医院合同护士压力源及其影响因素的调查与分析

Investigation and analysis on the sources of stress and influential factors of contract nurses

目的探讨合同护士主要压力源及其影响因素。方法采用护士工作压力源量表对北京市某医院109名合同护士进行调查。结果合同护士总工作压力水平为（2．76±0．52）分。排在前3位的压力源依次是护理专业及工作方面、工作量及时间分配方面和病人护理方面。职称、科室对合同护土工作压力的影响均有统计学意义（P〈0．05）。结论合同护士压力程度高，其中经常倒班、工资及其他待遇低、晋升和继续深造的机会太少、担心工作中出现差错事故等是合同护士主要的压力源。合同护士压力程度受不同科室及职称的影响。建议从医院管理耆和合同护士自身方面共同努力，减轻工作压力。

Objective To find out the major stress sources of contract nurses and investigate their influential factors. Methods Job stressors scale was used to measure 109 contract nurses of a hospital in Beijing. Results The mean stress level of contract nurses was 2.76. The major sources of stress were nursing specialty, workload and time distribution and nursing to patients. There was significant difference in the job stress of job title or section （P〈0.05）. Conclusions The contract nurses＇ job stress is in a high level. Major stress resources of contract nurses include shift work, low salary and welfare, a little chance to get retraining and worrying about nursing disputes and mistakes etc. The degrees of contract nurses＇ job stress are influenced by the different section offices and job titles. The managers of the hospital and the contract nurses themselves should work together to try to alleviate the contract nurses＇ job stress.