三甲医院手术室护士工作压力和职业倦怠与离职意愿的关系

Study on the relationship between job stress,job burnout and turnover intention of nurses in the operating room of a provincial top three hospital

目的:探讨山东省某三甲医院手术室护士工作压力和职业倦怠与离职意愿的关系。方法:选择2016年1月至2019年1月山东省某三甲医院中日均手术量>200台手术室的护士98人作为研究对象,用《中国护士工作压力源量表》、《职业倦怠量表》和《离职意愿量表》调查护士的工作压力、职业倦怠和离职意愿情况,用Pearson相关因素分析工作压力和职业倦怠与离职意愿的关系,用多元logistic回归分析影响离职意愿的因素。结果:98例护士工作压力得分为(85.49±5.42)分,职业倦怠得分为(36.17±3.52)分,离职意愿得分为(14.99±3.32)分。不同年龄、工作年限、学历、编制组间护士的工作压力得分差异有统计学意义(P<0.05)。不同工作年限、学历、职称、薪酬、编制组间护士的职业倦怠得分差异有统计学意义(P<0.05);不同年龄、工作年限、职称、薪酬、编制组间护士的离职意愿得分差异有统计学意义(P<0.05);薪酬、职业倦怠和职业压力是离职意愿的影响因素(P<0.05)。结论:手术室护士工作压力大,职业倦怠是导致离职意愿高的重要因素。

Objective To explore the relationship between job stress,job burnout and turnover intention of operating room nurses in a tertiary hospital in Shandong Province.Methods From January 2016 to January 2019,the operating room nurses with an average daily operation volume of more than 200 operating rooms in a tertiary hospital in Shandong Province were selected as the research objects.The work pressure,job burnout and turnover intention of nurses were investigated with the Chinese nurses'job stressor scale,job burnout table and turnover intention table.Pearson related factors were used to analyze job stress,job burnout and turnover intention Multivariate logistic regression was used to analyze the factors influencing turnover intention.A total of 98 questionnaires were distributed and 98 questionnaires were returned,with a recovery rate of 100%.Results The average score of job stress,job burnout and turnover intention were 85.49±5.42,36.17±3.52 and 14.99±3.32,respectively.There were differences in the scores of work stress among different age,working years,education background and establishment groups(P<0.05).The scores of job burnout among nurses with different working years,education background,professional title,salary and establishment were different(P<0.05);the scores of turnover intention of nurses in different age,working years,professional title,salary and establishment group were different(P<0.05);salary,job burnout and occupational pressure were the influencing factors of turnover intention(P<0.05).Conclusion The operating room nurses have high work pressure and job burnout is an important factor leading to high turnover intention.