公立医院专科护士多点执业认知、意愿、准备度现状及其多点执业意愿影响因素  

Awareness,Willingness,Readiness for Multi-site Practice and Its Influencing Factors among Specialist Nurses in Public Hospital

作　　者：余书蓉 谭琳 卢怡[1] 王宇[1] 肖桃[2] 母楠 YU Shurong;TAN Lin;LU Yi;WANG Yu;XIAO Tao;MU Nan(Department of Breast Surgery,Deyang People's Hospital of Sichuan Province,Deyang,Sichuan,618000,China;不详)

机构地区：[1]四川省德阳市人民医院乳腺外科,四川德阳618000 [2]绵阳市中心医院普通外科,四川绵阳621000 [3]广元市中心医院门诊办公室,四川广元628000

出　　处：《中国社会医学杂志》2024年第5期560-563,共4页Chinese Journal of Social Medicine

基　　金：四川省卫生健康委员会医学科技项目(21PJ172);四川医院管理和发展研究中心课题(SCYG2021-32);四川省基层卫生事业发展研究中心课题(SWFZ21-C-91)。

摘　　要：目的分析公立医院专科护士多点执业认知、意愿、准备度现状,探讨其多点执业意愿影响因素。方法选取四川省公立医院专科护士524名,调查其多点执业认知及意愿问卷评分、多点执业准备度问卷评分,分析专科护士多点执业认知、意愿、准备度相关性及多点执业意愿的影响因素。结果专科护士多点执业准备度评分(116.00±13.58)分,认知评分(34.23±5.68)分,意愿评分(83.14±9.28)分;不同性别、工作时间、任职本专科时间、婚姻状态、专科护士证获得年限者多点执业认知以及意愿评分比较无统计学意义(P>0.05);不同年龄、文化程度、职称、护士资格类型者的多点执业认知以及意愿评分比较差异有统计学意义(P<0.05);多点执业认知与意愿评分呈正相关(r=0.457,P<0.001),多点执业认知与执业准备度评分呈正相关(r=0.493,P<0.001),多点执业意愿评分与执业准备度评分呈正相关(r=0.352,P=0.007);多元线性回归分析显示,年龄、文化程度、职称、护士资格类型为专科护士多点执业意愿独立影响因素(P<0.05)。结论公立医院专科护士对多点执业的认知及准备度均处于中等水平,可根据多点执业意愿影响因素采取针对性对策,推动专科护士多点执业的有效实施及多点执业的更好发展。Objective To analyze the awareness,willingness and readiness for multi-site practice among specialist nurses in public hospitals,and analyze the influencing factors of their willingness to multi-site practice.Methods A total of 524 specialist nurses from public hospitals in Sichuan Province were selected to investigate their cognition,willingness and readiness to multi-site practice.The correlation of cognition,willingness and readiness for multi-site practice in specialist nurses,and factors influencing the willingness to multi-site practice were analyzed.Results The scores of readiness,cognition and willingness to multi-site practice of the 524 specialist nurses were(116.00±13.58),(34.23±5.68)and(83.14±9.28).There were no statistically significant differences in the scores of cognition and willingness to multi-site practice between specialist nurses of different gender,working hours,working time in the specialty department,marital status,and with certificate of specialist nurses for different time(P>0.05).There were statistically significant differences in the scores of cognition and willingness to multi-site practice between nurses of different age,education levels,professional titles and types of certificates(P<0.05).Cognition score of multi-site practice was positively correlated with willingness score(r=0.457,P<0.001).Cognition score of multi-site practice was positively correlated with readiness score(r=0.493,P<0.001),and willingness score of multi-site practice was positively correlated with readiness score(r=0.352,P=0.007).Multiple linear regression analysis showed that age,education level,professional title,and type of certificate were independent influencing factors of specialist nurses'willingness to multi-site practice(P<0.05).Conclusion Specialist nurses in public hospitals have a moderate level of cognition and readiness for multi-site practice.Targeted countermeasures can be taken according to the factors influencing the willingness to multi-site practice to promote the effective implementation

关 键 词：公立医院 专科护士 多点执业 影响因素 

分 类 号：R192.6[医药卫生—卫生事业管理] R197.323[医药卫生—公共卫生与预防医学]