在职护士参与护理学继续教育动机的调查

Investigation on the internal motivation of employed nurses to take part in continuing nursing education

目的调查在职护士参与护理学继续教育的内在动机。方法采用自制“护理学继续教育调查问卷”对武汉市某三甲医院的204名在职护士进行调查。结果发放问卷204份，收回有效问卷194份，回收有效率为95．10％。194名在职护士6大动机类型中，平均得分由高到低依次为职业发展（7．89±1．428）分、认知兴趣（6．75±3．136）分、利他服务（6．45±1．226）分、社交接触（6．14±2．265）分、社会刺激（5．93±2．587）分、外界期望（4．84±1．063）分。不同年龄、工龄、技术职称、月收入护士认知兴趣维度得分不同，差异均有统计学意义（F分别为17．245，5．368，10．551，23．147；P〈0．05）；不同婚姻状况、年龄、文化程度护士职业发展维度不同，差异均有统计学意义（F分别为12．358，4．386；P〈0．05）；不同婚姻状况、年龄护士社会刺激维度得分不同，差异均有统计学意义（F分别为8．937，7．314；P〈0．05）；不同年龄、工龄、技术职称、月收入护士利他服务维度得分不同，差异均有统计学意义（F分别为12．473，4．861，5．274，6．772；P〈0．05）；不同婚姻状况、年龄、工龄、文化程度、合同年限护士外界期望维度得分不同，差异均有统计学意义（F分别为4．013，9．324，3．357，8．927，5．887；P〈0．05）；不同婚姻状况护士社会接触维度得分不同，差异具有统计学意义（F=5．127，P〈0．05）。结论护士参与继续教育受其内在动机驱动，以职业发展与认知兴趣强度最高、最为普遍，外界期望影响较小。

Objective To investigate and analyze the internal motivation of employed nurses to take part in Continuing Nursing Education （ CNE ）. Methods Self-designed ＂ CNE questionnaire＂ was used to investigate 204 employed nurses in a three-level grade A hospital in Wuhan. Results Among six types of motivation, the average scores of the 194 employed nurses from high to low were professional development （7.89 ± 1. 428）, cognitive interest （6.75 ± 3. 136 ）, altruistic service （ 6.45 ± 1. 226 ）, social contact （ 6. 14 ± 2. 265）, social stimulation （5.93 ± 2. 587 ） and external expectation （4.84 ± 1. 063 ）. Scores in cognitive interest of nurses of different ages, lengths of service, professional titles and monthly income were significantly different （ F = 17. 245,5. 368,10.551,23. 147, respectively; P 〈 0.05 ）. Scores in professional development of nurses of different marital status, ages and degrees of education were significantly different （F = 12. 358, 8. 401,4. 386, respectively; P 〈 0.05 ）. As to the motivation of social stimulation, the diversity among the groups of marital status and degree of education was significant statistically（ F = 8. 937, 7. 314, respectively; P 〈 0.05 ）. The differences in the groups of age, length of service, professional titles and monthly income were of statistics significance in terms of altruistic service motivation （F = 12. 473, 4. 861, 5. 274, 6. 772, respectively; P 〈 0.05 ）. With regard to external expectation, the scores of nurses of different marital status, ages, lengths of service, degrees of education and contract periods were different statistically（ F = 4.013,9. 324, 3. 357,8. 927,5. 887, respectively ;P 〈 0.05）. As to the motivation of social contact, the diversity in the marital status group was also significant statistically （ F = 5. 127, P 〈 0.05 ）. Conclusions The participation of employed nurses in CNE is driven by personal internal motivations, among which professional development and cognitive interest have the strongest and most universal influence while the external expectation has less of influence.