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ICU护理工作环境现状及其对离职意愿的影响

刘立亚 万巧琴   

  1. 北京大学第一医院重症医学科
  • 出版日期:2016-02-25 发布日期:2016-02-25

The study of current working environment for ICU nurses and its influence on turnover intention

  • Online:2016-02-25 Published:2016-02-25

摘要: 目的:调查ICU 护士的工作环境、离职意愿现状,分析工作环境对离职意愿的影响。方法:采用一般资料问卷、护理工作环境量表(PES-NWI) 和离职意愿量表,对北京市6 家三级甲等医院294 名ICU 护士进行调查,采用分层回归分析工作环境对离职意愿的影响。结果:ICU 护理工作环境量表总均分为(3.53±0.58) 分,其中5 个维度得分由高到低依次为高质量护理服务的基础、医护合作、护理管理者的能力和领导方式、护士参加医院事务、充足的人力和物力;离职意愿总均分为(2.73±0.57) 分。根据分层回归分析结果,每月夜班数、婚姻状况(已婚无子女)、护理工作环境对离职意愿有影响(P <0.01)。结论:护理管理者应根据ICU 护士现状,改善ICU 护士的工作环境,提高护士对工作环境的认可度,从而降低离职率。

Abstract: Objective: To investigate the status of ICU nurses' working environment and its influence on turnover intention. Methods: A total of 294 ICU nurses from 6 tertiary grade A hospitals in Beijing were selected and The Practice Environment Scale of the Nursing Work Index (PES-NWI) and Turnover Intention Scale were used. Results: The PESNWI scored 3.53±0.58, the scores of the five dimensions of PES-NWI were ranked as follows: high quality of nursing service, cooperation between doctor and nurse, nursing managers' ability and leadership style, nursing engagement in hospital daily operation, human resources and supply. The turnover intention scored 2.73±0.57. According to the results of multiple regression analysis, night shift frequency, marital status and nurses' working environment had significantly influenced turnover intention (P<0.01). Conclusion: Specific management measures should be taken by nursing managers in order to improve the nurses recognition of the work environment, thus to reduce the overall turnover rate.