摘要
目的调查哈尔滨医科大学附属医院护士对多点执业的态度和意愿,分析影响因素,为政府制定政策提供依据。方法采用理论分析、护士访谈和预调查等,编制《注册护士对护士多点执业的态度和意愿调查表》进行问卷调查,对数据进行统计学分析。结果发放问卷200份,回收200份,总回收率100%; 73%护士愿意到外院多点执业,75%护士接纳外院护士来本院执业。多点执业有利有弊。支持多点执业,主要动力:90%护士认为能增加个人收入;主要阻力:93%护士认为本职工作负担重和89%护士认为无法律法规保护。88%不建议为患者提供上门的静点服务,84%不建议为患者提供上门的护理服务(不包括静点)。多点执业支持率:按学历排名分别是中专学历护士50%、大专学历护士70.93%、本科学历护士95.24%,两两比较,均P<0.05,硕士学历护士100%;按职称排名:护士占50%、护师占80.39%、主管护师占100%,两两比较,均P<0.05;专科护士100%,非专科护士72.67%,P<0.05。结论多数护士支持多点执业;主要动力是能增加个人收入,主要阻力是工作负担重,以及无法律法规保护;高职称、高学历及专科护士,多点执业支持率更高。
Objective To investigate the attitudes and willingness of nurses in multi-site practice in the Affiliated Hospital of Harbin Medical University,analyze the influencing factors and provide basis for the government to formulate policies.Methods Using theoretical analysis,through interviews with nurses and pre-investigation,a questionnaire titled Attitude and Willingness of Registered Nurses on Multi-site Practice was designed and implemented.The resulting data were statistically analyzed.Results A total of 200 questionnaires were distributed and all were recovered,with a total recovery rate of 100%.73%of the nurses were willing to go to other hospitals for more practice and 75%of them accepted nurses from other hospitals for more practice in our hospital.Multi-site practice has both pros and cons.While the main motivation of support for multi-site practice is that 90%of the nurses think it can increase personal income,the main resistance is that 93%are concerned about overloaded working and 89%worry about no legal protection.While 88%don't recommend providing home-based care services that include static site,84%don't recommend home-based care services that do not include static site.The multi-site practice support rates based on academic qualification are 50%with secondary school diploma,70.93%with junior college degree,95.24%with bachelor's degree,and 100%with master's degree.Pair-wise comparison is P<0.05.The support rates based on rank are 50%in nurses,80.39%in nurse practitioners,100%in nurses-incharge.Pair-wise comparison is also P<0.05.Also,the support rate of specialized nurse is 100%,whereas that of non-specialized nurses 72.67%,with P<0.05.Conclusion Most nurses support multi-site practice.While the main driving force is the increase of personal income,the main resistances are the heavy workload and no legal protection.The higher the nursing rank,the higher their support rate for multi-site practice.Specialized nurses are more likely to support multi-site practice than non-specialized nurses.
作者
曹海欧
李惠艳
CAO Haiou;LI Huiyan(Thoracic Surgery Department,the Cancer Hospital Affiliated to Harbin Medical University,Harbin 150001)
出处
《解放军医院管理杂志》
2018年第12期1177-1181,共5页
Hospital Administration Journal of Chinese People's Liberation Army
关键词
护士
多点执业认知
调查
分析
nurse
multiple-site practice
investigation
analysis
