陕西省某三级甲等医院护士自我表露与工作投入的相关分析

Correlation analysis on self-disclosure and work engagement of nurses in a grade-A tertiary hospital in Shaanxi Province

目的调查陕西省某三级甲等医院护士自我表露和工作投入现状,并分析两者之间的关系。方法方便抽样法选择2022年7—8月陕西省某三级甲等医院护士作为调查对象,采用一般资料调查表、痛苦表露指数量表(distress disclosure index,DDI)和工作投入量表(utrecht work engagement scale,UWES)对215名护士进行调查,并对数据进行分析。结果护士自我表露总分为(39.00±6.63)分;工作投入总分为(29.26±8.74)分,活力得分为(9.84±4.05)分,奉献得分为(10.31±4.63)分,专注得分为(9.12±3.79)分。不同科室、学历、职称及月均收入的护士自我表露得分比较,差异均有统计学意义(均P<0.05);不同学历、月均收入及夜班次数的护士工作投入得分比较,差异均有统计学意义(均P<0.05)。自我表露与工作投入、活力、奉献及专注之间存在正向相关关系(r=0.181、0.154、0.211、0.165,均P<0.05)。工作投入及月均收入均是护士自我表露的影响因素(均P<0.05)。结论陕西省某三级甲等医院护士的自我表露有待提高,且急诊、ICU和手术室等科室护士的自我表露水平较低。护理管理人员应积极鼓励护士进行自我表露,从而提高工作投入水平。

Objective To investigate the status quo of self-disclosure and work engagement of nurses in a grade-A tertiary hospital in Shaanxi Province,analyze the relationship between the two.Methods From July to August 2022,nurses in a grade-A tertiary hospital in Shaanxi Province were selected as subjects by the convenient sampling method.A total of 215 nurses were assessed using the general information questionnaire,the distress disclosure index(DDI)and the Utrecht work engagement scale(UWES).Results The total score of self-disclosure in the nurses was(39.00±6.63)points.The total score of work engagement was(29.26±8.74)points,the vigor score was(9.84±4.05)points,the dedication score was(10.31±4.63)points,and the absorption score was(9.12±3.79)points.There were statistically significant differences in the scores of self-disclosure among nurses in different department,educational background,professional title and monthly average income(all P<0.05).There were statistically significant differences in the scores of work engagement among nurses with different educational background,monthly average income,and number of night shifts(all P<0.05).The self-disclosure was positively correlated with work engagement,vigor,dedication and absorption(r=0.181,0.154,0.211,0.165,all P<0.05).The work engagement and monthly average income were the influencing factors for nurses self-disclosure(all P<0.05).Conclusions The self-disclosure of nurses in a grade-A tertiary hospital in Shaanxi Province needs to be improved,and the level of self-disclosure in nurses in the emergency department,intensive care unit and operating roomis low.Nursing management personnel should actively encourage nurses to make self-disclosure,so as to improve the level of work engagement.