三级医院硕士及以上学历护士职业生涯成功感及其影响因素研究

摘要

Objective:To investigate the sense of career success and its influencing factors among nurses with master or higher degree.Methods:A total of 1 510 nurses with master or higher degree from tertiary hospitals in 22 provinces were investigated with the Career Success Scale (CSS).Results:The average score of CSS was 3.17±0.69.The scores of the three dimensions were career satisfaction (3.23±0.79),inside competitiveness (3.18±0.85),outside competitiveness (3.07±0.87) respectively.Multiple linear regression analysis showed that nurses satisfied with monthly income,meeting job wishes,having participated in academic conferences,not participating in theoretical teaching at nursing school,working at a clinical department,hosting the continuing education program,having published SCI papers,undertaking a teaching position,with learning experience abroad and doctor degree had higher CSS scores,these factors explained 26.6％ of the total variance.Conclusion:The sense of career success in nurses with master degree or above was at a moderate level and was influenced by multiple factors.It is suggested that nursing managers should provide personalized positions and working contents in line with the nurses' job wishes and training objectives,which can improve nurses' sense of career success.%目的:调查硕士及以上学历护士职业生涯成功感,并分析其影响因素.方法:采用职业生涯成功量表对全国22个省、自治区、直辖市115所三级医院1 510名硕士及以上学历护士进行调查.结果:职业生涯成功感总均分为(3.17±0.69)分,其中职业满意度(3.23±0.79)分、组织内竞争力(3.18±0.85)分、组织外竞争力(3.07±0.87)分.月收入满意、符合工作岗位意愿、参加学术会议、未参与院校理论教学、在临床科室工作、主持继续教育项目、发表SCI论文、担任教学职务、国外进修学习及博士学历护士,职业生涯成功感得分较高,能解释总变异的26.6％.结论:硕士及以上学历护士的职业生涯成功感处于中等水平,受多个因素影响.管理者应安排符合护士岗位意愿及培养目标的个性化岗位及内容,提高其职业生涯成功感.