我国护士隐性缺勤影响因素的meta分析

Influencing factors of presenteeism in Chinese nurses:A meta-analysis

目的通过meta分析我国护士隐性缺勤的影响因素。方法检索PubMed、EMbase、Cochrane Library、Web of Science、中国知网、维普数据库、万方数据库和中国生物医学文献服务系统中有关我国护士隐性缺勤影响因素的文献,检索时限为建库至2023年3月14日。由2名分析人员独立筛选文献、提取资料、质量评价后采用Stata 17.0和RevMan 5.3软件进行meta分析。结果共纳入33篇文献,包含41589名护士,最终提取19个隐性缺勤影响因素。Meta分析结果显示,我国护士隐性缺勤得分为17.29(95%CI:16.63~17.94),且婚姻状况、工作年限、每月夜班数、每月加班数、学历、遭受工作场所暴力、健康状况、职业紧张、职业认同、职业倦怠、心理资本、包容型领导、工作家庭冲突、心理一致感、心理安全感为护士隐性缺勤的主要影响因素(均P<0.05)。结论我国护士整体隐性缺勤水平较高,护理管理者可根据不同影响因素制定针对性地干预措施以减少护士的隐性缺勤行为。

Objective To identity the influencing factors of presenteeism among nurses in China by meta-analysis.Methods The literature on influencing factors of Chinese nurses'presenteeism were retrieved from PubMed,EMbase,Cochrane Library,Web of Science,CNKI,VIP,Wanfang Data and CBM from the establishment of the database to March 14,2023.The literature screening,quality evaluation and information extraction were completed by two researchers independently.The meta-analysis was performed using Stata 17.0 and RevMan 5.3 software.Results A total of 33 articles including 41589 nurses were included,and 19 presenteeism influencing factors were finally extracted.The meta-analysis results showed that the presenteeism score of nurses in China was 17.29(95%CI:16.63-17.94),and marital status,years of experience,number of night shifts per month,number of overtime shifts per month,educational background,exposure to workplace violence,physical health,occupational stress,professional identity,job burnout,psychological capital,inclusive leadership,work family conflict,sense of coherence,psychological security were the main factors influencing nurses'presenteeism(all P<0.05).Conclusion The overall presenteeism level of nurses in China is high,so nursing managers can develop specific interventions to reduce the presenteeism of nurses according to different influencing factors.