对济南市三级医院不同工作年限护理人员学习型组织建设认知的调查

Survey of cognition of learning organiTation construction in the nurses of different working seniority among tertiary hospitals of Jinan City

目的比较不同工作年限护理人员学习型组织建设认知差异及特点，为医院及护理管理者创建学习型组织提供指导及依据。方法应用一般资料调查表和护理学习型组织量表对山东省济南市3所三级医院680名护理人员进行问卷调查。结果共发放问卷680份，回收649份，有效问卷636份，回收率为95．4％，有效回收率为93．5％。不同工作年限的护理人员的学习型组织文化认知差异有统计学意义（F值分别为28．655，307．027，164．362，4．887，150．052；P〈0．01）。学习型组织文化得分随着护理人员工作年限的延长而增加，工作年限≥21年的护理人员学习型组织文化各维度得分及总分评分最高[分别为（23．764±3．33），（21．60±1．44），（21．08±1．70），（12．61．4±1．37），（79．06±5．11）]，工作年限在1—10年的护理人员学习型组织各维度得分及总分评分最低[分别为（21．35±2．51），（17．21．4±1．44），（17．68±1．62），（11．85．4±1．84），（68．08±4．91）]，工作年限在11—20年的护理人员学习型组织各维度得分及总分评分居于二者之间。结论工作年限越短的护理人员有着更为强烈的提升学习型组织文化的愿望，在学习型组织建设过程中可以此为参考，加强培养年轻护理人员的全局意识，提高其团队协作与创新能力，创造持续的学习环境并提供沟通交流的平台，同时注重提高高年资护理人员工作学习的积极性，以促进医院及护理领域学习型组织的建设，进而增强医院的竞争力。

Objective To investigate the learning organization culture in the nurses of different working seniority, so as to provide a reference for the construction of learning organization. Methods A total of 680 registered nurses in three tertiary hospitals were investigated with general information questionnaire and the Learning Organization Questionnaire in nursing. Results Six hundred and eighty questionnaires were distributed. There were 636 valid questionnaires and the valid returned rate was 93.5%. Significant difference was found in the nurses with different working seniority （ F = 28. 655,307. 027,164. 362,4. 887,150. 052, respectively;P 〈0. 01）. The nurses with work seniority more than 21 years had the highest scores of learning organization [ （ 23.76± 3.33 ）, （21.60 ± 1.44 ）, （ 21.08 ± 1.70）, （ 12.61 ± 1.37 ）, （ 79.06 ±5.11 ） ], while the nurses with work seniority between 1 and 10 years had the lowest scores[ （21.35 ±2.51 ）, （ 17.21 ± 1.44）, （ 17.68 ± 1.62 ）, （ 11.85 ± 1.84）, （ 68.08 ± 4.91 ） ]. And the scores of nurses with work seniority between 11 and 20 years were in the middle level [ （22.88 ± 3.42）, （ 19.66 ± 1.52）, （ 19.79 ± 1.54）, （ 12.17 ± 2.02）, （74.50 ± 6.57 ） ]. Conclusions The nurses with shorter working seniority have stronger wish to improve the learning organization culture, so the learning organization should be strengthened. Further research should be done so as to increase core competency and improve the organization construction.