ICU护理工作量与护理工作人员自身满意度相关性研究

发布时间：2018-07-15 10:14

【摘要】：目的通过测量石河子大学医学院第一附属医院ICU的护理工作量和护理工作满意度，分析ICU的护理工作量与护理工作自身满意度的影响因素，为护理人力资源管理提供参考。 方法采用观察法、整群抽样、横断面的调查研究。使用NAS护理活动评分、护理工时调查表、护士自身满意度评分，，对护理工作负荷情况和护理工作满意度进行调查。 结果护理活动评分结果如下:对一周白班、晚班、夜班护理活动评分方差分析，护理活动评分差异有统计学意义（F=5.453,P=0.031）。通过两两比较，夜班与晚班护理活动差异有统计学意义（F=6.038,P=0024）；夜班与白班没有有统计学意义（P0.05）；护士10～12、19～21、24～2、7～9这五个时段科室护理工作量集中,密集程度高,护士超负荷工作,而部分时段护士工作满负荷；14类项目有效护理工时统计前三位的项目是基础护理、治疗、护理文书。护士自身满意度结果：人际间关系、成就与责任、管理与医院政策，排在前3位；工资与补贴、排班安排与工作条件、家庭与工作间的平衡排在后3位；不同收入、不同职称、不同年龄在护士工作满意度之间满意度不同；护理活动评分和护理自身满意度评分相关性分析：家庭与工作间的平衡，排班安排与工作条件，工资与补贴与NAS得分呈正相关(P0.05)。 结论通过对不同时段临床护理工作量的测量,可以了解科室不同时段护理工作负荷及影响护理工作自身满意度的因素，可以为护理管理者对护理工作量采取弹性排班提供参考，对护理管理合理利用护理人力资源提供数据支持。
[Abstract]:Objective to measure the nursing workload and nursing work satisfaction of ICU in the first affiliated Hospital of Shihezi University Medical College, analyze the influencing factors of nursing workload and nursing work satisfaction, and provide reference for nursing human resource management. Methods observation, cluster sampling and cross-sectional investigation were used. NAS scores of nursing activities, nursing hours questionnaire, nurses' own satisfaction rating, nursing workload and nursing job satisfaction were investigated. Results the results of nursing activity score were as follows: the variance analysis of nursing activity score for one week day shift, night shift and night shift was statistically significant (F5. 453P 0. 031). The difference of nursing activity between night shift and night shift was statistically significant (F _ (6.038), night shift and night shift were not statistically significant (P0.05), nursing workload was concentrated and intensive in five periods (1012 / 19 / 21, 21 / 24 / 2 / 7 / 9), and there was no significant difference in nursing activity between night shift and night shift (P > 0.05), but there was no significant difference in nursing activity between night shift and night shift (P > 0.05). Nurses are overloaded, while in some periods nurses are overloaded with 14 items of effective nursing hours. The top three items in the statistics of effective nursing hours are basic nursing, treatment and nursing documents. Results of nurses' own satisfaction: interpersonal relationship, achievement and responsibility, management and hospital policy, top 3; salary and subsidy, scheduling and working conditions, family and work balance in the bottom 3; different income, different title, Nursing activity score and nursing self-satisfaction score correlation analysis: family and work balance, scheduling and working conditions, wages and subsidies and NAS scores were positively correlated (P0.05). Conclusion through the measurement of clinical nursing workload in different periods of time, we can understand the nursing workload and the factors influencing the satisfaction of nursing work in different periods of time, and can provide a reference for nursing managers to adopt flexible shift arrangement for nursing workload. To provide data support for the rational use of nursing human resources in nursing management.
【学位授予单位】：石河子大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R47

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