济南市护士职业高原发生现况及与护理工作环境的关系  

Occurrence of career plateau in nurses from Jinan and its association with nursing work environment

作　　者：胡皓佳 隋雨茜 李家洁 李霞 胡怡馨 王瑞卓汗林 李心如 马欣 孟丽红[4] 叶欣[4] HU Haojia;SUI Yuqian;LI Jiajie;LI Xia;HU Yixin;WANG Ruizhuohanlin;LI Xinru;MA Xin;MENG Lihong;YE Xin(School of Public Health,Shandong First Medical University&Shandong Academy of Medical Sciences,Jinan 250117,China;School of Basic Medical Sciences,Shandong First Medical University&Shandong Academy of Medical Sciences,Jinan 250117,China;School of Nursing,Shandong First Medical University&Shandong Academy of Medical Sciences,Taian 271016,China;The First Affiliated Hospital of Shandong First Medical University&Shandong Academy of Medical Sciences,Jinan 250014,China)

机构地区：[1]山东第一医科大学(山东省医学科学院)公共卫生与健康管理学院,山东济南250117 [2]山东第一医科大学(山东省医学科学院)临床与基础医学院,山东济南250117 [3]山东第一医科大学(山东省医学科学院)护理学院,山东泰安271016 [4]山东第一医科大学第一附属医院(山东省千佛山医院),山东济南250014

出　　处：《山东第一医科大学（山东省医学科学院）学报》2024年第10期610-616,共7页Journal of Shandong First Medical University ＆ Shandong Academy of Medical Sciences

基　　金：山东第一医科大学(山东省医学科学院)教育教学改革研究项目(2021XY080);山东第一医科大学(山东省医学科学院)大学生创新创业训练计划项目(2024104391194,2024104390508)。

摘　　要：目的调查济南市护士职业高原(career plateau,CP)的影响因素,探索护理工作环境(nursing work environment,NWE)与护士CP的关系。方法采用分层随机抽样法,在2021年2月至3月选择济南市7家医院共564名护士作为研究对象。采用一般状况调查表、护理工作环境量表(practice environment scale,PES)和职业高原问卷(career plateau questionary,CPQ)对其进行调查,分析护士CP的影响因素,探索NWE与护士CP的关系。结果护士NWE得分为93.00(85.00,102.00)分,护士CP得分为3.06(2.50,3.50)分,13.65%的护士处于CP状态;科室是护士CP的影响因素(P<0.05);在对科室进行校正后,NWE与护士CP呈负相关(B=-0.208,P<0.001)。结论济南市护士NWE得分处于中等水平,CP的发生率处于较低水平,NWE与护士CP呈负相关,改善NWE有助于控制护士CP的发生。Objective:To investigate the influencing factors of career plateau in nurses and explore the association between nursing work environment and career plateau.Methods:Using the stratified random sampling method,a total of 564 nurses from 7 hospitals in Jinan were selected as the research objects from February to March in 2021.The general status questionnaire,practice environment scale,and career plateau questionary were used to investigate the nurses'career plateau,analyze the influencing factors of career plateau,and explore the association between nursing work environment and career plateau in nurses.Results:The nursing work environment score of the nurses in this study was 93.00(85.00,102.00)points,and the career plateau score was 3.06(2.50,3.50)points.13.65%of the research subjects were in career plateau state.Departments were the influencing factors of career plateau in nurse(P<0.05).After correction for departments,the nursing work environment was negatively associated with career plateau in nurse(B=-0.208,P<0.001).Conclusion:The nursing work environment score of the nurses in this study was at the middle level,and the incidence of career plateau was low.The nursing work environment was negatively associated with the career plateau in nurses.To improve the nursing work environment was helpful to control the occurrence of career plateau in nurses.

关 键 词：护士 护理工作环境 职业高原 影响因素 相关性 

分 类 号：R192.6[医药卫生—卫生事业管理]