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ICU护士隐性缺勤类别特征的潜在剖面分析

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目的 探讨ICU护士隐性缺勤的潜在类别特征,并分析其影响因素.方法 采用便利抽样的方法,2023 年 5 月选取浙江省4所三级甲等综合医院420名ICU护士作为研究对象,采用一般资料调查表、隐性缺勤量表和职业倦怠量表进行调查.运用R语言进行潜在剖面分析,并采用单因素分析、Logistic回归分析ICU护士隐性缺勤类别特征的影响因素.结果 391名ICU护士完成调查,其隐性缺勤得分为(16.10±4.64)分,处于中等水平,分为 4 个潜在类别:分别命名为低工作受限-低工作精力型(n=51,13.04%)、高工作受限-中等工作精力型(n=96,24.55%)、低工作受限-高工作精力型(n=19,4.86%)、中等工作受限-中等工作精力型(n=225,57.55%),其影响因素包括平均月薪、职业倦怠中的情感衰竭与个人成就感维度(均P<0.05).结论 ICU护士隐性缺勤具有明显的分类特征.护理管理者可根据其影响因素对不同类别特征护士进行干预,以降低护士隐性缺勤水平,进而提高护理服务质量.
Category characteristics of presenteeism among ICU nurses:a latent profile analysis
Objective To explore the characteristic categories of presenteeism among ICU nurses and analyse the influencing factor.Methods A convenience sampling method was adopted to select 391 ICU nurses as the study subjects from four Grade IIIA hospitals in Zhejiang Province in May 2023.A general information questionnaire,the Stanford presenteeism scale-6,and Maslach burnout inventor were used in the survey.R language was used for latent profile analysis,and univariate analysis and multinomial logistic regression analysis were employed to explore the influencing factors of the latent profiles.Results A total of 391 ICU nurses completed the survey,with the score of presenteeism at 16.10±4.64,which was at medium level.The score of presenteeism was further divided into four latent classes:low work limitation-low work energy type accounted for 13.04%,high work limitation-moderate work energy type accounted for 24.55%,low work limitation-high work energy type accounted for 4.86%,moderate work limitation-moderate work energy type accounted for 57.55%.The influencing factors include average monthly income,the score of emotional exhaustion and personal fulfillment dimensions in job burnout(all P<0.05).Conclusion The incidence of presenteeism among the ICU nurses has distinctive classification characteristics.Based on the identified influencing factors,nursing managers should provide individualised interventions to the ICU nurses with different latent profiles of characteristic categories to reduce the presenteeism among the nurses and thereby to improve the quality of nursing services.

latent profile analysisICU nursepresenteeismclass characteristicswork limitaionwork energy

耿可、刘胜楠、钱湛、王微微、金佳敏、俞超

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浙江大学医学院附属第一医院护理部,浙江 杭州,310003

衢州职业技术学院医学院,浙江 衢州,310053

潜在剖面分析 ICU护士 隐性缺勤 类别特征 工作受限 工作精力

浙大一院护理科研青年孵化基金项目浙江省教育厅一般科研项目

为2022QF019为Y202249669

2024

现代临床护理
中山大学

现代临床护理

CSTPCD
影响因子:1.317
ISSN:1671-8283
年,卷(期):2024.23(9)