医护合作对口腔专科护士工作投入的影响

The Influence of Medical Cooperation on the Work Engagement of Dental Specialist Nurses

目的调查云南省口腔专科护士医护合作、护士工作投入的现状,探讨医护合作对口腔专科护士工作投入的影响。方法采用便利抽样法,于2024年1月至3月,采用一般资料调查问卷表、医护合作量表、Utrecht工作投入量表对251名云南省口腔专科护士进行调查。结果云南省口腔专科护士医护合作量表调查总分为(85.09±15.14)分,各条目总均分为(4.052±0.02)分,患者信息的交流维度总均分为(4.16±0.66)分,共同参与治疗或护理的决策维度(3.97±0.83)分,护士和医生的关系维度(4.05±0.91)分,分数以患者信息的交流、护士和医生的关系、共同参与治疗或护理的决策维度依次下降。护士工作投入量表调查总分为(50.75±15.69)分,总均分为(3.906±0.123)分,其中奉献维度均分为(4.04±1.30)分,专注维度均分为(3.89±1.22)分,活力维度均分为(3.83±1.21)分,得分从奉献维度、专注、活力维度均分依次下降。Pearson相关性分析结果显示,医护合作与口腔专科护士的工作投入呈中度正相关(r=0.574,P<0.001),量表中各维度与工作投入均呈中度正相关,(r=0.502-0.574,P<0.001)。单因素分析显示,性别、职务、收入对口腔专科护士工作投入得分有影响,多元线性回归分析显示,工龄大于5 a的护士医护合作得分显著高于工龄小于5 a的低年资护士(P<0.05),护士月收入正向影响工作投入得分(P<0.05),医护对于患者信息的交流显著正向影响工作投入得分(P<0.05)。结论云南省口腔专科护士医护合作处于较高水平,工作投入处于中等水平,口腔专科护士医护合作水平越高,工作投入程度越大。口腔专科护理管理者应考虑能够促进医护合作的各项措施,工作中构建团结和谐的医护合作关系,同时关注影响护士工作投入的因素,并采取相应的措施,促进口腔专科护士工作投入水平,提升口腔医疗护理服务质量。

Objective To investigate the current situation of medical cooperation and nurses'work engagement of dental specialty nurses in Yunnan province,and to explore the impact of medical cooperation on the work engagement of dental specialty nurses.Methods A total of 251 dental nurses in Yunnan province were investigated by convenience sampling from January to March 2024 with the general information questionnaire,the medical cooperation scale(NPCS)and the Utrecht work engagement scale(UWES).Results The total score of the medical cooperation scale for dental specialty nurses in Yunnan province was(85.09±15.14),the total average score of each item was(4.052±0.02),the total average score of the communication dimension of patient information was(4.16±0.66),the decision dimension of joint participation in the treatment or nursing was(3.97±0.83),and the relationship dimension between nurses and doctors was(4.05±0.91).The scores decreased in order of the communication of patient information,the relationship between nurses and doctors,and the decision dimension of joint participation in the treatment or nursing.The total score of nurses'work engagement scale was(50.75±15.69),and the total average score was(3.906±0.123).The average score of the dedication dimension was(4.04±1.30),the average score of focus dimension was(3.89±1.22),and the average score of the vitality dimension was(3.83±1.21).The score decreased in turn from the dimension of dedication,focus and vitality.Pearson correlation analysis showed that medical cooperation was moderately positively correlated with the work engagement of dental specialty nurses(r=0.574,P<0.001),and all the dimensions of the scale were moderately and positively correlated with the work engagement(r=0.502-0.574,P<0.001).Single factor analysis showed that gender,position and income had an impact on the work engagement score of dental specialty nurses.Multiple linear regression analysis showed that nurses with more than 5 years of service scored significantly higher in medical cooperation than those with less than 5 years of service(P<0.05),the monthly income of nurses positively affected the work engagement score(P<0.05),and the communication of patient information between doctors and nurses had a significant positive impact on the work engagement score(P<0.05).Conclusion The medical cooperation of dental specialty nurses in Yunnan province is at a high level,and the work engagement is at a medium level.The higher the level of medical cooperation of dental specialty nurses,the greater the degree of the work engagement.Oral specialty nursing managers should consider various measures that can promote the medical cooperation,build a united and harmonious medical cooperation relationship in their work,pay attention to the factors that affect nurses'work engagement,and take corresponding measures to promote the level of work engagement of oral specialist nurses and improve the quality of oral medical care service.