新疆生产建设兵团专科护士职业认同现状及影响因素研究

发布时间：2018-04-23 09:20

本文选题：专科护士 + 职业认同　；参考：《石河子大学》2016年硕士论文

【摘要】：目的:通过问卷调查,旨在了解专科护士(指2008年至开题时已经取得培训基地颁发证书的手术室和重症监护室专科护士)在实际工作中的职业认同现状并分析其影响因素。方法:以2008年第1期至2014年第14期在石河子大学医学院第一附院(新疆生产建设兵团手术室和重症监护专科护士培训基地)接受专科培训取得结业证书的所有专科护士为研究对象,以护士一般情况调查表、护士职业认同量表为研究工具,进行问卷调查。结果使用Epidata3.1软件建立数据库录入,SPSS20.0软件进行数据分析,专科护士职业认同采用中位数(四分位数间距)进行描述,采用秩和检验、多重线性回归对专科护士职业认同及各维度进行因素分析。结果:1.新疆生产建设兵团专科护士职业认同总分为5.71(0.93)分得分率为0.82。职业认同各维度中,得分由高到低依次为把握感为6.31(1.00)分,得分率为0.90;自我效力感得分为6.30(1.00)分,得分率为0.90;意义感得分为6.02(1.00)分,得分率为0.86;一致感得分为5.79(1.25)分,得分率为0.83;患者影响感得分为5.51(1.67)分得分率为0.79;自我决定感得分为5.29(2.00)得分率为0.76;组织影响感得分为4.74(2.00),得分率为0.68。2.职业认同总体水平影响因素单因素分析结果显示,专科护士年龄、培训期数、现在学历、医院等级、生活状态、工作状态水平得分差异有统计学意义。回归分析中,最终进入方程的为年龄、现在的学历、工作状态感知水平,回归方程为:职业认同=3.910+0.24×年龄+0.169×现在学历+0.205×工作状态感知水平。3.职业认同各维度的回归分析结果显示,(1)自我效力感=5.337+0.182×年龄+0.158×生活状态;(2)意义感得分=4.517+0.178×年龄+0.120×生活状态感知水平+0.207×工作状态感知水平;(3)自我决定感=2.885+0.420×年龄+0.286×现在学历水平-0.178×月收入水平+0.581×职务+0.260×工作状态感知水平;(4)患者影响感=5.096-0.274×职称+0.224×医院等级+0.207×工作状态水平;(5)组织影响感=1.447+0.295×年龄+0.276×工龄+0.247×现在学历+0.804×职务+0.396×工作状态水平;(6)把握感=5.550-0.114×夜班数+0.125×生活状态感知水平+0.100×工作状态感知水平;(7)一致感=3.758+0.216×培训期数期数+0.192×生活状态感知水平+0.256×工作状态感知水平。结论:专科护士职业认同水平处于中等偏上水平;现在的学历、培训期数、工作状态感知水平影响专科护士职业认同。
[Abstract]:Objective: to investigate the status quo of professional identity of specialized nurses (operating room and intensive care unit who have obtained the certificate of training base from 2008 to the beginning of the question) and analyze the influencing factors. Methods: from 2008 to 2014, the first affiliated Hospital of the School of Medicine of Shihezi University (operating room of Xinjiang production and Construction Corps and training Base of intensive Care specialist Nurses) received specialized training to obtain a certificate of completion of all specialties. The nurses in the department were the subjects of the study. The questionnaire was conducted with the questionnaire of nurses' general situation and the scale of nurses' professional identity. Results SPSS 20.0 software was used to analyze the data, the professional identity of nurses was described by median (quartile spacing), and rank sum test was used. Multiple linear regression was used to analyze the professional identity and dimensions of nurses. The result is 1: 1. The total score of professional identity of specialized nurses in Xinjiang production and Construction Corps was 5.71 ~ 0.93) and the score rate was 0.82. In each dimension of professional identity, the score from high to low was 6.31 / 1.00) and the score rate was 0.90; the score of self-efficacy was 6.30 / 1.00) and the score rate was 0.90; the score of sense of meaning was 6.021.00) and the score rate was 0.86; the score of consensus was 5.791.25). The score rate was 0.83; the score of influence sense was 5.51 卤1.67) the score rate was 0.79; the score of self-decision was 5.292.00) the score rate was 0.76; the score of sense of tissue influence was 4.742.00 and the score was 0.68.2. Univariate analysis showed that there were significant differences in age, training period, educational background, hospital grade, living state and working status of the professional nurses. In the regression analysis, the final entry equation was age, current education, work state perception, and the regression equation was: professional identity 3.910 0.24 脳 age 0.169 脳 current academic degree 0.205 脳 work state perception .3. Regression analysis of different dimensions of occupational identity showed that: (1) Self-efficacy (5.337 0.182 脳 age 0.158 脳 life status / 2) sense of meaning (4.517 0.178 脳 age 0.120 脳 work state perception 0.207 脳 work state perception / 3) Self-determination feeling 2.885,#number5# 脳 Age 0.286 脳 present academic level -0.178 脳 monthly income level 0.581 脳 Job 0.260 脳 work State perception level / 4) patients' sense of influence 5.096-0.274 脳 0.224 脳 hospital grade 0.207 脳 work status level / 5) organizational influence: 1.447 0.295 脳 age 0.276 脳 working years 0.247 脳 present At 0.804 脳 job 0.396 脳 work status level / 6)) 5.550-0.114 脳 night shift number 0.125 脳 life state perception level 0.100 脳 work state perception level / / 7) consistent feeling 3.758 脳 0.216 脳 training period 0.192 脳 life state perception level 0.256 脳 work state perception level. Conclusion: the level of professional identity of specialized nurses is at the middle level, and the current educational background, training period and perceived level of working state affect the professional identity of professional nurses.
【学位授予单位】：石河子大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R47

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