护士对多点执业态度和意愿的调查分析

Investigation of nurses' attitude and willingness on multiple-sites practice in China

目的了解护士对多点执业的态度和意愿、护士多点执业的动力和阻力、影响护士多点执业意愿的因素,旨在为国家相关政策的制订提供参考。方法对全国31个省、自治区、直辖市的113 839名护士进行问卷调查。结果90 343名(79.36%)护士支持多点执业,88 571名(77.81%)护士有多点执业的意愿。护士愿意和不愿意进行多点执业的最大动机分别为增加经济收入和护理本职工作负担重。86 990名(79.29%)护士认为在我国开展多点执业需要解决的问题是出台相关法律及政策保障。另外,高学历、高职称、年龄31~45岁、持有专科护士培训证书的护士多点执业意愿较强烈(P<0.01)。结论护士对多点执业普遍持积极态度,政策制订者应梳理、修订现行法规,引导专科护士在内的优秀护理人才通过多点执业实现护理人力资源的合理配置。

Objective To understand attitude and willingness of nurses on multiple-sites practice in China,and to explore promoters and inhibitors as well as influencing factors of multiple-sites practice. Methods A questionnaire survey was conducted and 113 839 nurses were recruited from 31 provinces,autonomous regions and municipalities. Results Among 113 839 respondents,90343（79.36%） expressed supports for multiple-sites practice,88 571（77.81%） were willing to practice in multiple sites. The biggest promoter and inhibitor for nurses to practice in multiple-sites were increasing personal income and already existing heavy workloads. Totally 86 990（79.29%） nurses thought rele- vant laws or regulations should be launched in China to ensure implementation of multiple-sites practice. In addi- tion,nurses with senior professional title,with higher educational level,aged 31 to 45 years,holding specialist prac- tice license were more willing to practice in multiple sites （P〈0.01）. Conclusion Nurses had a positive attitude towards multiple-sites practice. Policy-makers should sort out and amend the present laws and regulations,and guide excellent nursing talents including specialist nurses,to realize reasonable allocation of nursing resources through muhiple-sites practice.