广州市萝岗区基层医院临床护士工作满意度和压力源调查

Investigation of Job Satisfaction of Clinical Nurses and Pressure Source in Primary Hospitals in Luogang District in Guangzhou

目的：探讨基层医院护士工作满意度和工作压力现状的影响因素及二者的相关性。方法：本研究整群抽取萝岗区公立医院和非公立医院6家共406名护士,采用一般资料问卷、明尼苏达满意度问卷和护士工作压力源量表进行调查。结果：40岁以上和护龄10年以上的整体工作满意度分值最高,护龄6-10年的护士最低,差异有统计学意义（P〈0.05）。工作压力方面：护龄6-10年的护士最高,护龄5年以下护士压力最低,差异有统计学意义（P〈0.05）。护师工作压力最大（P〈0.05）,护士和主管护师相当。不同职称护士的工作满意度无统计学差异（P〉0.05）。护士对工作环境满意程度：护龄在10年以上的护士评分最高,护龄6-10年的护士对工作环境评分最低,差异有统计学意义（P〈0.05）;年龄在40岁以上的护士对工作环境评分最高,年龄25-29岁护士评分最低,其他3个年龄段满意度居中。合同护士工作满意度低,与正式编制护士比较具统计学差异（P〈0.05）;结论：护理管理者需对满意度较低的项目进行护理制度调整,提高临床护士对工作的满意度,从而留住护理人才,提高护理质量。

Objective：To investigate the effective factors of the job satisfaction and job pressures in the primary hospitals in Guangzhou Economic and Technological Development Zone to study their relevance and interdependency. Methods：Satisfaction Questionnaire and a nurse work pressure sources scale were administered among 406 nurses in six hospitals. A general information questionnaire,a Minnesota to the target population by using the survey method and a quantitative methodological approach were used for collecting the data. The Statistical Program for the Social Sciences （ SPSS）was used for the statistical analysis. Results：A high level of job satisfaction in age〉40 or the group with more than 10-yearnursing experiments were found;the group with 6 -10 -yearnursing experience had the lowest scores. There was a statistically significant difference between them（P〈0. 05）. As for job pressure,the highest level of job pressure was those with more than 6-10-year nursing experience,while the lowest level of job pressure among those with more than under 5 years nursing experience. There was a statistically significant difference（P〈0. 05）;The highest lev-el of the work surroundings satisfaction were those with over 10 ,but the lowest for 6-10 years of employment . There was a statistically significant difference（ P〈0 . 05 ）;The lower level of the work surroundings satisfaction was contract nurses than the official establishment nurses There was a statistically significant difference（ P 〈0 . 05 ）. The primary nurses had the highest job pressure. There was a statistically significant difference（P 〈 0. 05）. There were no statisti-cally significant difference between the different nurses with different professional titles（ P〉0 . 05 ）. Conclusion：It was recommended that top management in the hospitals and healthcare facilities need to implement a program to increase job satisfaction and employee performance as this may lead to the added benefits for sustaining and improving its success in the retail nursery sector. The study concluded with directions for further research as well.