Analysis on current situation and influencing factors of professional deviation behavior among nurses in grade-A tertiary hospitals
Objective To understand the status quo of professional deviation behavior among nurses in grade-A tertiary hospitals and analyze its influencing factors.Methods From January to June 2022,a total of 760 nurses from grade-A tertiary hospitals in Shaanxi Province were selected as research objects by cluster convenient sampling method.The survey was conducted using general information questionnaire,nurses'professional deviance behavior scale,nurses'moral courage scale and error aversion culture scale,and the data were analyzed.Results The total score of professional deviant behavior,nurses'moral courage and the culture of error aversion among 760 nurses was(33.85±8.28),(63.49±8.25)and(25.46±6.44)points,respectively.Pearson correlation analysis showed that the professional deviant behavior of nurses was negatively correlated with moral courage(r=-0.723,P＜0.01),and positively correlated with error aversion culture(r=0.602,P＜0.01).Multiple regression analysis showed that moral courage,error aversion culture,position,nursing age and professional title were the main factors affecting nurses professional deviant behavior(all P＜0.05),which could explain 47.5％of the variation in nurses professional deviant behavior score.Conclusion The overall professional deviant behavior of 760 nurses in six grade-A tertiary hospitals in Shaanxi Province is relatively low.Nurses can better abide by labor discipline,but the interpersonal relationship processing needs to be improved.Nursing managers can start from the moral courage and error aversion culture of nurses,improve their professional ethics,eliminate the negative cultural atmosphere of nursing error aversion,and supervise and correct all deviant behaviors of nurses with short employment time and low professional titles in their work through the"bringing the young with the old"system,assist them in summarizing and reflecting,avoid the recurrence of deviant behaviors,and further reduce the professional deviant behaviors of nurses.
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