网约护士执业过程风险感知现状及影响因素分析

Risk perception and influencing factors in practice of online nurse-hailing services among nurses

目的了解江苏省网约护士风险感知现状及影响因素,为针对性干预提供参考。方法采用一般资料调查表、网约护士风险感知问卷、正负情绪量表、一般自我效能感量表、五大人格特质测量表对江苏省不同地区21所医院的219名网约护士进行调查。结果网约护士风险感知总分为58.33±17.75分,得分率为41.66%;风险感知总分与负性情绪得分呈正相关,与一般自我效能得分、大五人格中的外向性、宜人性、严谨性、神经质得分均呈负相关(均P<0.05)。多元线性回归分析显示,外科、门诊岗位、近半年每单派出人数、近1年接单次数、风险熟悉程度、负性情绪、神经质为网约护士风险感知的影响因素(均P<0.05),可解释总变异的36.4%。结论江苏省网约护士风险感知处于偏低水平,受多种因素影响,管理者可针对影响因素实施干预,以提高网约护士风险感知水平,从而提高安全性。

Objective To investigate the level and influencing factors of risk perception of"online nurse-hailing"services among nurses in Jiangsu province.Methods A total of 219 nurses who were working in 21 hospitals in Jiangsu province and provided"online nurse-hailing"services were surveyed by using a demographic questionnaire,the Chinese Nurses′Risk Perception Questionnaire,the Positive and Negative Affect Scale,the General Self-efficacy Scale,and the Brief Version of Goldberg′s Unipolar Big-Five Markers.Results The total score of risk perception was(58.33±17.75),with the scoring rate of 41.66%.The total risk perception score was positively correlated with the negative affect score,whereas negatively correlated with general self-efficacy score,as well as the scores of extraversion,agreeableness,conscientiousness and neuroticism in the big five personalities(all P<0.05).Multiple linear regression analysis showed that working in surgical department and outpatient department,the number of nurses worked together for each customer order in the past six months,the number of orders received in the past year,risk familiarity,negative affect,and neuroticism were factors affecting risk perception among nurses(all P<0.05),explaining 36.4%of the total variance.Conclusion The risk perception of"online nurse-hailing"services among nurses is at a low level,which is affected by various factors.Managers should formulate corresponding measures based on the influencing factors to improve nurses′risk perception and ensure personal safety.