北京市二级医院护理人员专业自主性现状及影响因素调查

Present professional autonomy and influencing factors of nursing staffs in secondary hospital in Beijing

目的：了解北京市二级医院护理人员专业自主性现状，并分析其影响因素。方法于2014年1—3月以中文版护理实践量表（ NAS）为调查工具，对北京市平谷区3家二级医院364名临床科室护理人员的专业自主性进行调查。结果3家二级医院的364名护理人员专业自主性得分为（177．96±18．52）分，处于中高等水平。不同年龄、护龄、职称、职务的护理人员的专业自主性得分比较差异有统计学意义（t值分别为6．284，9．700，5．410，6．435；P＜0．05）。结论管理者应关注自主性较低人群，有针对性的采取措施，提高护理人员整体的专业自主性水平，以提升护理质量。

Objective To probe into the present status and influencing factors of nurses′professional autonomy in the secondary hospitals in Beijing .Methods A total of 364 cilincal nurses from secondary hospitals in Pinggu distrinct in Beijing were recruited and investigated with the Chinese version of Nursing Activities Scale （ NAS） during the period of January to March 2014 .Results The mean score of nurses′professional autonomy was （177.96 ±18.52）, which was at a upper-intermediate level.Multiple linear regression analysis showed that the comparason among different ages , nursing ages , professional title and nurses′professional automomy had statistical differences （t =6.284,9.700,5.410,6.435, respectively;P 〈0.05）.Conclusions Managers should pay close attention to nurses of lower professional autonomy and take targeted measures to improve the overall professional autonomy level , in order to enhance the quality of nursing .