基于员工需求的定期督查沟通对护理执业环境影响的研究

Study on the impact of regular supervision and communication on the nursing practice environment based on employee needs

目的分析在护士长管理中实施基于员工需求的定期督查沟通,对提升护理执业环境的影响,为改善护理执业环境提供参考。方法分别于2020年12月和2022年1月,采用便利抽样法,选取某医院实施基于员工需求的定期督查沟通(2021年1—12月)的5个护理单元护士作为研究对象,采用盖洛普Q12调查问卷(以下简称Q12问卷)进行调查,问卷内容包含基本需求、护士长支持、团队合作和自我成长4个维度,共12个条目;同时,采用焦点小组访谈法对10名调查对象进行有关定期督查沟通体验的访谈。结果本研究共纳入165名调查对象,督查沟通实施前77人,实施后88人。Q12问卷总分平均值从实施督查沟通前的53.75分增加至实施后的56.96分,差异有统计学意义(P<0.05)。基本需求、护士长支持、团队合作和自我成长4个维度得分从实施前的4.59分、4.41分、4.50分和4.45分增至实施后的4.84分、4.69分、4.75分和4.75分,差异均有统计学意义(P<0.05)。访谈结果显示督查沟通能够营造人文关怀氛围,提升团队凝聚力,增强自我效能感,提高工作效率,及时解决问题,提升护理质量。结论实施基于员工需求的定期督查沟通,能够加强护士长与护士之间的联系,提升护士对基本需求、护士长支持、团队合作和自我成长的认可度,有利于营造良好的护理执业环境,满足护士情感需求和成长需求,提升护士工作满意度。

Objective To analyze the impact of implementing regular supervision and communication based on employee needs in the management of head nurses on improving the nursing practice environment,for reference for improving the nursing proctice environment.Methods In December 2020 and January 2022,convenience sampling method was used to select 5 nursing unit nurses from a hospital which implemented regular supervision and communication based on employee needs(January to December 2021)as the research subjects.The survey was conducted using the Gallup Q12 questionnaire(Q12 questionnaire),which included 12 items from 4 dimensions:basic needs,head nurse support,team cooperation,and self growth.At the same time,a focus group interview method was made to interviews 10 survey subjects regarding their regular supervision and communication experiences.Results A total of 165 survey subjects were included in this study,including 77 before and 88 after the implementation.The average total score of the Q12 questionnaire increased from 53.75 points before implementation of supervision communication to 56.96 points after implementation,with a statistically significant difference(P<0.05).The scores of the four dimensions of basic needs,head nurse support,team collaboration,and self growth increased from 4.59 points,4.41 points,4.50 points,and 4.45 points before implementation to 4.84 points,4.69 points,4.75 points,and 4.75 points after implementation,with statistical significances(P<0.05).The interview results showed that supervisory communication can create a humanistic care atmosphere,enhance team cohesion,enhance self-efficacy,improve work efficiency,solve problems in a timely manner,and improve nursing quality.Conclusions Implementing regular supervision and communication based on employee needs can strengthen the connection between the head nurse and nurses,and enhance nurses'recognition of basic needs,head nurse support,teamwork,and self growth.It was conducive to creating a good nursing practice environment,meeting the emotional and growth needs of nurses,and improving their job satisfaction.