合肥市肿瘤科护士职业韧性现状及对批判观念的影响分析  

Analysis on current situation of occupational resilience of oncology nurses in Hefei City and its influence on critical concepts

作　　者：江思念 周菊 李兵 朱敏 吕孝臣 JIANG Sinian;ZHOU Ju;LI Bing;ZHU Min;LYU Xiaochen(Department of Radiation Oncology,Anhui Chest Hospital,Hefei,Anhui 230022,China;Department of Nursing,First Affiliated Hospital of Wannan Medical College,Wuhu,Anhui 241000,China)

机构地区：[1]安徽省胸科医院肿瘤放疗科,安徽合肥230022 [2]皖南医学院第一附属医院护理部,安徽芜湖241000

出　　处：《职业与健康》2024年第24期3396-3400,共5页Occupation and Health

基　　金：安徽省高等学校科学研究项目重大项目(2022AH040164)。

摘　　要：目的调查合肥市三级甲等医院肿瘤科护士职业韧性现状并分析其对批判观念的影响。方法2023年1—6月,采用一般资料问卷、职业韧性量表、批判观念量表对合肥市4所三级甲等医院的326名肿瘤科护士进行问卷调查,并对数据进行分析。结果合肥市326名肿瘤科护士职业韧性总分为(83.12±21.46)分,维度平均得分较高和较低的分别是职业目标和职业情感;批判观念总分为(289.19±23.65)分,维度平均得分较高和较低的分别是分析能力和自信心。肿瘤科护士职业韧性和批判观念总分及各维度之间均呈正相关(均P<0.05)。不同工作年限、是否带教和每月夜班数量的肿瘤科护士职业韧性得分比较,差异均有统计学意义(均P<0.05)。批判观念可以解释肿瘤科护士职业韧性得分34.1%的变化(P<0.05)。结论合肥市肿瘤科护士职业韧性水平有待提升,肿瘤科护士在一定程度上具有较为积极的批判思维,二者相互影响且相互依存,能够协同提升肿瘤护士的职业品质。建议护理管理者应关注肿瘤科护士的职业情绪体验,努力扩容能够促进其职业韧性和批判观念的提升因素,弱化和消除对二者产生的危险因素,采取针对性的干预措施共同提升肿瘤科护士的职业健康和队伍建设,促进肿瘤科护士的健康发展。Objective To investigate the current situation of professional resilience of oncology nurses in grade-A tertiary hospital of Hefei City and analyze its influence on critical concepts.Methods From January to June 2023,326 oncology nurses from four grade-A tertiary hospital of Hefei City were investigated by the general data questionnaire,occupational resilience scale and critical concept scale,and the data were analyzed.Results The total score of professional resilience of 326 oncology nurses in Hefei City was(83.12±21.46)points,and the higher and lower dimensional average scores were professional goals and professional emotions,respectively.The total score of critical concept was(289.19±23.65)points,and the higher and lower dimensional average scores were analytical ability and self-confidence,respectively.The professional resilience of oncology nurses was positively correlated with the total score of critical perception and all dimensions(all P<0.05).There were statistically significant differences in the professional resilience scores among oncology nurses with different working years,whether teaching or not and the number of night shifts per month(all P<0.05).The critical concept could explain 34.1%of the occupational resilience scores of oncology nurses(P<0.05).Conclusions The professional resilience level of oncology nurses in Hefei City needs to be improved.The oncology nurses have positive critical thinking to some extent,and the two influence and depend on each other,which can jointly improve the professional quality of oncology nurses.It is suggested that nursing managers should pay attention to the professional emotional experience of oncology nurses,try to expand the factors that can promote their professional resilience and critical concept,weaken and eliminate the risk factors caused by both,and take targeted intervention measures to jointly improve the occupational health and team construction of oncology nurses,so as to promote the healthy development of oncology nurses.

关 键 词：护士 职业韧性 批判观念 

分 类 号：R192.6[医药卫生—卫生事业管理]