护士建言行为与护理执业环境的相关性分析

Correlation between voice behavior and nursing practice environment among nurses

目的探讨护士建言行为对护理执业环境的影响,为临床护理管理者改善护理执业环境提供参考。方法采用便利抽样法,抽取2017年1-5月在宁波市3所三乙医院工作的300名护士为研究对象,采用建言行为量表及护理执业环境量表进行问卷调查,了解护士建言行为和护理执业环境的现状,并探讨两者之间的关系。本研究共发问卷300份,回收有效问卷292份,有效问卷回收率为97.3%。结果292名护士护理执业环境总分为(76.67±13.34)分,护士建言行为与护理执业环境呈正相关(r=0.328,P<0.01);分层回归分析显示,控制人口学变量之后,促进性建言与抑制性建言是护理人员执业环境的主要影响因素。结论护士的建言行为尚待提高,且具有偏好性。临床管理者应根据护士建言行为的不足之处,制订针对性的干预措施,改善护理执业环境。

Objective To explore the influence of voice behavior of nurses on nursing practice environment so as to provide a reference for clinical nursing managers to improve nursing practice environment. Methods From January to May 2017, we selected 300 nurses from three ClassⅢ Grade B hospitals in Ningbo City as subjects by convenience sampling. The questionnaire survey was carried out with the Voice Behavior Scale (VBS) and the Practice Environment Scale of the Nursing Work Index (PES-NWI) to understand the status of nurses' voice behavior and nursing practice environment and to explore the correlation between them. A total of 300 questionnaires were sent out and 292 valid questionnaires were collected with 97.3% for the recovery rate. Results Among 292 nurses, the total score of PES-NWI was (76.67±13.34). Nurses' voice behavior had a positive correlation with the nursing practice environment (r=0.328, P<0.01). Hierarchical regression analysis showed the main influencing factors of nursing practice environment of nursing included promotive voice behavior and prohibitive voice behavior after controlling demographic variables. Conclusions The voice behavior of nurses remains to be improved and has preferences. Clinical managers should formulate targeted intervention according to the deficiencies of nurses' voice behavior to improve nursing practice environment.