上海市公立医院重症医护人员工作满意度评价及影响因素分析

Job Satisfaction and Associated Factors among Medical Staff in Intensive Care Unit in Public Hospitals in Shanghai

目的调查上海市二、三级公立医院ICU医护人员的工作满意度水平,分析影响因素。方法通过便利抽样法,采用明尼苏达满意度短式量表对570名上海市二、三级公立医院ICU医护人员进行问卷调查。采用多元线性回归分析影响因素。结果上海市二、三级公立医院ICU医护人员总体满意度条目均分为(3.75±0.73)分,内在满意度高于外在满意度。每日工作时长是影响ICU医护人员内在满意度、外在满意度和总体满意度的因素,且每日工作时长越长满意度越低。从业动机对ICU医护人员外在满意度和总体满意度产生影响。相较于认为“职业发展前景好”的人员,“被动或盲目择业”ICU医护人员的外在满意度和总体满意度更低。结论上海市二、三级公立医院ICU医护人员工作满意度处于中等偏上水平。建议打造院内一体化重症救治平台,建设重症智慧监测网,提升危重症救治效率,缓解医护人员工作压力。同时,可参照紧缺人才培养思路,探索在医学院校开设重症医学专业的可行方案,设立重症医师规范化培训专项补助支持项目,以提升医学生从事重症医学工作的积极性。

Objective To measure the levels and identify the associated factors of job satisfaction among medical staff in intensive care units(ICU)in Shanghai secondary and tertiary public hospitals.Methods By convenience sampling method,a questionnaire survey was conducted among 570 ICU medical staff in Shanghai secondary and tertiary public hospitals with Minnesota Satisfaction Scale.The influencing factors were analyzed by multiple linear regression.Results The overall satisfaction of ICU medical staff in Shanghai secondary and tertiary public hospitals was(3.75±0.73)points,and the internal satisfaction was higher than the external satisfaction.Daily working duration was the factor that affected the internal satisfaction,external satisfaction and overall satisfaction of ICU medical staff,and the longer the daily working hours,the lower the satisfaction.Practice motivation had an impact on the external satisfaction and overall satisfaction of ICU medical staff.Compared with those who thought"good career development prospects",the external satisfaction and overall satisfaction of ICU medical staff who"passively or blindly choose a career"were lower.Conclusion The job satisfaction of ICU medical staff in Shanghai secondary and tertiary public hospitals was above the medium level.It is suggested to build an integrated platform for intensive care treatment in the hospital and a smart monitoring network for critical care to improve the efficiency of critical care treatment and relieve the work pressure of medical staff.Furthermore,with reference to the training ideas of talents in short supply,the feasible plan to open the major of critical care medicine in medical colleges and universities is explored,and a special subsidy support project for standardized training of intensive care physicians is set up to enhance the enthusiasm of medical students to engage in critical care medicine.