实施品管圈管理对护士工作压力及工作满意度影响的研究
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摘要
目的探讨品管圈管理对护士工作压力及工作满意度的影响,为进一步提高医院护理人员工作满意度,降低护士工作压力提供政策建议。方法于2014年12月一个月内,随机选取兰州大学第一医院内科系统工作满1年并参加QCC管理的女性护理人员150人设定为试验组;随机选取兰州大学第一医院东岗院区内科系统工作满1年的女性护理人员150人设定为对照组。其中,试验组为兰大一院内护理系统已经实行了品管圈管理满2年;对照组为兰州大学第一医院东岗院区内护理系统未实行品管圈管理。采用《中国护士工作压力源量表》及《护士工作满意度量表》调查问卷。使用SPSS 19.0统计软件对数据进行统计分析。结果试验组与对照组的工作压力总分值差异有统计学意义(P<0.05),实验组护士的工作压力总分值显著降低。多元线性回归分析结果显示,按照影响从大到小各维度的排列依次是:护理专业及工作方面问题(回归系数1.112)、时间分配及工作量问题(回归系数1.079)、管理及人际关系(回归系数1.074)、工作环境及仪器设备的问题(回归系数1.040)及病人护理方面的问题(回归系数1.015)。结论通过品管圈管理有助于降低护士的工作压力。其中,对护理专业及工作方面问题、时间分配及工作量问题、管理及人际关系的影响最大。品管圈管理对工作满意度影响不明显,但对维度工作负荷、与同事的关系和工作本身方面有显著影响。
OBJECTIVE Through questionnaire survey, compare differences of job satisfaction scale and work pressure total score andrelated factors to investigate the impact of the implementation of QCC to job satisfaction and job stress of nurses,and put some sug-gestion for further improve the nurses' job satisfaction and reduce the nurses' work pressure. METHODS In December 2015, ran-dom selection 150 female nurses from the First Hospital of Lanzhou University medical system which conduct QCC and work was full1 year as the experimental group, and also 150 female nurses from Donggang Hospital District medical system as control group. Allsurveyed nurses knowledge and sign the informed consent. Among them, the test group from the First Hospital of Lanzhou Universitymedical system has already conducted QCC for 2 years. Control group from Donggang Hospital District medical system did not haveQCC. Use SPSS 19.0 statistical software for statistical data analysis. RESULTS Compared with the control group, the total pressurescore of the test group fell significantly(P<0.05). According to the results, the impact factor of each parameter was: 1.112(the is-sues of nursing profession and work), 1.079(the issues of time allocation and workload), 1.074(the management and interpersonal),1.040(the issues of working environment and equipment) and 1.015(the issues of patient care). CONCLUSIONS By QCC manage-ment, the pressure of conduction QCC's nurses lower than not conduction QCC, among them,the impact of the nursing professionand work, time allocation and workload, management and interpersonal were bigger than another factor. In nurses satisfaction, al-though both groups of nurses' satisfaction scores are not different significantly, the workload, relationships with colleagues and thework of nurses in QCC management were better than another group.
OBJECTIVE Through questionnaire survey, compare differences of job satisfaction scale and work pressure total score andrelated factors to investigate the impact of the implementation of QCC to job satisfaction and job stress of nurses,and put some sug-gestion for further improve the nurses' job satisfaction and reduce the nurses' work pressure. METHODS In December 2015, ran-dom selection 150 female nurses from the First Hospital of Lanzhou University medical system which conduct QCC and work was full1 year as the experimental group, and also 150 female nurses from Donggang Hospital District medical system as control group. Allsurveyed nurses knowledge and sign the informed consent. Among them, the test group from the First Hospital of Lanzhou Universitymedical system has already conducted QCC for 2 years. Control group from Donggang Hospital District medical system did not haveQCC. Use SPSS 19.0 statistical software for statistical data analysis. RESULTS Compared with the control group, the total pressurescore of the test group fell significantly(P<0.05). According to the results, the impact factor of each parameter was: 1.112(the is-sues of nursing profession and work), 1.079(the issues of time allocation and workload), 1.074(the management and interpersonal),1.040(the issues of working environment and equipment) and 1.015(the issues of patient care). CONCLUSIONS By QCC manage-ment, the pressure of conduction QCC's nurses lower than not conduction QCC, among them,the impact of the nursing professionand work, time allocation and workload, management and interpersonal were bigger than another factor. In nurses satisfaction, al-though both groups of nurses' satisfaction scores are not different significantly, the workload, relationships with colleagues and thework of nurses in QCC management were better than another group.
引文
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[2]刘庭芳,刘勇.中国医院品管圈操作手册[M].北京:人民卫生出版社,2011.
[3]方桂珍.在护理人员中推行品管圈活动的探讨[J].护理研究,2008,22(4C):1103-1104.
[4]陶红,胡静超,王琳.护士工作满意度评定量表的研制[J].第二军医大学学报,2009,30(11):1292-1295.
[5]丁俭.儿科急诊护士职业压力的现状及干预对策[J].解放军护理杂志,2012,29(6A):1-5.
[6]许金凤,郑海燕,马义芳,等.品管圈在预防PICC导管相关性感染中的应用[J].中华全科医学,2014,12(2):304-306.
[7]蔡贤黎,王萍,徐建鸣,等.品管圈活动减少内窥镜诊疗等候时间[J].护理学志杂,2013,28(13):1-4.
[8]AIKEN LH,SLOANE DM,BRUYNEEL L,et al.Nurses’reportsofworking conditions and hospital quality of care in 12 countries inEurope[J].International journal of nursing studies,2013,50(2):143-153.
[9]杨鸿芳.护理人员不良心理状态原因分析及改善对策[J].河北护理杂志,2002,7(1):30.
[10]LIISA K,HELENA L,JOUKO K.Nurse empowerment,job-relat-ed satisfaction and organizational commitment[J].J nurs care qual,2003,18(3):184-192.
[11]CHOK F L.Leadership behavior:effects on job satisfaction,pro-ductivity and organizational commitment[J].J nurs management,2001,9(4):191-204.
[12]孙艳丽.人性化护理对老年骨科患者护理满意度的影响[J].中国医学药,2013,3(13):132-133.