综合医院护理人员决策参与现状及影响因素研究

Decisional involvement and its influencing factors among nurses in general hospitals

目的调查综合医院护理人员决策参与现状并分析影响因素,以期为提高护理人员决策参与水平提供参考。方法采用一般资料调查表、中文版工作效能条件量表、决策参与量表对湖北省4所综合医院护理人员2268人进行调查。结果有效调查护理人员2136人,其决策参与总分为(37.75±11.25)分。多元线性回归分析显示,结构授权中的正式权力、信息、资源及一般资料中的年龄、医院等级和月收入为护理人员决策参与的预测因子(P<0.05,P<0.01)。结论护理人员决策参与处于低下水平,其决策参与程度受多因素影响。管理者应创建有利于护理专业实践的工作环境,从而促进护理人员决策参与水平提升。

Objective To investigate decisional involvement among nurses in general hospitals and analyze its influencing factors,so as to provide reference for improving nurses′decisional involvement.Methods A total of 2268 nurses from 4 general hospitals in Hubei province were investigated using the general information questionnaire,the Chinese version of Conditions for Work Effectiveness QuestionnaireⅡ(CWEQ-Ⅱ-CV)and the Decisional Involvement Scale(DIS).Results A total of 2136 valid questionnaires were collected.The total score of DIS was(37.75±11.25)points.Multiple linear regression analysis showed that,formal power,information,resources in structural empowerment and age,level of hospital and monthly income in general information were the predictors of nurses′decisional involvement(P<0.05,P<0.01).Conclusion Nurses′decisional involvement is in a low level,and it is affected by some factors.Managers should create a working environment that is conducive to nursing professional practice,so as to promote nurses′decisional involvement level.