CAJ | 학술논문

目的：调查杭州市三级医院临床护士留职意愿的现状，为政府部门制订相关政策提供依据。方法分层抽样选取杭州市5所三级医院临床护士458名，采用护士留职意愿问卷和工作满意度量表进行调查。结果临床护士留职意愿的得分为（3．37±0．8）分；60．5％的护士表示如果有其他合适岗位，会考虑脱离临床护理岗位；不同工作年限的护士留职意愿比较，差异有统计学意义（ F＝5．147，P＜0.05）。护士总体工作满意度得分为（3．11±0．91）分；护士对工作量与工作负荷、护理工作认可度、工资及福利方面表示不满意。结论临床护理工作量大、工作负荷重、护理工作不被认可、工资及福利待遇低是当前临床护理工作存在的主要问题。政策决策者应重视解决护理队伍稳定问题，同时制定相关扶持政策，减轻护士工作量和负荷，提高护士工资及福利待遇等问题，进一步激发护士的工作积极性。
목적：조사항주시삼급의원림상호사류직의원적현상，위정부부문제정상관정책제공의거。방법분층추양선취항주시5소삼급의원림상호사458명，채용호사류직의원문권화공작만의도량표진행조사。결과림상호사류직의원적득분위（3．37±0．8）분；60．5％적호사표시여과유기타합괄강위，회고필탈리림상호리강위；불동공작년한적호사류직의원비교，차이유통계학의의（ F＝5．147，P＜0.05）。호사총체공작만의도득분위（3．11±0．91）분；호사대공작량여공작부하、호리공작인가도、공자급복리방면표시불만의。결론림상호리공작량대、공작부하중、호리공작불피인가、공자급복리대우저시당전림상호리공작존재적주요문제。정책결책자응중시해결호리대오은정문제，동시제정상관부지정책，감경호사공작량화부하，제고호사공자급복리대우등문제，진일보격발호사적공작적겁성。
Objective To investigate the present status of clinical nurses′intention to stay in Hangzhou third-level hospital and provide the reference for government to draw up relevant policies.Methods A total of 458 clinical nurses had been chosen by stratified sampling method from 5 third-level hospitals, and were surveyed by intention to stay questionnaire.Results The score of intention to stay for clinical nurses was (3.37 ± 0.8), and 60.5%of nurses presented that if they had any other appropriate job opportunities, they would like to break away from nurses job.The stay intention among nurses with different work experience had statistical significance (F=5.147;P<0.05).The total score of nurse job satisfaction was (3.11 ±0.91), in which the unpleasant part of nursing job included workload, the recognition of work by society, salary and benefits. Conclusions The main issues in the clinical were over workload, disapprobation of nursing work, salary and benefits.The policy maker should pay attention on the stability of nursing team, carry out relevant regulations to minimize workload, enhance nurses′salary and benefits and so many other problems, and inspired nurses′job enthusiasm.