基于护理质量为先导的护士满意度测评分析

Evaluation analysis of nurse′s satisfaction based on quality of nursing

目的：了解上海地区二级及以上医院临床护士的满意度情况,探讨护士群体满意度影响因素,为提高护理质量、发展护理学科提供数据支持。方法2013年采用分层抽样法选择上海地区71家二级及以上医院共1149名护士进行满意度体验的测评。结果护士满意度整体评分在4分以上,护士群体对团队协作满意度最高,满意度最低的是职业生涯展望。满意度条目中位列前3的分别是同事协作（4.94±0.24）分、上级支持（4.93±0.26）分、领导沟通（4.92±1.75）分。工作回报满意度、护理管理满意度与护士体验满意度总分呈正相关（r值分别为0.85,0.82；P〈0.05）。结论影响护理人员满意度体验的维度是多方面的,如何协调刚性的体制,妥善分配人力资源,实现护理人员对护理职业的价值观、认同感,从而提升护理质量是值得深入研究的重要课题。

Objective To investigate job satisfaction of clinical nurses in Shanghai, and explore the influencing factors so as to provide evidence for improving nursing quality and nursing science development. Methods A total of 1 149 nurses had been selected to take part in the nurse′s satisfaction measurement in the level two or beyond hospital, and we explored the impacted factors in order to provide evidence for the improvement of nursing quality by stratified sampling method in 2013 in 71 level two and beyond hospitals Shanghai. Results The total score of nurse′s satisfaction was over 4, and nurses were satisfied the colleague cooperation highest but the career development was lowest. The top three dimension scores of satisfaction were colleague cooperation （4. 94 ± 0. 24）, supervisor support （4. 93 ± 0. 26）, and leader communication （4. 92 ± 1. 75）. The reward satisfaction of nursing job and satisfaction of nursing management had positive correlation with satisfaction of nurse experience （r=0. 85, 0. 82;P〈0. 05）. Conclusions Multiple influencing factors impacts on satisfaction of nurses, but how adjust rigid system, arrange human resources well and achieve the value. The recognition of nursing job are a significant topic and are worthy to study further for the improvement of nursing quality.