杭州市部分三甲医院临床护士获益目标回应感知与工作沉浸的关系研究

Correlation between perceived responses to capitalization attempts and work flow of clinical nurses in some ClassⅢGrade A hospitals of Hangzhou City

目的探讨杭州市部分三甲医院临床护士获益目标回应感知和工作沉浸的现状,并分析两者之间的关联性。方法采用便利抽样法,于2019年6—12月选取杭州市3所三甲医院的567名临床护士作为研究对象,分别采用护士工作沉浸问卷和中文版获益目标回应感知量表进行调查,分析临床护士获益目标回应感知和工作沉浸之间的关系。本研究共发放调查问卷567份,回收有效问卷551份,回收率为97.18%。结果551名临床护士的获益目标回应感知量表总得分为(52.74±8.96)分,临床护士工作沉浸问卷总得分为(112.26±23.42)分;Pearson相关性分析结果显示,临床护士主动建构维度得分与护士工作沉浸问卷各维度得分均呈正相关(P<0.05),而临床护士被动建构、被动破坏、主动破坏维度得分与护士工作沉浸问卷各维度得分均呈负相关(P<0.05);在控制一般人口学资料后,临床护士工作沉浸影响因素分层回归结果显示,获益目标回应感知中主动建构正向影响临床护士工作沉浸体验,而被动建构、被动破坏、主动破坏均负向影响临床护士工作沉浸体验,共能解释工作沉浸变量的29.1%的变异量。结论护理管理者应积极改善临床护士获益目标回应感知中的主动建构回应方式,避免被动建构、主动破坏、被动破坏等回应方式,从而提升临床护士的工作沉浸感,以提升临床护理质量。

Objective To explore the status quo of perceived responses to capitalization attempts and work flow of clinical nurses,and analyze the correlation between them.Methods Using the convenient sampling method,a total of in some ClassⅢGrade A hospitals of Hangzhou City 567 clinical nurses from three ClassⅢGrade A hospitals in Hangzhou were selected as research objects from June to December 2019.Nurse Work Flow Questionnaire(NWF)and Chinese version of Perceived Responses To Capitalization Attempts Scale(PRCA)were used to investigate and to analyze the relationship between perceived responses to capitalization attempts and work flow of clinical nurses.In this study,a total of 567 questionnaires were issued and 551 valid questionnaires were returned,with a recovery rate of 97.18%.Results The total score of PRCA of 551 clinical nurses was(52.74±8.96),the total score of NWF for clinical nurses was(112.26±23.42).Pearson correlation analysis results showed that active construction score of clinical nurses was positively correlated with the score of all dimensions of Nurse Work Flow Questionnaire,while clinical passive construction,passive destruction and active destruction of nurses were negatively correlated with scores of each dimension of Nurse Work Flow Questionnaire(P<0.05).After controlling for general demographic data,results of the hierarchical regression of influencing factors for work flow of clinical nurses showed that the active construction of perceived responses to capitalization attempts positively affected the clinical nurses'work flow experience,while passive construction,passive destruction and active destruction all had negative effects on clinical nurses'work flow experience,which could explain 29.1%of the variance of"work flow"variable.Conclusions Nursing managers should actively improve the active construction response methods in perceived responses to capitalization attempts of clinical nurses and avoid passive construction,active destruction,passive destruction and other response methods,so as to enhance sense of work flow of clinical nurses and improve quality of clinical nursing.