■护士在医疗保健系统中起着关键作用。然而,临床护士会经历不同类型的压力源,这些压力源可能会影响护士的生活质量或护理质量。家庭是主要的社会支持资源之一,优质的家庭功能可能会提高护士提供的护理质量。然而,关于中国临床护士家庭功能的证据相当有限。
■本研究旨在评估中国临床护士的家庭功能,并探讨相关的预测因素。
■进行了多中心横截面匿名在线调查。本研究采用中国家庭功能量表。斯皮尔曼等级相关分析,Mann-WhitneyU测试,或在单因素分析中进行Kruskal-WallisH检验。使用成对比较方法来确定成对组间的差异是否显著。分类回归(最优标度回归)是分析在单变量分析中已被证实具有统计学意义的因素的主要方法。
■1.42万名护士完成了在线问卷调查。护士感知家庭功能评分的中位数为3分(四分位数间范围:IQR2-5)。多变量分析表明,受教育程度最高(P<0.001),医院级别(P<0.001),旋转移位状态(P<0.001),工作部门(P<0.001),儿童人数(P<0.001),每个家庭成员的月收入(P<0.001)与家庭功能显著相关.此外,这些因素的重要性是儿童人数(49.1%),每个家庭成员的月收入(20.7%),旋转移位状态(12.4%),最高教育水平(8.0%),医院级别(7.6%),和工作部门(2.4%)依次。
■家庭功能与多种因素相关,这暗示了管理者,领导人,政府可以制定改善护士家庭功能的策略,以引导护士在家庭和工作之间取得平衡。政策制定者,护理经理,雇主应该制定策略,例如促进儿童保育服务,增加护士收入,教育和培训足够的护士,建立完善的职业发展体系,帮助临床护士改善家庭功能,提高护理质量。
UNASSIGNED: Nurses play a key role in the health care system. However, clinical nurses experience different kinds of stressors that might impact the nurses\' quality of life or quality of care. Family is one of the main social support resources, and quality family function might improve the quality of care provided by nurses. However, evidence on family function in Chinese clinical nurses is quite limited.
UNASSIGNED: The current study was to evaluate the family function of the Chinese clinical nurses, and to explore associated predicting factors.
UNASSIGNED: A multi-center cross-sectional anonymous online survey was carried out. Chinese Family Function Scale was used in the study. Spearman\'s rank correlation analysis, Mann-Whitney U test, or Kruskal-Wallis H test was performed in the univariate analysis. The pairwise comparison method was used to determine whether the difference was significant between pair groups. Categorical regression (optimal scaling regression) was the main method to analyze factors that had been confirmed to be statistically significant in the univariate analysis.
UNASSIGNED: Nineteen thousand four hundred and twenty-two nurses completed the online questionnaires. The median of the nurse\'s perceived family function score was three (Inter-quartile Range: IQR 2-5). The multivariate analysis showed that the highest education level (P <0.001), the hospital level (P <0 .001), rotation shift status (P <0.001), working department (P < 0.001), number of children (P < 0.001), monthly income per family member (P < 0.001) were significantly associated with family function. Moreover, the importance of the factors was the number of children (49.1%), monthly income per family member (20.7%), rotation shift status (12.4%), the highest education level (8.0%), the hospital level (7.6%), and working department (2.4%) in turn.
UNASSIGNED: The family function was associated with multiple factors, which hints that managers, leaders, and government could make strategies to improve nurses\' family function in order to lead nurses to make a balance between family and work. Policymakers, nursing managers, and employers should make strategies such as promoting children-care services, increasing nurses\' income, educating and training enough nurses, and building a well-established system of career development to help clinical nurses improve their family function so that to improve the quality of care.