CAJ | 학술논문

目的：探讨低年资护士结构性授权与工作环境的状况及两者之间的相关性。方法采用工作效能条件量表(CWEQ-Ⅱ)、专业护理工作环境问卷对重庆三峡中心医院600名低年资护士进行调查。结果结构性授权总分为(45.48±2.39)分，4个因子得分分别为机会权力(12.60±3.55)分，支持权力(10.28±3.38)分，信息权力(12.41±3.46)分，资源权力(12.67±3.61)分；工作环境总分为(67.89±2.65)分，5个因子得分分别为参与医院事务(13.21±0.47)分，医护关系(13.26±0.35)分，充足的资源配备(13.34±0.37)分，护士长的能力、领导方式和对护士的支持(13.32±0.31)分以及高质量护理的基础(15.40±0.54)分。低年资护士结构性授权与工作环境呈正相关(P<0.05)。结论低年资护士结构性授权水平和护理工作环境水平均不高，管理者应采取相应措施创造良好的专业护理环境，提高低年资护士授权水平，增强低年资护士的工作积极性和自主性，以促进护理队伍持续健康发展，提高医院护理质量。
목적：탐토저년자호사결구성수권여공작배경적상황급량자지간적상관성。방법채용공작효능조건량표(CWEQ-Ⅱ)、전업호리공작배경문권대중경삼협중심의원600명저년자호사진행조사。결과결구성수권총분위(45.48±2.39)분，4개인자득분분별위궤회권력(12.60±3.55)분，지지권력(10.28±3.38)분，신식권력(12.41±3.46)분，자원권력(12.67±3.61)분；공작배경총분위(67.89±2.65)분，5개인자득분분별위삼여의원사무(13.21±0.47)분，의호관계(13.26±0.35)분，충족적자원배비(13.34±0.37)분，호사장적능력、령도방식화대호사적지지(13.32±0.31)분이급고질량호리적기출(15.40±0.54)분。저년자호사결구성수권여공작배경정정상관(P<0.05)。결론저년자호사결구성수권수평화호리공작배경수평균불고，관리자응채취상응조시창조량호적전업호리배경，제고저년자호사수권수평，증강저년자호사적공작적겁성화자주성，이촉진호리대오지속건강발전，제고의원호리질량。
Objective To discuss the structural empowerment and work environment of junior nurses status and the correlation between the structural empowerment and work environment. Methods Conditions of work effectiveness questionnaire-II (CWEQ-II) and professional nursing work environment questionnaire were used to investigate the 600 junior nurses in the Central Hospital of Chongqing Three Gorges. Results The total score of structural empowerent was (45.48±2.39) scores. 4 factors for opportunity were that, power was (12.60±3.55) scores, support power was (10.28±3.38) scores, information power was (12.41±3.46) scores, resource power was (12.67±3.61) scores, respectively. The total score of work environment was (67.89±2.65) scores. 5 factors for participate were that, affairs was (13.21±0.47) scores, doctor-nurse relationship was (13.26±0.35) scores, equipped with adequate resources was (13.34±0.37) scores, the head nurse's ability, leadership and support for nurses was (13.32±0.31) scores and high quality nursing was (15.40±0.54) scores, respectively. The junior nurse structural empowerment and work environment had a significant positive correla-tion (P< 0.05). Conclusion The standards of structural empowerment and nursing work environment on junior nurses are not high, managers should take corresponding measures to create a good environment for professional nursing, to im-prove the low seniority nurses authorization level, enhance the work enthusiasm of young nurses and autonomy, to pro-mote the sustained and healthy development of nursing staff, improve the quality of hospital care.