老年医疗机构护理员工作满意感的质性研究
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摘要
目的了解老年医疗机构护理员的工作满意感现状,并分析其影响因素,为老年护理管理领域相关政策的制定提供依据。方法 2018年7-8月,目的抽样法选取上海市公立和民营两类护理院中的10名护理员进行半结构式访谈,并现场录音及笔记,运用Colaizzi 7步分析法对收集的资料进行分析。结果提炼出影响老年医疗机构护理员工作满意感的7大因素,即工作环境、工作性质与强度、心理压力负荷、职业认同感、薪资待遇、专业培训、工作生活平衡等。结论老年医疗机构及相关部门应关注护理员的工作软环境、职业情感体验、职业认同感、工作与薪酬分配及专业培训与认证,提升护理员工作满意感,以推进老年护理队伍建设。
Objective To investigate the current situation and related factors of job satisfaction of nursing assistants in elderly nursing institutions,so as to provide a reference for the formulation of programs and policies on elderly care management.Methods From July to August 2018,10 nursing assistants from public and private nursing homes in Shanghai were selected for semi-structured interviews,recorded and taken notes.Colaizzi 7-step analysis was used to analyze the collected data.Results Seven main factors affecting the job satisfaction of nursing assistants in elderly nursing institutions were extracted:working environment,nature and intensity of work,psychological pressure load, professional identity,salary,professional training,work-life balance.Conclusions Elderly nursing institutions and relevant departments should pay attention to the working environment,professional emotional experience,professional identity, work and salary distribution,professional training and certification of nursing assistants,so as to improve the job satisfaction of nursing assistants and promote the construction of geriatric nursing team.
Objective To investigate the current situation and related factors of job satisfaction of nursing assistants in elderly nursing institutions,so as to provide a reference for the formulation of programs and policies on elderly care management.Methods From July to August 2018,10 nursing assistants from public and private nursing homes in Shanghai were selected for semi-structured interviews,recorded and taken notes.Colaizzi 7-step analysis was used to analyze the collected data.Results Seven main factors affecting the job satisfaction of nursing assistants in elderly nursing institutions were extracted:working environment,nature and intensity of work,psychological pressure load, professional identity,salary,professional training,work-life balance.Conclusions Elderly nursing institutions and relevant departments should pay attention to the working environment,professional emotional experience,professional identity, work and salary distribution,professional training and certification of nursing assistants,so as to improve the job satisfaction of nursing assistants and promote the construction of geriatric nursing team.
引文
[1] 邬沧萍.全面贯彻落实十九大精神认真做好人口老龄化国情教育[J].中国社会工作,2018(8):26-27.
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[3] 王飞,张玲芝.浙江省养老护理员工作现状的质性研究[J].护理与康复,2014,13(6):515-518.
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[5] COLAIZZI P.Psychological research as the phenomenologist views it//Existential phenomenological alternatives for psychology[M].New York:Oxford University Press,1978:487.
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[7] 谭玉婷,张银华,易霞,等.老年护理员抑郁情绪与离职意愿的相关性[J].中国老年学杂志,2018,38(14):3514-3516.
[8] 刘腊梅,周兰姝.老年人照顾者的健康状况及其影响因素的调查分析[J].中华护理杂志,2008,43(7):667-670.
[9] 顾桐语,杨春燕,陆健美,等.南通市养老机构护理员工作满意度及离职意愿相关性分析[J].护理研究,2017,31(18):2214-2217.
[10]COWIN L S,JOHNSON M,CRAVEN R G,et al.Causal modeling of self-concept,job satisfaction,and retention of nurses[J].Int J Nurs Stud,2008,45(10):1449-1459.
[11]王黎,郭红艳,雷洋,等.国内外长期护理机构护理人力配置现状研究[J].中华护理杂志,2014,49(8):981-985.
[12]江卫东,陈丽芬.工作倦怠与工作压力源和工作满意度关系研究[J].南京理工大学学报:自然科学版,2009,33(4):548-554.
[13]袁群,易霞,张银华,等.养老护理员工作压力研究现状与进展[J].中国护理管理,2015,15(1):112-115.
[14]杜国玮.我国养老服务机构护理员队伍现状、问题及对策研究——以北京地区为例[D].北京:中国社会科学院研究生院,2010.
[15]BISHOP C E,SQUILLACE M R,MEAGHER J,et al.Nursing home work practices and nursing assistants’ job satisfaction.[J].Gerontologist,2009,49(5):611-622.
[2] 国家卫生健康委员会.关于促进护理服务业改革与发展的指导意见[EB/OL].[2018-07-06].(2019-03-15).http://www.nhc.gov.cn/yzygj/s7659/201807/1a71c7bea4a04d5f82d1aea262ab 465e.shtml.
[3] 王飞,张玲芝.浙江省养老护理员工作现状的质性研究[J].护理与康复,2014,13(6):515-518.
[4] 陶红,王琳.中文版护士留职意愿问卷的修订[J].第二军医大学学报,2010,31(8):925-927.
[5] COLAIZZI P.Psychological research as the phenomenologist views it//Existential phenomenological alternatives for psychology[M].New York:Oxford University Press,1978:487.
[6] 秦秀宝,丁淑贞.护士职业获益感研究进展[J].护理学杂志,2017,32(15):102-105.
[7] 谭玉婷,张银华,易霞,等.老年护理员抑郁情绪与离职意愿的相关性[J].中国老年学杂志,2018,38(14):3514-3516.
[8] 刘腊梅,周兰姝.老年人照顾者的健康状况及其影响因素的调查分析[J].中华护理杂志,2008,43(7):667-670.
[9] 顾桐语,杨春燕,陆健美,等.南通市养老机构护理员工作满意度及离职意愿相关性分析[J].护理研究,2017,31(18):2214-2217.
[10]COWIN L S,JOHNSON M,CRAVEN R G,et al.Causal modeling of self-concept,job satisfaction,and retention of nurses[J].Int J Nurs Stud,2008,45(10):1449-1459.
[11]王黎,郭红艳,雷洋,等.国内外长期护理机构护理人力配置现状研究[J].中华护理杂志,2014,49(8):981-985.
[12]江卫东,陈丽芬.工作倦怠与工作压力源和工作满意度关系研究[J].南京理工大学学报:自然科学版,2009,33(4):548-554.
[13]袁群,易霞,张银华,等.养老护理员工作压力研究现状与进展[J].中国护理管理,2015,15(1):112-115.
[14]杜国玮.我国养老服务机构护理员队伍现状、问题及对策研究——以北京地区为例[D].北京:中国社会科学院研究生院,2010.
[15]BISHOP C E,SQUILLACE M R,MEAGHER J,et al.Nursing home work practices and nursing assistants’ job satisfaction.[J].Gerontologist,2009,49(5):611-622.