上海地区22家公立医院护理工作环境的现状调查

Study on nursing practice environment among 22 public hospitals in Shanghai area

目的 调查护理工作环境现状及其影响因素,为相关部门提供参考依据.方法 抽取上海市22家公立医院的1 600名护士,采用Lake研制的《护理工作环境量表（中文版）》进行问卷调查,对护理工作环境的影响因素进行单因素和多因素分析,比较不同等级医院护理工作环境的差异.结果 回收有效问卷1 582份,对工作环境感知评价为“差”和“好”的比例分别为49.0％和28.1％,人力和物力资源缺乏是影响护理工作环境的首要因素.Logistic回归显示,护士的学历、年龄、护龄和所在医院等级都对护理工作环境感知有显著影响.三级医院护士对工作环境感知明显低于基层医院.结论 本组调查对象对工作环境感知不甚理想,管理层宜采取积极措施,营造健康护理工作环境.

Objective To investigate the present situation and to analyze related factors of nursing practice environment among 22 public hospitals in Shanghai area.Methods We investigated 1 600 nurses from the 22 hospitals with general information questionnaire and the Chinese version of Practice Environment Scale,and also analyzed related factors by single and multiple factor analysis.Results 1 582questionnaires were taken back.49% were dissatisfied with their working environment,and 28.1% were evaluated to have nice practice conditions.Nurse concerned with workforce management and adequate resources were widespread.Logistic analysis indicated that hospital＇s level,the nurse＇s age,educational background and seniority were main factors influencing nurses＇ satisfaction.Nurse work in tertiary hospitals reported lower satisfaction.Conclusions More attention should be paid on improving nursing practice environment.