ICU护士隐性缺勤现状及影响因素

Current status of presenteeism among ICU nurses and its infl uencing factors

目的 调查宁夏回族自治区各级医院ICU护士隐性缺勤现状并分析其影响因素。方法 2023年2月选取宁夏回族自治区40所医院的ICU护士为调查对象,通过一般资料调查表、中国护士工作压力源量表和中文版斯坦福隐性缺勤量表进行问卷调查。结果 本研究共纳入390名ICU护士。ICU护士工作压力得分为99.17±19.01分,中度及重度压力各占59.49%、33.59%,隐性缺勤得分为17.33±4.50分,高隐性缺勤者达57.69%;Pearson相关分析结果显示,工作压力与隐性缺勤呈正相关(r=0.480,P<0.001);多元线性回归结果显示,健康状况感知、工作满意度、工作环境及仪器设备、管理及人际关系是ICU护士隐性缺勤的影响因素(P<0.05)。结论 宁夏回族自治区各级医院ICU护士工作压力及隐性缺勤处于中等偏上水平,健康状况感知、工作满意度、工作环境及仪器设备、管理及人际关系是ICU护士隐性缺勤的影响因素,护理管理者应重视ICU护士的隐性缺勤现状,动态改善科室环境,及时调整管理方式并促进医护沟通协作,关注并增强ICU护士健康状况感知意识,提高护士自身职业认同感及工作满意度,以此降低隐性缺勤的发生。

Objective To investigate the status quo of presenteeism among ICU nurses in hospitals in various levels of hospitals in Ningxia Hui Autonomous Region and analyze its influencing factors.Methods In total,ICU nurses from 40 hospitals in the Ningxia Hui Autonomous Region were selected as the survey subjects in February 2023.A questionnaire survey was conducted using a general information questionnaire,Chinese Nurse Stressors Scale,and the Chinese version of the Stanford Presenteeism Scale.Results A total of 390 ICU nurses were included in this study.The job stress score of ICU nurses was 99.17±19.01 points,with moderate and severe stress accounting for 59.49%and 33.59%respectively.The presenteeism score was 17.33±4.50 points,with 57.69%of participants categorized as having high presenteeism.Pearson correlation analysis showed that the work stress was positive correlation with presenteeism(r=0.480,P<0.001).Multiple linear regression analysis showed that the perceived health status,job satisfaction,working environment and equipment,management and interpersonal relationships were factors influencing presenteeism among ICU nurses(P<0.05).Conclusion The work stress and presenteeism of ICU nurses in hospitals at all levels in the Ningxia Hui Autonomous Region are at an above-average level.Perceived health status,job satisfaction,working environment and equipment,management and interpersonal relationships are factors influencing presenteeism among ICU nurses.Nursing managers should pay attention to the presenteeism status of ICU nurses,dynamically improve departmental environments,promptly adjust management methods,and promote communication and collaboration between doctors and nurses.They should also focus on enhancing ICU nurses'awareness of their perceived health status,increasing nurses'professional identity and job satisfaction,so as to reduce the occurrence of presenteeism.