护理工作环境对护理缺失影响的研究

Study on the influence of nursing working environment on missed nursing care

目的:调查护理缺失现状,并分析护士一般资料和护理工作环境对护理缺失的影响。方法:采用便利抽样法于2020年9月至2021年3月选择北京市3所三级甲等医院的护士作为调查对象,使用一般资料调查表、护理工作环境量表和护理缺失量表A部分(护理活动缺失条目量表)进行调查,利用Logistic回归模型分析护理缺失的影响因素。结果:护理缺失发生率为40.1%,回归分析结果显示:学历、每周加班情况、工作满意度、护理工作环境中充足的人力和物力以及护士参与医院事务维度得分是护理缺失的影响因素(P<0.05)。结论:护理缺失发生率较高,本科、每周加班多、工作不满意的护士更容易出现护理缺失,而当医院管理者能够提供充足的人力和物力、促进护士参与医院事务时,有利于降低护理缺失水平。

Objective:To investigate the status of missed nursing care and analyze the influence of nurses’general information and their working environment on missed nursing care.Methods:The convenience sampling method was used to select the clinical nurses working in grade A tertiary hospital in Beijing from September 2020 to March 2021 as subjects,who were given the general data questionnaire,the Practice Environment Scale of the Nursing Work Index and MISSCARE Survey(Part A)for investigation.And the influencing factors of missed nursing care were analyzed by Logistic regression.Results:The incidence of missed nursing care was 40.1%.The regression analysis results showed that nurses’highest educational background,their weekly overtime work and job satisfaction,sufficient manpower and material resources in the nursing work environment and nurses’participation in hospital affairs were the influencing factors of missed nursing care(P<0.05).Conclusion:The incidence of missed nursing care is high and nurses with bachelor degree,more weekly overtime work and less work satisfaction are more likely to have missed nursing care.However,it is beneficial to reduce the level of missed nursing care if sufficient manpower and material resources are provided with nurses being encouraged to participate more in hospital affairs.