青年医务人员工作压力与发展需求分析——以重庆大学附属人民医院为例
Analysis of work stress and development needs among young medical staff:a case study of Chongqing General Hospital of Chongqing University
王书韵 1曾艺妮 2王中灿 3彭任欢3
作者信息
- 1. 重庆大学附属人民医院 重庆市人民医院团委,重庆 401147;重庆大学附属人民医院重庆市人民医院老年病科,重庆 401147
- 2. 重庆大学附属人民医院重庆市人民医院老年病科,重庆 401147
- 3. 重庆大学附属人民医院 重庆市人民医院团委,重庆 401147
- 折叠
摘要
目的 了解青年医务人员临床和科研工作压力及需求,以提高青年医务人员心理健康水平.方法 本研究采用自行设计的调查问卷进行匿名调查.以重庆大学附属人民医院265名青年医务人员为研究对象,压力评分采用李克特5级评分法;调查问卷内容包括一般人口学特征、临床和科研工作压力及来源、职业发展需求3个维度.符合正态分布的计量资料以(x)±s表示、采用t检验或ANOVA分析;不符合者以M(Q1,Q3)表示、采用Mann-Whitney U秩和检验.计数资料以人数(%)表示,采用χ2检验或Fisher精确检验.结果 共发放调查问卷265份,有效回收率98.1%(260/265).性别与青年医务人员的临床工作压力显著相关,男性的临床工作压力明显高于女性(P＜0.01);年龄、学历、岗位、聘用方式均与青年医务人员科研工作压力显著相关(P均＜0.05).临床工作压力来源占比前3位分别为:临床考核制度与职称晋升76.9%(200/260),工作量大、工作时间长66.2%(172/260),技术要求高、知识更新快 60.0%(156/260);科研工作压力来源占比前 3 位分别为:论文发表82.7%(215/260),学历提升72.3%(188/260),研究开展68.8%(179/260).青年医务人员职业发展需求占比前3位分别为:优化临床考核及职称制度88.5%(230/260),提供临床和科研技能培训或专题讲座86.9%(226/260),进修和学历提升78.5%(204/260).结论 男性医务人员的临床工作压力大于女性,高学历医务人员的科研工作压力较大;医院应实行针对性措施,优化青年医务人员的晋升与进修制度、增加技能培训、提供进修和学历提升机会,缓解工作压力,从而促进医院高质量可持续发展.
Abstract
Objective To understand the clinical and research work pressure and needs of young medical personnel in order to improve their psychological well-being.Methods This study conducted an anonymous survey using a self-designed questionnaire.The research subjects were 265 young medical personnel from Chongqing General Hospital,Chongqing University.Stress levels were assessed using the Likert 5-point scale;the questionnaire included 3 dimensions:general demographic characteristics,clinical and research work stress and sources,and professional development needs.Normally distributed metric data were expressed as (x)±s and analyzed using t-test or ANOVA;non-normally distributed data were expressed as M(Q1,Q3)and analyzed using the Mann-Whitney U test.Count data were presented as numbers(%)and analyzed using the χ2 test or Fisher's exact test.Results A total of 265 questionnaires were distributed,with an effective response rate of 98.1%(260/265).Gender was significantly associated with clinical work stress among young medical personnel,with males experiencing significantly higher clinical work stress than females(P＜0.01);age,education level,position,and employment type were all significantly associated with research work stress among young medical personnel(all P＜0.05).The top three sources of clinical work stress were:clinical assessment system and promotion of professional titles 76.9%(200/260),heavy workload and long working hours 66.2%(172/260),and high technical requirements and rapid knowledge updates 60.0%(156/260);the top three sources of research work stress were:publication of papers 82.7%(215/260),educational advancement 72.3%(188/260),and research development 68.8%(179/260).The top three professional development needs of young medical personnel were:optimization of clinical assessment and professional title promotion system 88.5%(230/260),conducting clinical and research skills training or seminars 86.9%(226/260),and further education and educational advancement 78.5%(204/260).Conclusions Male medical personnel experience greater clinical work stress than females,and medical personnel with higher education levels experience greater research work stress;hospital leaders should implement targeted measures to optimize the clinical assessment and professional title promotion system,offer more opportunities of further education for young medical personnel,increase skills training,thereby alleviating their work stress,and promoting high-quality and sustainable development of hospitals.
关键词
医务人员/职业满意/工作压力Key words
Medical staff/Work satisfaction/Work stress引用本文复制引用
基金项目
重庆市人民医院医学科研创新基金管理研究项目(Y2023GLYJXM05)
出版年
2024
NETL
NSTL
万方数据