我国口腔门诊护士医护合作行为现状及影响因素分析

Status quo and influencing factors of physician-nurse collaboration among nurses in Dental Clinics in China

目的了解我国口腔门诊护士医护合作行为现状,并分析其影响因素。方法采用便利抽样法,于2020年6—7月从我国7个地区抽取18个省、市、自治区的18所三甲口腔专科医院的1374名门诊护士为研究对象,采用一般资料调查问卷、医护合作量表对其进行调查。采用多重线性回归分析探讨口腔门诊护士医护合作行为的影响因素。本研究共发放问卷1374份,回收有效问卷1321份,有效回收率为96.1%(1321/1374)。结果1321名口腔门诊护士医护合作量表总分为(84.20±13.27)分,患者信息的交流维度得分为(33.20±4.77)分,共同参与治疗或护理的决策过程维度得分为(38.88±7.80)分。多重线性回归分析结果显示,学历、职称、是否参与四手配合是口腔门诊护士医护合作行为的影响因素(P<0.05)。结论口腔门诊护士医护合作行为整体状况较好,但在医护共同参与口腔治疗或护理决策方面仍有待改善。医院管理者应积极开展继续教育,加强四手操作培训和专业内涵培养,提高口腔门诊护士的职业认同感和医护合作行为水平,为患者提供更全面的护理服务。

Objective To explore the status quo of physician-nurse collaboration among nurses in Dental Clinics in China,and analyze its influencing factors.Methods From June to July 2020,1374 outpatient nurses from 18 ClassⅢGrade A dental hospitals in 18 provinces,cities and autonomous regions were selected from 7 administrative regions of China with the convenient sampling as research objects.The nurses were investigated with the General Information Questionnaire and Nurse-Physician Collaboration Scale.Multiple linear regression analysis was used to explore the influencing factors of physician-nurse collaboration of nurses in Dental Clinics.A total of 1374 questionnaires were distributed,and 1321 valid questionnaires were recovered,with a valid recovery rate of 96.1%(1321/1374).Results Among 1321 nurses in Dental Clinics,the total score of the Nurse-Physician Collaboration Scale was(84.20±13.27).The dimension score of sharing of patient information was(33.20±4.77),and the dimension score of joint participation in the cure/care decision making process was(38.88±7.80).Multiple linear regression analysis showed that education background,professional title and participation in the four-hand collaboration were the influencing factors of the physician-nurse collaboration of the nurses in Dental Clinics(P<0.05).Conclusions The physician-nurse collaboration among nurses in Dental Clinics is in good condition,but the joint participation of doctors and nurses in oral cure or care decision-making still needs to be improved.Hospital managers should actively carry out continuing education,strengthen the four-hand operation training and professional connotation training,improve the professional identity of nurses in Dental Clinics and the physician-nurse collaboration,so as to provide comprehensive nursing services for patients.