杭州市三级医院临床护理人员留职意愿的现状调查

Investigation on the intention to stay of clinical nurses in Hangzhou third-level hospital

目的调查杭州市三级医院临床护士留职意愿的现状，为政府部门制订相关政策提供依据。方法分层抽样选取杭州市5所三级医院临床护士458名，采用护士留职意愿问卷和工作满意度量表进行调查。结果临床护士留职意愿的得分为（3．37±0．8）分；60．5％的护士表示如果有其他合适岗位，会考虑脱离临床护理岗位；不同工作年限的护士留职意愿比较，差异有统计学意义（F=5．147，P〈0．05）。护士总体工作满意度得分为（3．11±0．91）分；护士对工作量与工作负荷、护理工作认可度、工资及福利方面表示不满意。结论临床护理工作量大、工作负荷重、护理工作不被认可、工资及福利待遇低是当前临床护理工作存在的主要问题。政策决策者应重视解决护理队伍稳定问题，同时制定相关扶持政策，减轻护士工作量和负荷，提高护士工资及福利待遇等问题，进一步激发护士的工作积极性。

Objective To investigate the present status of clinical nurses＇ intention to stay in Hangzhou third-level hospital and provide the reference for government to draw up relevant policies. Methods A total of 458 clinical nurses had been chosen by stratified sampling method from 5 third-level hospitals, and were surveyed by intention to stay questionnaire. Results The score of intention to stay for clinical nurses was （3.37 ＋ 0.8）, and 60.5% of nurses presented that if they had any other appropriate job opportunities, they would like to break away from nurses job. The stay intention among nurses with different work experience had statistical significance （F =5. 147 ;P 〈0. 05）. The total score of nurse job satisfaction was （3.11 ±0.91 ）, in which the unpleasant part of nursing job included workload, the recognition of work by society, salary and benefits. Conclusions The main issues in the clinical were over workload, disapprobation of nursing work, salary and benefits. The policy maker should pay attention on the stability of nursing team, carry out relevant regulations to minimize workload, enhance nurses＇ salary and benefits and so many other problems, and inspired nurses＇ job enthusiasm.