CAJ | 학술논문

目的了解临床护士工作投入及其影响因素的现状,探讨临床护士工作投入的影响因素,为提高临床护士的工作投入水平提供依据.方法采用工作投入量表、人格坚韧性量表、角色压力量表、组织支持感量表和家庭关怀度指数问卷对630名临床护士进行调查,并对调查结果进行分析.结果工作投入均分为(3.28±0.51)分,人格坚韧性均分为(2.60±0.53)分,角色压力均分为(3.00±0.50)分,组织支持感均分为(3.43±1.04)分,家庭支持总分在7～10分的临床护士占70.9％(447/630).临床护士的人格坚韧性、组织支持感、家庭支持均与工作投入呈正相关;角色压力与工作投入呈负相关.分层回归分析显示,控制人口学变量后,人格坚韧性、组织支持感分别作为自变量对工作投入有显著正向预测作用;角色压力对护士工作投入的负向预测作用显著.结论医院管理者应为临床护士创造正性工作环境,从个体、组织和家庭层面采取相应措施,提高临床护士人格坚韧性和组织支持感,降低角色压力,增进临床护士的工作积极性,从而使护士更好地投入工作.这对提高护理服务质量,稳定护理队伍具有重要的现实意义.
목적 료해림상호사공작투입급기영향인소적현상,탐토림상호사공작투입적영향인소,위제고림상호사적공작투입수평제공의거.방법 채용공작투입량표、인격견인성량표、각색압역량표、조직지지감량표화가정관부도지수문권대630명림상호사진행조사,병대조사결과진행분석.결과 공작투입균분위(3.28±0.51)분,인격견인성균분위(2.60±0.53)분,각색압력균분위(3.00±0.50)분,조직지지감균분위(3.43±1.04)분,가정지지총분재7～10분적림상호사점70.9％(447/630).림상호사적인격견인성、조직지지감、가정지지균여공작투입정정상관;각색압력여공작투입정부상관.분층회귀분석현시,공제인구학변량후,인격견인성、조직지지감분별작위자변량대공작투입유현저정향예측작용;각색압력대호사공작투입적부향예측작용현저.결론 의원관리자응위림상호사창조정성공작배경,종개체、조직화가정층면채취상응조시,제고림상호사인격견인성화조직지지감,강저각색압력,증진림상호사적공작적겁성,종이사호사경호지투입공작.저대제고호리복무질량,은정호리대오구유중요적현실의의.
Objective To know about the current status of the work engagement of the clinical nurses and its influencing factors,to explore the influencing factors of work engagement of clinical nurses so as to provide basis for improving the level of the work engagement of the clinical nurses.Methods The work engagement scale,hardiness scale,role pressure scale,perceived organizational support scale and questionnaire of family care index were used to investigate a total of 630 clinical nurses.The results were analyzed.Results The average score of work engagement,hardiness,role pressure and perceived organizational support were showed respectively as following:(3.28±0.51),(2.60±0.53),(3.00±0.50),(3.43± 1.04) scores.Clinical nurses number of the total point between 7 and 10 of family support accounted for 70.9％(447/630).Hardiness,perceived organizational support,family support and work engagement were in obvious positive correlation,whereas role pressure was in obvious negative correlation with work engagement.Hierarchical regression analysis showed after the variable of demographic was controlled,the hardiness and perceived organizational support respectively had significant positive predictive function on work engagement as respective independent variables.Role pressure had obvious negative predicative function on work engagement.Conclusions Hospital managers should create a good working environment for clinical nurses,measures should be taken from individual and organizational aspects so as to improve the hardiness and perceived organizational support,reduce role pressure and the work positivity of the clinical nurses,so that the nurse more positively devoted to their work.It has important practical significance to improving the quality of their services and stabilizing nursing troop.