主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
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我国医院护士工作任务调查分析

付莉莉 陈声宇   

  1. 国家卫生计生委人才交流服务中心命题二处, 100097 北京市
  • 出版日期:2017-11-25 发布日期:2017-11-25

Investigation and analysis of job tasks of nurses in hospitals of various levels in China

  • Online:2017-11-25 Published:2017-11-25

摘要: 目的:调查并分析国内医院不同职称及不同医院类型护士的工作任务状况,为建立与临床要求相匹配的护士职业考试体系提供参考。方法:采取分层典型抽样法在全国7个地理分区、3类医疗机构内抽样,采用护士工作任务调查表对被抽取机构中的9 034名护士进行调查。结果:护士工作任务执行频率的条目均分为(3.09±0.71)分,重要性评价的条目均分为(3.35±0.50)分。相关分析显示,护士工作任务的执行频率与重要性评价呈正相关(P<0.01)。方差分析结果显示,不同职称护士各维度工作任务的执行频率及重要性评价得分的差异均有统计学意义(P<0.05);不同类型医院护士部分维度工作任务的执行频率及重要性评价得分的差异有统计学意义(P<0.05)。结论:不同职称及不同医院类型护士工作任务执行频率与重要性评价存在差异,提示护士职业进阶考试的设置及改革应充分考虑医院类型及护士职称对其工作任务的影响。

Abstract: Objective: To investigate and understand job tasks of nurses with different professional titles in hospitals of various levels in China, so as to provide references for the establishment of nursing qualification examination system matching with the clinical requirements. Methods: Typical layered sampling method was adopted to select proper samples in 7 geographical zones and 3 types of medical institutions. We used the "Questionnaire of Job Tasks of Nurses with Different Professional Titles" to investigate 9 034 nurses in these selected medical institutions. Results: The average score of the item "nurses' task execution frequency" was (3.09±0.71) points, and the average score of importance evaluation was (3.35±0.50) points. The correlation analysis of execution frequency and importance evaluation of each dimension showed a significant positive correlation (P<0.01). Variance analysis showed that task execution frequence of nurses with different titles and the importance evaluation of each dimension was significantly different (P<0.05), while tasks execution frequency of nurses in hospitals of various levels and the importance evaluation of part dimensions were significantly different (P<0.05). Conclusion: Professional title and hospital level had an influence on tasks execution frequency of nurses and the importance evaluation, so the nurse professional setting and the advanced examination reform should take these two factors, i.e. hospital level and nurses' professional titles into serious consideration.