三级乙等综合医院不同层级护士执业环境测评分析.docxVIP

三级乙等综合医院不同层级护士执业环 境测评分析 何春梅王礼蓉张丽红 四川省德阳市第二人民医院护理部四川省岳池县人 民医院护理部四川省崇州市人民医院质量科 摘要： 目的了解三级乙等综合I矢院不同层级护士对执业环境不同维度的评价情况。方 法采用分层抽样调查法，抽查四川省不同地区的3家三级乙等综合医院的护士, 共338名，其中N1级82名，N2级191名，N3级54名，N4级11名，进行执业 环境的测评。结果护士执业环境6个维度得分差异有统计学意义(P0. 05),其 中医护合作得分最低(76. 70±27. 22)分，其次为薪酬待遇和社会地位得分 (79. 42±35. 67)分，得分最高为优质护理服务的基础(84. 97±24. 60)分;不 同层级护士对执业环境总体评价得分差异有统计学意义(P0. 05) , N4级最高 (86. 24±21.35)分，N2级最低(80. 03±27. 57)分；同一维度中不同层级护士 评分比较，优质护理服务的基础，护理管理者的能力、领导力及支持，医护合作, 薪酬待遇和社会地位4个维度评分差异有统计学意义(P0. 05),其余差异有统 计学意义(P0. 05)。结论三级乙等综合医院应建立良好的医护合作环境，改 善护理人员的薪酬待遇，护理管理者应重视N2级护士的培养与职业规划，从而 营造良好的护士执业环境。 关键词： 护士;执业环境;护理管理;优质护理服务; 作者简介：何春梅(1979-)，女，四川梓潼，硕士，副主任护师，护理部副主 任，研究方向:护理管理 收稿日期:2017-03-20 Analysis of different levels nurse practice environment assessment resuIt in grade three level comprehensive hospital He Chunmei Wang Lirong Zhang Lihong Department of Nursing, The Second Peoples Hospital of Deyang City; Department of Nursing, Yuechi County Peoples Hospital; Quality Department, Chongzhou Peoples Hosp it al; Abstract： Objective To study the nurse practice environment assessment of different dimension of different level nurses in grade three level general hospitals. Methods A total of 338 nurses in different regions of Sichuan province of 3 three class comprehensive hospital nurses was selected for practicing envirorunent assessment by stratified sampling method, including 82 cases in N1 level, 191 in N2 level 191, 154 in N3 level 54, 11 in N4 level. Results The scores of six dimensions of nurses practice environment were different (P0.05) (76. 70土 environment were different (P0.05) (76. 70土27.22) , the second was the .Among which the lowest score was salary and social status score the basis of high quality significant differences in(79. 42±35. 67) , and the highest score was nursing service (84. 97±24. 60) . There were general practicing environment assessment among nurses in different levels (P0. 05) . Nurses in N4 received the highest scores (86. 24土21. 35), Nurses in N2 received the lowe