■在医疗领域,临床护士有效的时间管理对于提高患者护理质量至关重要。然而,近年来,随着临床护士工作压力的增加,拖延已经成为一个普遍的问题。许多护士使用智能手机来缓解压力和管理情绪,但是过度使用智能手机可能会加剧拖延症,从而危及患者安全和医疗质量。因此,了解临床护士工作拖延的现状,其异质性,探索智能手机成瘾和人口统计学因素对护士拖延的不同方面的影响对于提高患者护理质量具有重要意义。
■本研究旨在探讨临床护士工作拖延的现状,并确定潜在的概况类别。进一步分析了手机成瘾和人口学因素对临床护士工作拖延的影响。
■从2023年10月至11月,采用便利抽样从中国中部的三家三级医院招募参与者。通过在线平台分发和收集测量护士工作拖延和智能手机成瘾的调查。共有1,536名护士参加了这项研究。Mplus8.3统计软件用于临床护士工作拖延的潜在概况分析,采用SPSS26.0软件进行卡方检验,秩和检验,和多分类Logistic回归分析。
■临床护士工作拖延的中位数总分为21.00(17.00,28.00),并确定了三个亚组:低拖延(66.93%),中低拖延(20.66%),和中高拖延症(12.41%)。此外,Logistic回归分析显示,智能手机成瘾和科室氛围是中低、中高工作拖延的共同影响因素。管理较为严格的医院和担任护士长的护士更有可能属于低工作拖延组。收入较高或持有中级职称的护士更容易出现中低工作拖延,而那些经历职业晋升困难的人更有可能表现为中高工作拖延(p<0.05)。
■临床护士的工作拖延通常处于中低水平,确定了三个亚组:低拖延症,中低拖延症,和中等高度拖延。此外,外科或中级职称的临床护士表现出更高的拖延水平。智能手机成瘾等因素,月收入较高,部门气氛紧张,不成功的职业发展更有可能导致工作拖延。相反,在管理严格的医院或担任护士长的医院中,护士的工作拖延程度较低。因此,护理管理者应密切关注临床护士的工作拖延行为,积极监测不同群体之间的预测因素,并根据护士个人情况提供心理咨询和相关培训。此外,关注和改善部门氛围和护士智能手机成瘾对提高临床护士工作效率和减少工作拖延也是至关重要的。
UNASSIGNED: In the medical field, effective time management by clinical nurses is crucial for enhancing the quality of patient care. However, in recent years, with increasing work pressure for clinical nurses,
procrastination has become a prevalent issue. Many nurses use smartphones as a way to alleviate stress and manage emotions, but excessive smartphone use could exacerbate procrastination, thereby jeopardizing patient safety and healthcare quality. Therefore, understanding the current state of work procrastination among clinical nurses, its heterogeneity, and exploring the impact of smartphone addiction and demographic factors on different aspects of nurse procrastination hold significant importance for improving patient care quality.
UNASSIGNED: This study aims to explore the current state of work procrastination among clinical nurses and identify potential profile categories. It further analyzes the impact of mobile phone addiction and demographic factors on work
procrastination among clinical nurses.
UNASSIGNED: Convenience sampling was employed to recruit participants from three tertiary hospitals in central China from October to November 2023. Surveys measuring nurses\' work procrastination and smartphone addiction were distributed and collected through online platforms. A total of 1,536 nurses participated in this study. Mplus 8.3 statistical software was used for latent profile analysis of clinical nurses\' work procrastination, and SPSS 26.0 software was utilized for chi-square tests, rank-sum tests, and multi-classification logistic regression analyses.
UNASSIGNED: The median total score for clinical nurses\' work procrastination was 21.00 (17.00, 28.00), and three subgroups were identified: low
procrastination (66.93%), medium-low
procrastination (20.66%), and medium-high
procrastination (12.41%). Additionally, logistic regression analysis revealed that smartphone addiction and department atmosphere were common influencing factors for medium-low and medium-high work procrastination. Hospitals with stricter management and nurses holding the position of head nurse were more likely to belong to the low work procrastination group. Nurses with higher incomes or those holding intermediate titles were more prone to medium-low work procrastination, while those experiencing career advancement difficulties were more likely to exhibit medium-high work procrastination (p < 0.05).
UNASSIGNED: Clinical nurses\' work procrastination is generally at a medium-to-low level, with three subgroups identified: low
procrastination, medium-low
procrastination, and medium-high
procrastination. Additionally, clinical nurses in surgical departments or those with intermediate titles exhibit higher levels of procrastination. Factors such as smartphone addiction, higher monthly income, tense departmental atmosphere, and unsuccessful career advancement are more likely to lead to work procrastination. Conversely, nurses in hospitals with strict management or those holding the position of head nurse exhibit lower levels of work procrastination. Therefore, nursing managers should pay close attention to the work procrastination behaviors of clinical nurses, actively monitor predictive factors among different groups, and provide psychological counseling and relevant training based on individual nurse circumstances. Additionally, it is also essential to focus on and improve departmental atmosphere and nurse smartphone addiction to enhance clinical nurses\' work efficiency and reduce work procrastination.