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临床护士工作压力潜在剖面分析及影响因素研究

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目的 分析临床护士工作压力现状及潜在剖面类别,并探讨不同类别的影响因素。方法 采用便利抽样法,于 2023 年4 月至 5 月采用一般资料调查表、护士工作压力源量表、明尼苏达满意度短式量表和感知组织支持量表调查北京市 2 所三级医院的465 名临床护士,分析临床护士工作压力潜在类别及影响因素。结果 临床护士的工作压力分为"低水平压力组""中等水平压力组""高水平压力组"3 个类别;多元Logistic回归分析,工作满意度对低水平压力组或中等水平压力组的护士影响更大(OR=1。841、OR=1。267,P<0。001;OR=1。065,P=0。002),感知组织支持水平的高低会对低水平压力组的护士影响更大(OR=1。931,P<0。001);科室类型中急危重症科室对高水平压力组的护士影响更大(OR=0。433,P=0。024)、有行政职务对高水平压力组的护士影响更大(OR=0。634,P=0。017)。结论 护士工作压力特征存在异质性,可分为 3 个潜在类别,大部分临床护士工作压力有待改善,医院管理者要从发展护理专业、优化工作量、改善工作环境及仪器设备管理等方面做出积极干预,以降低护士工作压力。
Analysis research of potential profile and influencing factors of work stress on clinical nurses
Objective To analyze the current situation and potential profile categories of work pressure among clinical nurses,and ex-plore the influencing factors of different categories.Methods By used convenience sampling method,the general data questionnaire,Job Stressor Scale,Minnesota Satisfaction Questionnaire(short scale),and Perceived Organizational Support Scale were used to investigate 465 clinical nurses in two tertiary hospitals in Beijing from April to May 2023,and the potential profile analysis method was used to analyze the potential category and influencing factors of work stress among clinical nurses.Results The work stress of clinical nurses was divided into three categories:"low-level stress group" "medium-level stress group",and "high-level stress group".Multivariate Logistic regression analysis showed that job satisfaction had a greater impact on nurses in the low-level stress group or medium-level stress group(OR=1.841,OR=1.267,P<0.001,OR=1.065,P=0.002).The level of perceived organizational support had a greater impact on nurses in the low-level stress group(OR=1.931,P<0.001).Critical care departments in terms of department types had a greater impact on nurses in the high-level stress group(OR=0.433,P=0.024),and nurses with administrative positions had a greater impact on nurses in the high-level stress group(OR=0.634,P=0.017).Conclusion The characteristics of nurses'work stress are heterogeneous and can be divided into three potential categories.The work stress of most clinical nurses needs to be improved.Hospital administrators should make active interventions in aspects such as developing nursing spe-cialties,optimizing workloads,improving the work environment,and managing instruments and equipment to reduce nurses'work stress.

clinical nursework stresslatent profile analysis

张文馨、孙育红、刘丽平、孙众、赵芳

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100029,北京市,中日友好医院护理部

100010,北京市,首都医科大学附属北京中医医院感染管理办公室

临床护士 工作压力 潜在剖面分析

2023年度中日友好医院高水平医院临床业务费专项临床研究项目

2023-NHLHCRF-GLMS-13

2024

护理管理杂志
中国人民解放军北京军区总医院

护理管理杂志

CSTPCD
影响因子:2.38
ISSN:1671-315X
年,卷(期):2024.24(7)