubei,430000,China)

机构地区：[1]武汉大学人民医院老年病科,湖北武汉430000 [2]武汉大学人民医院护理部,湖北武汉430000

出　　处：《职业与健康》2023年第24期3373-3377,共5页Occupation and Health

基　　金：2022年湖北省重点实验室开放项目-护理专项(2022KFH016)。

摘　　要：目的研究轮转护士职业不确定感现状及其影响因素。方法2022年9月,采用方便抽样法,选取武汉大学人民医院326名轮转护士作为研究对象,采用一般资料调查表、无法忍受不确定性量表、职业认同量表、知觉压力量表进行调查研究。结果326名轮转护士职业不确定感总得分为(36.75±9.58)分,知觉压力总得分为(42.25±10.32)分,职业认同总得分为(95.50±22.46)分。知觉压力与职业不确定性呈正相关(P<0.05),职业认同感与不确定性呈负相关(P<0.05)。回归分析结果显示,对收入是否满意、加班熬夜、担心职业暴露、目前所在的科室及职业认同感和知觉压力是影响轮转护士职业不确定感的主要因素(调整R^(2)=0.47,均P<0.05)。结论轮转护士职业不确定感处于中等水平,未来护理管理者可根据相关影响因素采取措施,以降低轮转护士的职业不确定性,稳定护理人员,促进护理行业发展。Objective To study the current situation and influencing factors of occupational uncertainty in rotating nurses.Methods In September 2022,a convenient sampling method was used to select 326 rotating nurses from Renmin Hospital of Wuhan University as the research subjects.The survey was conducted using the general information questionnaire,unbearable uncertainty scale,professional identity scale,and perceived stress scale.Results The total score of occupational uncertainty for 326 rotating nurses was(36.75±9.58)points,the total score of perceived stress was(42.25±10.32)points,and the total score of occupational identity was(95.50±22.46)points.Perceived stress was positively correlated with occupational uncertainty(P<0.05),while occupational identity was negatively correlated with uncertainty(P<0.05).The regression analysis results showed that satisfaction with income,working overtime and staying up late,worrying about occupational exposure,current department,professional identity,and perceived pressure were the main factors affecting the occupational uncertainty of rotating nurses(adjusted R^(2)=0.47,all P<0.05).Conclusion The occupational uncertainty of rotating nurses is at a moderate level.In the future,nursing managers can take measures based on relevant influencing factors to reduce the occupational uncertainty of rotating nurses,stabilize nursing staff,and promote the development of the nursing industry.

关 键 词：轮转护士 无法忍受不确定性 知觉压力 职业认同感 影响因素 

分 类 号：R181.31[医药卫生—流行病学]