基于442例患者的护士工作负荷与护理质量的相关性研究  

A Study on the Correlation Between Nurses’ Workload and Nursing Quality in 442 Patients

作　　者：陈巧灵 高远[2] 黄静[3] 程艳爽[4] 马燕兰[5] CHEN Qiaoling;GAO Yuan;HUANG Jing;CHENG Yanshuang;MA Yanlan(Nursing Department,The Fourth Medical Center,General Hospital of People’s Liberation Army,Beijing 100048,China;Nursing Department,The First Medical Center,General Hospital of People’s Liberation Army,Beijing 100853,China;Department of Nephology,The First Medical Center,General Hospital of People’s Liberation Army,Beijing 100853,China;Department of Hepatobiliary Surgery,The First Medical Center,General Hospital of People’s Liberation Army,Beijing 100853,China;Medical Service Training Center,General Hospital of People’s Liberation Army,Beijing 100853,China)

机构地区：[1]解放军总医院第四医学中心护理部,北京100048 [2]解放军总医院第一医学中心护理部,北京100853 [3]解放军总医院第一医学中心肾脏病医学部 [4]解放军总医院第一医学中心肝胆外科医学部 [5]解放军总医院卫勤训练部,北京100853

出　　处：《军事护理》2024年第3期43-46,共4页MILITARY NURSING

基　　金：军委后勤保障部卫生局应用基础研究项目军事医学创新工程专项(18CXZ035)。

摘　　要：目的探讨护士工作负荷与护理质量的相关性,为临床管理提供参考依据。方法2021年11月,采用整群抽样法选取某三级甲等综合医院的442例住院患者为研究对象,在同一天的相同时间段,由责任班护士(n=53)使用汉化版工作负荷感知量表完成对其护理工作负荷感知自评,并由病区护理质量管理者对442名患者当日获得护理服务的工作质量进行同行评价,分析责任班护士的工作负荷感知与护理工作质量的相互影响关系。结果护士工作负荷评分为27(19,36)分,护理质量评分为83.67(79.67,86.67)分,不同年龄、性别、病情、护理等级、科室的患者,其护士的工作负荷、护理质量评分差异均有统计学意义(均P<0.05)。护士工作负荷总分与护理质量呈负相关(r=-0.43,P<0.01),除自我表现要求以外的其他5项工作负荷评价指标均与护理质量呈负相关(P<0.01)。结论护士感知的工作负荷对护理质量存在负向影响,提示管理者应充分重视护士的个体主观感受,运用人性化管理理念,促进护理工作的高质效发展。Objective To explore the correlation between nurses’workload and nursing quality,and to provide reference for clinical management.Methods Using cluster sampling method,442 inpatients in a tertiary A general hospital were selected in November 2021.In the same time period on the same day,the responsible nurses(n=53)used the Chinese version of Workload Perception Scale to complete the self-assessment of their nursing workload perception.The nursing quality received by 442 patients on the same day was peer evaluated by the nursing quality manager in the ward,and the interaction between workload perception and nursing quality was analyzed.Results The workload score of nurses was 27(19,36)points,and the nursing quality score was 83.67(79.67,86.67)points.There were statistically significant differences in nurses’workload and nursing quality scores among patients with different ages,genders,medical conditions,nursing grades and departments(all P<0.05).The total workload score was negatively correlated with the nursing quality of nurses(r=-0.43,P<0.01).Except for self-performance requirements,the other 5 workload dimensions were also negatively correlated with nursing quality(P<0.01).Conclusions The perceived workload of nurses has a negative effect on the nursing quality,suggesting that managers should pay full attention to the subjective feelings of nurses and use the humanized management concept to promote the high-quality and efficient development of nursing.

关 键 词：护士 工作负荷 护理质量 相关性 

分 类 号：R47[医药卫生—护理学] R823[医药卫生—临床医学]