ICU护士岗位轮换认知、角色压力与工作满意度的相关性分析

摘要

目的：探讨ICU护士岗位轮换认知、角色压力与工作满意度的相关性。方法采用问卷调查的方法，应用一般资料问卷、台湾学者Wen-Hsien修订的护士岗位轮换认知量表、角色压力量表、工作满意度量表对某三级甲等医院156名ICU护士进行问卷调查，以分析不同人口学特征、岗位轮换认知、角色压力与工作满意度的关系。结果共发放问卷159份，收回有效问卷155份，有效回收率为97%。 ICU护士工作满意度平均得分为(65.80±10.03)分，各维度得分院内在满意度为(18.68±3.69)分，价值承诺为(15.78±2.70)分，努力承诺为(16.75±2.44)分，留职承诺为(14.59±2.94)分；护士的学历不同，工作满意度不同(P<0.01)；不同婚姻状况、不同科室的护士工作满意度不同(P<0.05)；岗位轮换认知与工作满意度呈显著正相关(P<0.01)，角色负荷与工作满意度呈负相关(P<0.01)。结论护理管理者应重视对ICU护士岗位轮换认知及角色压力的评价；合理规划ICU护士的岗位轮换，提高护士对于岗位轮换的正向认知，促进岗位轮换益处的发挥；调节和疏散护士角色压力，提高护士工作满意度。%Objective To investigate the relationship among job rotation cognition, role stress and job satisfaction in ICU nurses. Methods 156 ICU nurses were investigated with general information questionnaire, job rotation scale, role stress scale and job satisfaction scale revised by Wen-Hsien. The relationships among different demographics of nurses, job rotation, role stress and job satisfaction were analyzed. Results There were 159 questionnaires, 155 valid question-naires taken back, the effective recovery rate was 97%. The average score of job satisfaction was (65.80±10.03) points, each dimension scores:internal satisfaction was (18.68±3.69) points, value commitment was (15.78±2.70) points, hard promises was (16.75±2.44) points, retention commitment was (14.59±2.94) points. Nurses with different education level had different job satisfaction (P<0.01); different marital status and departments were associated with the job satisfac-tion (P<0.05). The job satisfaction was positively correlated with the job rotation cognition and negatively with the role stress (P<0.01). Conclusion Nursing administrators should pay attention to ICU nurses' job rotation cognition and role stress evaluation; rationally planning the job rotation of ICU nurses, improving the positive cognitive of job rotation, to promote the benefits of job rotation;regulating nurses' role stress and improving the nurses' job satisfaction.