233名护生社区护理就业意向及驱动因素分析

Job Intentions in Community Nursing and Its Driving Factor among Nursing Students

目的了解不同类别护生的社区就业意向及驱动因素,以期为社区护理教学及社区护理就业指导提供参考。方法运用自制问卷对233名护理本、专科学生进行问卷调查,内容包括社区就业意向,愿意、不愿意到社区就业的驱动因素及就业决策自主性等。结果47.2%的护生表示愿意从事社区护理工作,本、专科护生之间、是否有实习经历的护生之间差异有统计学意义(P<0.05或P<0.01);就业压力、对社区护理工作的认知、个人志向是护生从事社区护理工作的主要驱动因素;护生就业决策自主性不高,不同生源地护生、是否有实习经历护生决策自主性差异有统计学意义(P<0.01)。结论地方院校护生社区就业积极性为中等水平,不同类型护生的就业意愿、形式及决策自主性有差异,应积极推进社区护理教学改革,加强护生就业指导。

Objective To understand job intentions in community nursing and its driving factors among nursing students and to provide guidance for community nursing. Methods A self-designed questionnaire was applied among 233 nursing students about job intention, its driving factors and employment autonomy. Results Of the total, 47.2% students showed willingness to work in community health center and there existed difference among students with different educational background and nursing experience （P〈0.05 or P〈0.01）. Driving factor of students＇ willingness to work in community nursing included pressure of employment, cognition of community nursing and personal ambition. Difference of employment autonomy showed statistic significance among nursing students with low employment autonomy, those from different birthplaces and those with nursing experience and those without （P〈0.01）. Conclusion The job intentions in community nursing among nursing students keeps in moderate level. There exist differences among job intentions, form and employment autonomy. Teaching reform and employment guidance in community nursing should be enhanced.