护理交接班水平现状及其影响因素分析

Status quo of handover evaluation of nurses and analysis the related factors

目的了解临床护士护理交接班水平及影响因素，为提高临床护士的护理交接班水平提供依据。方法采用方便抽样法抽取505名天津市5所三级甲等医院护士，运用护理交接班评价量表、组织支持感量表、一般自我效能感量表、工作倦怠感量表和工作压力源量表进行调查。结果护理交接班处于较高水平（6．35±0．74）分，各维度得分情况信息质量（6．39±0．89）分，互动和支持（6．23±0．88）分，效率（6．43±0．69）分。最高学历对于交接班水平的4个维度均有显著影响（F=31．97-53．65，P〈0．01）。组织支持感、一般自我效能感正向影响临床护士护理交接班水平（r=0．263、0．139，P〈0．01），工作压力源、工作倦怠感负向影响临床护士护理交接班水平（r=-0．270、-0．257，P〈0．01）。结论医院护理管理者应重视护士交接班水平的提高，给予临床护士加强技术拓展培训及进阶培训等扩充知识和技能的机会，从组织层面给予护士足够的支持，提升其自我效能感，帮助护士减轻工作压力，降低倦怠感受，从而提升护理交接班水平。

Objective To investigate status quo of handover evaluation of nurses and analysis the related factors. Methods Study was administered to 505 nurses, using Handover Evaluation Scale, Perceived Organizational Support Scale, General Self-Efficacy Scale, Maslach Burnout Inventory and Nurse＇ s Work Pressure Sources Scale. Results The handover evaluation of nurses was in a high level （6.35±0.74） points, quality of information （6.39±0.89） points, interaction and support （6.23±0.88） points, efficiency （6.43± 0.69） points. Education background were influence factors of handover evaluation （F= 31.97-53.65, P〈0.01）. Handover evaluation, organizational support and self-efficacy were positive correlation（r=0.263, 0.139, P〈0.01）. Handover evaluation, burnout and work pressure were negative correlation （r=- 0.270,- 0.257, P〈0.01）. Conclusions Nursing administrators should take effective measures to improve nurses＇ organizational support and self-efficacy level, decrease burnout and burnout for enhancing nurses＇ handover evaluation.