广东省三甲综合医院急诊科护士的健康工作环境现况调查
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摘要
目的调查广东省三甲综合医院急诊科护士的健康工作环境现状。方法便利抽样法抽取广东省14家三甲综合医院,对医院急诊科护士整群抽样,使用中文版磁性要素量表(EOMⅡ)调查急诊科共382名护士对健康工作环境的评价,采用十点单项目标尺测量急诊护士的自评工作满意度和自评护理质量。结果研究中的急诊科护士的健康工作环境得分高于国内ICU、国外磁性医院及非磁性医院,但自评工作满意度和自评护理质量评价明显低于国外磁性与非磁性医院。不同班次的急诊护士对健康工作环境的评价存在差异;护士的自评工作满意度和自评护理质量影响健康工作环境的得分。结论广东省三甲综合医院急诊科护士的健康工作环境得分较高,但护士对工作的满意度较低。
Objective To investigate the health status of nurses in emergency departments in tertiary hospitals of Guangdong province.Methods Fourteen tertiary hospitals were selected by using convenience sampling method,and 382 emergency nurses were chose by cluster sampling and their healthy work environment was evaluated by using Essentials of Magnetism Ⅱscale(EOMⅡ).All the participants were asked to finished the Essentials of Magnetism Ⅱscale.Results The healthy work environment in the tertiary hospitals′emergency departments in Guangdong had higher score than the magnet hospitals in America,but lower job satisfaction and nursing quality.There were significant differences in different shift and education of the emergency nurses.The job satisfaction and nursing quality could influence the healthy work environment.Conclusion The healthy work environment in tertiary hospitals′emergency departments of Guangdong province is good,but the job satisfaction and nursing quality is low.
Objective To investigate the health status of nurses in emergency departments in tertiary hospitals of Guangdong province.Methods Fourteen tertiary hospitals were selected by using convenience sampling method,and 382 emergency nurses were chose by cluster sampling and their healthy work environment was evaluated by using Essentials of Magnetism Ⅱscale(EOMⅡ).All the participants were asked to finished the Essentials of Magnetism Ⅱscale.Results The healthy work environment in the tertiary hospitals′emergency departments in Guangdong had higher score than the magnet hospitals in America,but lower job satisfaction and nursing quality.There were significant differences in different shift and education of the emergency nurses.The job satisfaction and nursing quality could influence the healthy work environment.Conclusion The healthy work environment in tertiary hospitals′emergency departments of Guangdong province is good,but the job satisfaction and nursing quality is low.
引文
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[12]王庆华,马东梅,吴明,等.急诊科护士岗位胜任力指标体系的构建[J].护理学杂志,2011,26(21):72-74.
[13]郭亚楠,马玉萍.临床护士岗位胜任力研究现状[J].中国医学创新,2015,18(8):150-153.
[14]张春妍,尹文超,杨丽华.急诊科护士团队合作度现状及影响因素分析[J].护理学杂志,2016,31(20):66-69.
[15]黄紫霞,陈润芳.A-N两班制排班模式在医院优质服务病区的应用效果[J].现代医院,2013,05:110-114.
[16]孙新风,任雁北,栾晓嵘.不同学历护士工作压力源及工作疲溃感的调查研究[J].中国护理管理,2015,15(8):1000-1003.
[17]Gillespie GL,Gates DM,Miller M,et al.Emergency department workers′perception of security officers′effectiveness during violent events[J].Work,2012,42(1):21-27.
[2]Schmalenberg C,Kramer M.Essentials of a productive nurse work environment[J].Nurs Res,2008,57(1),2-13.
[3]Wang Y,Dong W,Mauk K,et al.Nurses′practice environment and their job satisfaction:a study on nurses caring for older adults in Shanghai[J].PLoS One,10(9),e0138035.
[4]张晓曼,王志稳.急诊科护士职业价值观与工作环境的相关性研究[J].中华护理杂志,2014,49(3):312-316.
[5]王洪智,杨丽华,史金玉,等.急诊科护士心理健康状况的调查[J].解放军护理杂志,2015(9):25-27,71.
[6]李欢,刘新,梁钰坪,等.北京市“三甲”公立医院急诊科护士工作满意度及其影响因素研究[J].中国护理管理,2015,15(7):792-795.
[7]Kramer M,Schmalenberg C.Development and evaluation of essentials of magnetism tool[J].J Nurs Adm,34(7/8):365-378.
[8]Brouwer BJ,Kaljouw MJ,Kramer M,et al.Measuring the nursing work environment:translation and psychometric evaluation of the essentials of magnetism[J].Int Nurs Rev,61(1):99-108.
[9]Yildirim D,Kisa S,Hisar F.Validity and reliability of the turkish version of the essentials of magnetism scale(eomⅡ)[J].Int Nurs Rev,59(4):570-576.
[10]Bai J,Hsu L,Zhang Q.Validation of the essentials of magnetismⅡin chinese critical care settings[J].Nurs Crit Care,20(3):134-145.
[11]成磊,冯升,姚良月,等.ICU护士对健康工作环境评价的现状调查[J].护理研究,2014(31):3879-3883.
[12]王庆华,马东梅,吴明,等.急诊科护士岗位胜任力指标体系的构建[J].护理学杂志,2011,26(21):72-74.
[13]郭亚楠,马玉萍.临床护士岗位胜任力研究现状[J].中国医学创新,2015,18(8):150-153.
[14]张春妍,尹文超,杨丽华.急诊科护士团队合作度现状及影响因素分析[J].护理学杂志,2016,31(20):66-69.
[15]黄紫霞,陈润芳.A-N两班制排班模式在医院优质服务病区的应用效果[J].现代医院,2013,05:110-114.
[16]孙新风,任雁北,栾晓嵘.不同学历护士工作压力源及工作疲溃感的调查研究[J].中国护理管理,2015,15(8):1000-1003.
[17]Gillespie GL,Gates DM,Miller M,et al.Emergency department workers′perception of security officers′effectiveness during violent events[J].Work,2012,42(1):21-27.