护理专业精神认知水平及其影响因素研究
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摘要
目的定量测评护理专业精神认知水平并分析其影响因素,为有针对性地提高护理专业精神提供研究证据。方法问卷调查广东和湖北两省7家公立三甲医院的741名护士,以专业精神量表的总分和5个维度的条目得分作为因变量进行描述性统计分析和多元逐步线性回归。结果专业精神认知水平总得分是(83.41±8.75);参与专业组织、公共服务理念、同行评价理念、专业使命感、自主性5个维度的得分分别为(16.04±2.64)、(17.25±2.89)、(16.93±2.45)、(17.82±3.13)、(15.38±2.58)。影响护理专业精神认知水平的因素主要有5个,即性别、录取志愿、第一学历、用工性质和近3年是否获得护理学相关奖励。结论调查的7家三甲医院护士专业精神认知水平与美国护士专业精神平均水平相近,但稍低于韩裔美国护士,且与基本人口特征、教育背景、执业状态、参加专业活动积极性等因素有关。
Objective: To evaluate the cognitive level of nursing professionalism quantitatively and analyze its influencing factors,so as to provide research evidences for improving nursing professionalism. Method: A questionnaire survey was conducted among 741 nurses from 7 public class A tertiary hospitals in Guangdong and Hubei Province. Descriptive statistics and multiple stepwise linear regressions were adopted using total score and scores of five dimensions of nursing professionalism scale as dependent variables. Results: Total score of professionalism cognitive level was( 83. 41 ± 8. 75). The five dimensions of participation in professional organization,public health philosophy,peer review philosophy,professional sense of mission and autonomy were( 16. 04 ± 2. 64),( 17. 25 ±2. 89),( 16. 93 ± 2. 45),( 17. 82 ± 3. 13),( 15. 38 ± 2. 58),separately. There were mainly 5 factors influencing nursing professionalism cognitive level,namely gender,admission volunteer,first academic qualifications,employment type,and whether receiving nursing award in past 3 years. Conclusion: Cognitive level of nursing professionalism of sample nurses in 7 class A tertiary hospitals is similar to that of American nurse,but lower than that of Korean-American nurses. And it is related to basic demographic characteristics,education background,practice status,enthusiasm of participating in the professional activities.
Objective: To evaluate the cognitive level of nursing professionalism quantitatively and analyze its influencing factors,so as to provide research evidences for improving nursing professionalism. Method: A questionnaire survey was conducted among 741 nurses from 7 public class A tertiary hospitals in Guangdong and Hubei Province. Descriptive statistics and multiple stepwise linear regressions were adopted using total score and scores of five dimensions of nursing professionalism scale as dependent variables. Results: Total score of professionalism cognitive level was( 83. 41 ± 8. 75). The five dimensions of participation in professional organization,public health philosophy,peer review philosophy,professional sense of mission and autonomy were( 16. 04 ± 2. 64),( 17. 25 ±2. 89),( 16. 93 ± 2. 45),( 17. 82 ± 3. 13),( 15. 38 ± 2. 58),separately. There were mainly 5 factors influencing nursing professionalism cognitive level,namely gender,admission volunteer,first academic qualifications,employment type,and whether receiving nursing award in past 3 years. Conclusion: Cognitive level of nursing professionalism of sample nurses in 7 class A tertiary hospitals is similar to that of American nurse,but lower than that of Korean-American nurses. And it is related to basic demographic characteristics,education background,practice status,enthusiasm of participating in the professional activities.
引文
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[14]刘聪聪,陈淑雷,路英菊,等.国内外护理专业精神研究进展[J].护理研究,2015,29(8):910-913.
[15]Mc Closkey J C,Mc Cain B E.Satisfaction,Commitment and Professionalism of Newly Employed Nurses[J].Image:the Journal of Nursing Scholarship,1987,19(1):20-24.
[16]Kim-Godwin Y S,Baek H C,Wynd C A.Factors Influencing Professionalism in Nursing Among Korean American Registered Nurses[J].Journal of Professional Nursing,2010,26(4):242-249.
[17]陶育茹,贾延雪,马奕,等.某三级甲等医院男护士职业认同感现状及其影响因素调查[J].中国校医,2016,30(2):117-119.
[18]许莹,尤黎明,刘可,等.我国医院护理人力资源流失现状研究[J].中国护理管理,2011,11(9):29-32.
[19]杜治政.关于医学专业精神的几个问题[J].医学与哲学(人文社会医学版),2007,28(5):1-5,9.
[20]胡林英,丛亚丽.医学专业精神的初步研究[J].医学与哲学(人文社会医学版),2007,28(5):10-13.
[2]Nogueras D J.Occupational commitment,education,and experience as a predictor of intent to leave the nursing profession[J].Nursing Economics,2006,24(2):86-93.
[3]Choi M,Kim J.Relationships Between Clinical Decision-Making Patterns and Self-Efficacy and Nursing Professionalism in Korean Pediatric Nurses[J].Journal of Pediatric Nursing,2015,30(6):81-88.
[4]C elik S,Hisar F.The influence of the professionalism behaviour of nurses working in health institutions on job satisfaction[J].International Journal of Nursing Practice,2012,18(2):180-187.
[5]Hwang J I,Lou F,Han S S,et al.Professionalism:the major factor influencing job satisfaction among Korean and Chinese nurses[J].International Nursing Review,2009,56(3):313-318.
[6]Baumann A,Kolotylo C.The Professionalism and Environmental Factors in the Workplace Questionnaire:development and psychometric evaluation[J].Journal of advanced nursing,2009,65(10):2216-2228.
[7]Wynd C A.Current factors contributing to professionalism in nursing[J].Journal of Professional Nursing,2003,19(5):251-261.
[8]Smole E,Ksykiewicz-Dorota A.Nurses’professionalism as a component of evaluation of parents/caregivers satisfaction with nursing care[J].Medycyna Pracy,2015,66(4):549-556.
[9]黄瑛,何晓燕,潘红梅.论护士的职业精神[J].中华护理教育,2010,7(9):410-412.
[10]吴冰,白联缔.生命关怀视角下护士职业精神的培育[J].中国医学伦理学,2013,26(1):21-23.
[11]张新庆.论护士专业精神及其内涵[J].中国医学伦理学,2012,25(3):299-302.
[12]李飞燕.论现代护理之专业精神——以人为本,关怀照顾[J].卫生职业教育,2012,30(11):72-73.
[13]Hall R H.Professionalization and Bureaucratization[J].American Sociological Review,1968,33(1):92-104.
[14]刘聪聪,陈淑雷,路英菊,等.国内外护理专业精神研究进展[J].护理研究,2015,29(8):910-913.
[15]Mc Closkey J C,Mc Cain B E.Satisfaction,Commitment and Professionalism of Newly Employed Nurses[J].Image:the Journal of Nursing Scholarship,1987,19(1):20-24.
[16]Kim-Godwin Y S,Baek H C,Wynd C A.Factors Influencing Professionalism in Nursing Among Korean American Registered Nurses[J].Journal of Professional Nursing,2010,26(4):242-249.
[17]陶育茹,贾延雪,马奕,等.某三级甲等医院男护士职业认同感现状及其影响因素调查[J].中国校医,2016,30(2):117-119.
[18]许莹,尤黎明,刘可,等.我国医院护理人力资源流失现状研究[J].中国护理管理,2011,11(9):29-32.
[19]杜治政.关于医学专业精神的几个问题[J].医学与哲学(人文社会医学版),2007,28(5):1-5,9.
[20]胡林英,丛亚丽.医学专业精神的初步研究[J].医学与哲学(人文社会医学版),2007,28(5):10-13.