摘要
目的调查并比较临床护士与护理管理者对护士流动多点执业的态度,为"互联网+护理服务"背景下的护士流动执业及多点执业的推行提供参考。方法采用分层抽样,对福建省9个地级市的15所三级医院的临床护士及护理管理者进行问卷调查。结果共回收有效问卷9389份,包括护理管理者525份,临床护士8864份。比较两类人群的流动执业态度发现,对流动执业了解较多的护理管理者流动执业意愿,包括50.86%(267/525)听过并查询过、49.14%(258/525)愿意流动,高于对流动执业关注度低的临床护士,包括32.41%(2873/8864)听过并查询过、38.87%(3445/8864)愿意流动。多因素分析显示,在护理管理者中,编外、本科及以上护理管理者更愿意流动执业;在临床护士中,年轻、未婚、编外、本科及以上的护士更愿意流动执业。在流动方式的选择上,护理管理者倾向医院间流动(46.54%,215/525),临床护士倾向社区间流动(42.45%,3142/8864)。护理管理者对流动护士的职称及工龄要求比临床护士更高,39.43%(207/525)认为职称应达主管护师,81.71%(429/525)认为护龄应在5年及以上。结论临床护士与护理管理者在流动执业意向、影响因素、保障方式、流动护士需求方的认知和选择、流动执业门槛的接受度等方面均存在差异,在试行"互联网+护理服务"的护士流动多点执业模式时,应充分考虑上述差异。
Objective To investigate and compare the attitudes of clinical nurses and nursing managers towards float nurse,and to provide references for the implementation of nurse mobile practice mode in China.Methods By stratified sampling,the survey was conducted on clinical nurses and nursing managers of 15 tertiary hospitals in 9 prefecture-level cities in Fujian.Results A total of 9389 valid questionnaires were recovered,including 525 for nursing managers and 8864 for clinical nurses.By comparing the attitudes between two groups,it was found that nursing managers who knew more about mobile practice were more willing to practice floating practice,including 50.86%(267/525)heard and inquired,49.14%(258/525)willing to float,than clinical nurses who paid less attention,including 32.41%(2873/8864)heard and inquired,38.87%(3445/8864)willing to float.Multi-factor analysis showed that among nursing managers,those with a bachelor’s degree or above was more willing to float.While among clinical nurses,young,unmarried,side,bachelor degree or above were more willing to float.On the choice of flow mode,nursing managers were inclined to float between hospitals(46.54%,215/525),but clinical nurses were prone to community float(42.45%,3142/8864).Furthermore,nursing managers had higher requirements on the professional title and seniority of float nurse,and 39.43%(207/525)believe that the professional title should be supervisor,while 81.71%(429/525)thought that length of service as a nurse should be 5 years or more.Conclusion There are differences between clinical nurses and nursing managers in such aspects as the intention of floating practice,obstacles and guarantee factors,cognition and selection of demanders,and acceptance of practice threshold.The above differences should be fully considered in the trial of the"Internet+Nursing"floating practice mode for nurses.
作者
林蓉金
孙欣悦
戴晓凤
万超
张梦玲
Lin Rongjin;Sun Xinyue;Dai Xiaofeng;Wan Chao;Zhang Mengling(Nursing Department of the First Affiliated Hospital of Fujian Medical University,Fuzhou 350005,China;Outpatient Department of the First Affiliated Hospital of Fujian Medical University,Fuzhou 350005,China)
出处
《中国实用护理杂志》
2020年第6期455-461,共7页
Chinese Journal of Practical Nursing
基金
福建省卫生计生软科学研究课题(2017-RK-7)
福建医科大学护理学院教育教学改革研究项目(2019HL009)。
关键词
护理管理
流动护士
多点执业
Nursing management
Float nurse
Multi-site practice
