临床护士护理任务执行频率及对任务重要性评估的研究

Performing frequency and importance rating of daily tasks in clinical nursing care: from nurses' perspective

目的 :调查临床初、中级职称护士护理工作任务的执行频率及对任务重要性评估的现状。方法 :采用"初、中级职称护士工作任务调查表"对广东省、福建省、广西壮族自治区各级医疗机构共1 569名初、中级职称护士进行调查,分析护士对各类护理工作任务的执行情况和重要性评估。结果 :7类临床护理工作任务中,护士执行频率和重要性评估得分最高的均是与药物治疗相关的任务和保证患者安全;其次为照护患者常规任务和评估/评价活动;伦理/法律活动的执行频率最低,但重要性评分较高;健康指导和沟通/协调活动的执行频率和重要性评分偏低。在3项非直接护理任务中,初、中级职称护士参与护理教学活动的频率及对其重要性评分最高,护理科研和管理活动的执行频率和重要性评分较低。结论 :与药物治疗相关的任务、保证患者安全、照护患者与满足患者基本需求和评估/评价活动是临床初、中级职称护士工作的主要内容,护士对伦理/法律活动有较充分的认识,护士进行健康指导和沟通/协调的时间和精力应得到保障。

Objective： To investigate the clinical nurses＇ performing frequency and importance rating of daily nursing tasks. Methods： A questionnaire survey was conducted, and 1 569 registered nurses working in different levels of healthcare institutions in Guangdong, Fujian province and Guangxi Zhuang Autonomous Region were included in this study. Results： Among seven categories of nursing tasks, two of the most frequently performed activities were drug therapy related tasks and tasks on ensuring patients safety, and they both were rated as the most important by the nurses, followed by activities of taking care of patients and nursing assessment/evaluation. Ethical/legal tasks were performed with the lowest frequency but were rated with higher importance. Health education and communication/coordination were performed less and were rated less important as compared to tasks in other categories. Among the three items regarding teaching, research and management activities, teaching activities were performed with the highest frequency and were rated the most important, while research activities and management activities were performed less and were rated with lower importance. Conclusion： Drug therapy related performance, activities on ensuring patients safety, taking care of patients, and assessment/evaluation were the main tasks in clinical nursing care. Ethical/legal activities were well recognized by nurses, while sufficient time and energy were expected for nurses to perform health education and communication/coordination activities.