专升本继续教育在改善临床护士工作满意度中的作用

Role of top-up continuing education in improving the working satisfaction of nurses

目的：调查专升本与大专护士工作满意度的水平与特点，探讨专升本继续教育在临床护理工作中的作用，为护理管理者合理安排护理岗位提供有效依据。方法采取整群抽样的方法，用一般资料、自编临床护士工作满意度调查表对广西壮族自治区22所三级甲等医院926名临床护士进行问卷调查。结果专升本护士工作满意度总得分高于大专护士；专升本护士和大专护士在“护理工作认同度、工作被认可、工作自主性、人际关系、科研教学机会、个人专业发展”这6个维度上的得分比为：（29.25±6.27）分比（21.39±5.72）分，（21.96±4.73）分比（18.22±3.79）分，（16.67±5.21）分比（13.16±4.28）分，（17.83±3.56）分比（13.37±4.21）分，（21.32±4.63）分比（15.73±5.16）分，（20.51±3.52）分比（15.17±4.22）分， t=3.936、2.762、2.936、3.323、7.616、6.215，P＜0.05；两者在“排班情况、福利待遇”这2个维度上，差异无统计学意义，P＞0.05。结论经过专升本继续教育，临床护士综合素质得到改善，工作满意度得到明显提高。

Objective To investigate the level and characteristics of working satisfaction of nurses, explore the role of top-up continuing education in clinical nursing work,and provide effective basis for the reasonable nursing post arrangement for nursing administrators. Methods Using cluster sampling method, the general information and the self-designed working satisfaction of clinical nurses questionnaire survey for 926 nurses from 22 three level of first-class hospitals of Guangxi Zhuang Autonomous Region. Results The total score of working satisfaction of the upgraded nurses was higher than that of the junior college nurses. The scores comparison of 6 dimensions which were nursing working identity, the work to be recognized, job autonomy, interpersonal relationship, scientific research and teaching opportunities, personal professional development were (29.25±6.27) points vs. (21.39±5.72) points, (21.96±4.73) points vs. (18.22±3.79) points, (16.67±5.21) points vs. (13.16±4.28) points, (17.83±3.56) points vs. (13.37±4.21) points, (21.32±4.63) points vs. (15.73±5.16) points, (20.51±3.52) points vs. (15.17±4.22) points, the difference was statistically significant (t=3.936, 2.762, 2.936, 3.323, 7.616, 6.215, P<0.05). There was no statistical difference between them in 2 dimensions which were scheduling situation, welfare treatment (P>0.05). Conclusions After upgraded continuing education, the comprehensive quality of nurses has been improved,and the working satisfaction has been improved significantly.