手术室规范化培训的新护士职业紧张与安全行为的相关性

Correlation between occupational stress and safe behavior of new nurses in standardized training in operating room

目的:探讨手术室规范化培训新护士职业紧张与其安全行为的相关性。方法:选取2019年3月至2020年6月河南省某2家三甲医院手术室轮转的161名规范化培训新护士作为研究对象,采用一般资料调查问卷、职业紧张量表和护士安全行为量表进行在线调查,了解其职业紧张和安全行为状况,并采用Pearson相关法和多元回归分析法探讨两者之间的关系。结果:手术室规范化培训新护士职业紧张总均分为(66.04±10.00)分,职业紧张的检出率为65.22%,护士安全行为总均分为(46.68±7.60)分,职业紧张总分与安全行为总分存在显著的相关关系(r=0.459,P<0.01),职业紧张中的付出(r=0.157,P<0.05)、回报维度得分与安全行为得分呈正相关(r=0.558,P<0.01),超负荷维度(r=-0.181,P<0.05)得分与安全行为得分呈负相关;多元回归分析显示他人推荐的专业选择方式(t=-2.471,P<0.05)、存在职业紧张(t=4.829,P<0.01)是手术室规范化培训护士安全行为的重要影响因素,二者共同解释了总变异的16.3%(调整R^(2)=0.163,F=16.550,P<0.01)。结论:手术室规范化培训新护士的职业紧张处于较高水平,其安全行为水平有待进一步提高,专业选择方式、职业紧张可影响其安全行为水平。护理管理者应关注手术室规范化培训护士的职业紧张并积极干预,以提高其安全行为从而保障患者安全。

Objective:To explore the correlation between occupational stress and safety behavior of nurses in standardized training in operating room.Methods:A total of 161 new nurses with standardized training in the operating rooms of two Grade A hospitals in Henan Province from March 2019 to June 2020 were selected as the research objects.General information questionnaire, The Effort-Reward Imbalance scale and nurse safety behavior scale were used to conduct online survey to understand their occupational stress and safety behavior.Pearson correlation and multiple regression analysis were used to explore the relationship between them.Results:The total average score of Effort-Reward Imbalance scale was(66.04±10.00),the detection rate of Effort-Reward Imbalance scale was 65.22%,and the total average score of safety behavior was(46.68±7.60).There was a significant correlation between the total score of occupational stress and the total score of safety behavior(r=0.459,P<0.01).There was a positive correlation between the score of pay in occupational stress(r=0.157,P<0.05),the score of reward dimension and the score of safety behavior(r=0.558,P<0.01),and a negative correlation between the score of overload dimension(r=-0.181,P<0.05).Multiple regression analysis showed that the professional choice recommended by others(t=-2.471,P<0.05)and occupational stress(t=4.829,P<0.01)were the important factors of safety behavior of nurses in standardized training in operating room, which together explained 16.3% of the total variation(adjusted R^(2)=0.163,F=16.550,P<0.01).Conclusion:The occupational stress of standardized training nurses in operating room is at a high level, and their safety behavior level needs to be further improved.Professional choice and occupational stress can affect their safety behavior level.Managers should pay more attention to the occupational stress of standardized training nurses in the operating room and improve their safety behavior so as to ensure the safety of patients.