山东省三级医院护士长队伍职业化建设现状的调查研究

A survey on professional construction of head nurses in tertiary hospitals in Shandong Province

目的调查山东省三级医院护士长职业化建设现状,掌握护士长职业化认知与态度,为制订三级医院护士长队伍职业化建设方案提供借鉴。方法采用自行设计的山东省三级医院护士长职业化建设现状调查问卷对山东省55所三级医院2629名护士长进行横断面调查。结果山东省三级医院护士长选拔和培养体系较成熟;被调查者中,93.00%(2357/2534)是本科学历,18.40%(465/2534)把全部工作时间用于护理管理,86.00%(2179/2534)以目前职务为主要经济来源;68.20%(1728/2534)认为护士长应由经管理培训的护士担任,87.90%(2227/2534)的认为护士长职业化建设有必要,职业化可行性分数为(77.93±19.75)分;回归分析显示影响护士长自身职业化建设必要性的因素为年龄、对薪资满意度以及对自我价值感满意度(P<0.05);32.50%(257/791)护士长建议完善管理培训体系,20.61%(163/791)建议医院要重视护士长职业化建设,7.33%(58/791)建议建立规范的职业化标准。结论提高护士长管理投入时间,鼓励护士长进行管理学继续教育;医院要适当降低竞聘护士长的年龄要求,提高薪资待遇;建立健全护士长职业化体制和管理培训体系,综合护士长提出的建议,促进护士长队伍职业化发展。

Objective To investigate the status of the professional construction of head nurses in the tertiary hospitals of Shandong Province,and to master the professional cognition and attitude of the head nurses,and to provide reference for the formulation of the professional construction plan for the head nurses in the tertiary hospitals.Methods A cross-sectional survey of 2629 head nurses from 55 tertiary hospitals in Shandong Province was conducted using a self-designed questionnaire survey on the status of professional construction of head nurses in tertiary hospitals in Shandong Province.Results The selection and training system of the head nurses in the tertiary hospitals in Shandong Province was mature.93.00%(2357/2534)of the head nurses were undergraduate degrees,18.40%(465/2534)of the head nurses used all the working hours for nursing management,and 86.00%(2179/2534)were the main economic sources with the current position;68.20%(1728/2534)were believed that the head nurse should be a trained nurse,87.90%(2227/2534)thought that the head nurse′s professional construction was necessary,and the professional feasibility score was 77.93±19.75.The regression analysis showed that the factors affecting the head nurse′s own professional construction were age,satisfaction with salary satisfaction and self-worth(P<0.05);32.50%(257/791)of the head nurses suggested improving the management training system,20.61%(163/791)recommended that the hospital should pay attention to the professional construction of the head nurse,and 7.33%(58/791)recommended establishing the standardization of professional standards.Conclusions To improve the investment time of the head nurses and encourage the head nurses to continue the education management;the hospital should appropriately reduce the age requirements of the head nurses and improve the salary;establish a sound professional system and management training system for the head nurses,and comprehensively recommend the head nurses.Promote the professional development of the head nurse team.