组织社会化视角下新护士角色适应的调查与干预研究

发布时间：2019-01-27 16:52

【摘要】：【目的】:新护士的角色适应问题不仅与其职业生涯的发展密切相关,同时也影响护理队伍的稳定与发展。以组织社会化理论为框架的培训因其在促进新员工角色适应方面的良好效果日益受到关注,本研究以组织社会化为视角,了解新护士的角色适应问题并探讨其影响因素,构建基于组织社会化的干预方案并进行实施,以期为促进新护士的角色适应及相关培训方案的制定提供借鉴和参考。【方法】:本研究采用调查研究与类实验研究相结合的方法。采用组织社会化调查问卷及新护士转型冲击评价量表为调查问卷对新护士的角色适应情况进行测量,并基于问卷调查的结果进行半结构访谈。在调查研究结果的基础上,结合组织社会化模型形成基于组织社会化的干预方案,以杭州市某三乙医院新护士为研究对象开展类实验研究,其中对照组51人,实验组49人,对照组接受常规培训,实验组除常规培训外接受基于组织社会化的干预方案。实验组的干预形式分为集体干预及个体干预,干预时间共12周。在干预前、干预6周及干预12周采用组织社会化情况调查问卷、新护士转型冲击评价量表评价干预效果。【结果】:(1)三级医院新护士的角色适应水平处于中等水平,其中组织社会化情况调查问卷总分为95.75±11.96分,得分最高的维度为伴随维度,最低为固定维度;新护士转型冲击评价量表总分为80.87±19.10分,得分最高的维度为身体方面维度,最低为社会文化与发展方面维度;上述量表总分间的Pearson相关系数为0.60,呈中度相关。(2)新护士角色适应的影响因素中,年龄、学历、独生子女、护理工作时间四项具有统计学差异(P0.05)。(3)新护士角色适应的主题按频次由高到低分别为人际关系、与患者的冲突、经验不足、患者的紧急情况、组织因素。(4)12周的干预后,实验组新护士组织社会化水平提高,转型冲击水平降低,与对照组相比有统计学差异,且干预因素与时间因素存在交互作用(P0.05)。【结论】:(1)新护士角色适应水平有待提高,影响角色适应的因素包括年龄、学历、独生子女情况、护理工作时间。(2)基于组织社会化的干预可促进新护士的角色适应,为新护士培训方案的制定提供参考。
[Abstract]:Objective: the role adaptation of new nurses is not only closely related to their career development, but also to the stability and development of nursing staff. The training based on the theory of organizational socialization has been paid more and more attention to because of its good effect in promoting the role adaptation of new employees. This study, from the perspective of organizational socialization, explores the role adaptation of new nurses and discusses its influencing factors. Building and implementing intervention programs based on organizational socialization, In order to promote the role adaptation of new nurses and the formulation of relevant training programs to provide reference and reference. [methods]: this study adopts the method of combining investigation and experimental research. The organizational socialization questionnaire and the New Nurses transition impact Assessment scale were used to measure the role adaptation of the new nurses, and semi-structured interviews were conducted based on the results of the questionnaire. On the basis of the results of investigation and organization socialization model, the intervention scheme based on organizational socialization was formed. The new nurses in a Sanyi Hospital in Hangzhou were taken as the research objects. Among them, 51 were in the control group and 49 in the experimental group. The control group received routine training, and the experimental group received an intervention program based on organizational socialization. The intervention in the experimental group was divided into collective intervention and individual intervention for 12 weeks. Before and after 6 weeks and 12 weeks of intervention, the questionnaire of organizational socialization was used to evaluate the effect of the intervention. [results]: (1) the level of role adaptation of the new nurses in the tertiary hospitals was at the medium level. The total score of organizational socialization questionnaire was 95.75 卤11.96, the highest score was concomitant dimension and the lowest was fixed dimension. The total score of the new nurses' transformational impact evaluation scale was 80.87 卤19.10, the highest score was the physical dimension, and the lowest was the social culture and development dimension. The Pearson correlation coefficient among the total scores of the scale was 0.60, which was moderately correlated. (2) the influencing factors of new nurses' role adaptation were age, education, only child, and so on. The four items of nursing work time were statistically different (P0.05). (3) the subjects of new nurses' role adaptation were interpersonal relationship, conflict with patients, lack of experience, emergency situation of patients according to the frequency from high to low. (4) after 12 weeks of intervention, the organization socialization level of the new nurses in the experimental group was increased, and the level of transition shock was decreased, which was significantly different from that of the control group. There was interaction between intervention factors and time factors (P0.05). [conclusion]: (1) the level of role adaptation of new nurses needs to be improved. Nursing working time. (2) the intervention based on organization socialization can promote the role adaptation of new nurses and provide reference for the formulation of new nurse training program.
【学位授予单位】：杭州师范大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R47

【相似文献】