全国25所医院儿科ICU护理工作环境对护士工作满意度的影响

Influence of nursing work environment on nurse job satisfaction from 25 hospitals in China

目的了解我国三级甲等医院儿科ICU护士工作满意度现状,分析儿科ICU护理工作环境对护士工作满意度的影响。方法于2017年11月至2018年5月,采用方便抽样,运用护士工作满意度量表和护理工作环境量表对全国25所医院1 414名儿科ICU护士进行问卷调查。结果儿科ICU护士的工作满意度各条目得分(3.29 ± 0.49)分。分层回归分析显示,医院所在地、护士月收入水平能影响护士工作满意度,护理工作环境对护士工作满意度起到更重要作用,其中护士参与医院事务、充足的人力和物力、医护合作、护理管理者的能力及管理方式进入模型,模型解释了73.1%的变异量(R2=0.731,P<0.01)。结论目前我国三级甲等医院儿科ICU护士工作满意度处于中度满意。整体护理工作环境尚可。护理工作环境是影响儿科ICU护士工作满意度的重要因素,未来需均衡国内资源,减少全国区域性差异;更合理优化儿科ICU的资源配置,建立更多儿科ICU护士参与管理决策的渠道,共同创造健康的儿科ICU工作环境,进一步提高儿科ICU护士工作满意度。

Objective To describe job satisfaction of paediatric intensive care units in China, and analyze the relationship of nursing work environment between job satisfaction. Methods From November 2017 to May 2018, a total of 1 414 nurses of paediatric intensive care units from 25 hospitals of 16 provinces and cities nationwide in China were selected using convenient sampling, and surveyed by Nurses Job Satisfaction Scale and Practice Environment Scale. Descriptive statistics and Hierarchical multiple regression analysis were performed by SPSS 20.0. Results The average score of nurse job satisfaction of paediatric nurses was 3.29 ± 0.49, which was in the middle level in China. Hierarchical regression results showed that the area where the hospital was located, monthly income could affect the nurse job satisfaction, and nursing work environment played an important role for nurses job satisfaction, the model explained 73.1% amount of variance (R2=0.731, P<0.01). Conclusions The nursing work environment is the important factor influencing the nurses job satisfaction of paediatric intensive care unit, how to balance the domestic resources and reduce the regional differences, we work together to create a healthy environment in paediatric intensive care unit, further improving the nurses job satisfaction will be the important issues in the future.