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急诊科护士工作环境与职业生涯成功感的相关性研究

韩付平 王志稳   

  1. 北京大学人民医院急诊科,100044 北京市(韩付平);北京大学护理学院(王志稳
  • 出版日期:2017-04-25 发布日期:2017-04-25
  • 基金资助:
    2016年中国护理管理科研基金(CNM-2016-02)

The relationship between the working environment and the sense of career success of nurses in the emergency department

  • Online:2017-04-25 Published:2017-04-25

摘要: 目的:调查急诊科护士职业生涯成功感及其对工作环境的评价,并分析工作环境对急诊科护士职业生涯成功感的影响。方法:采用护士职业生涯成功量表和工作环境量表,对北京市2所三级甲等医院急诊科160名护士进行问卷调查。结果:急诊科护士职业生涯成功总分为(31.42±5.60)分,处于中下等水平。3个维度得分由高到低为组织外竞争力(3.30±0.61)分、组织内竞争力(2.74±0.81)分、职业满意度(2.66±0.67)分。多元回归分析显示,参与院外培训次数、参与医院事务、高质量护理服务基础是急诊科护士职业成功的影响因素,可解释总体变异的43.4%。结论:急诊科护士职业生涯成功感处于中下水平,工作环境对护士职业生涯发展有显著影响,护理管理者应重视急诊科科护士的工作环境,采取积极措施加以干预,以提高其工作生涯成功感,稳定护士队伍。

Abstract: Objective: To explore the working environment and the sense of career success of nurses in the emergency department and analyze the impact of working environment on the sense of career success. Methods: The 160 nurses in two tertiary hospitals in Beijing were investigated using Chinese version of Career Success Scale (CCSS) and Nursing Work Index-Revised (NWI-R) questionnaires. Results: The total score of the CCSS is 31.42±5.60. The scores of the three dimensions from high to low are outside competitiveness (3.30±0.61), inside competitiveness (2.74±0.81), career satisfaction (2.66±0.67) respectively. Multiple regression analysis showed that times of training from outside of hospital in the general data, and involvement in hospital development and quality of nursing service in the working environment are the impact factors of career success in the emergency nurses, which explained 43.4% of the total variance. Conclusion: The sense of career success in the emergency nurses is in a low level. The working environment has a significant impact on the nurses career development. The nurse managers should improvethe working environment in the emergency department to enhance the nurses' sense of career success and stabilize the nursing professionals.