背景:麻醉科是治疗急危重症患者的主战场,工作风险高,工作压力大。由于工作环境和工作性质的特殊性,医务人员已成为职业衰竭和出勤发生率高的群体。
目的:了解我国麻醉科护士实习现状并分析相关影响因素。
方法:采用一般资料问卷对四川省麻醉护士进行问卷调查,presenteism量表,工作-家庭冲突量表,感知社会支持量表,2023年9月至11月,职业承诺量表和抗压力量表采用便利抽样法。
结果:出现总分为(14.67±3.92),工作家庭冲突得分为(45.44±15.90),专业承诺得分为(87.28±14.30),领悟社会支持得分为(66.04±12.78)分。耐应力性的评价得分为(73.35±11.54)。多变量分析结果表明,年龄,教育,就业模式,position,每周加班时间,工作-家庭冲突,感知社会支持和压力抵抗是影响麻醉护士出勤的因素,这可以解释总变异的44.1%。位置(β=0.296,P<0.001),每周加班小时数(h)(β=0.271,P<0.001),感知社会支持(β=-0.279,P<0.001)是表现的更强预测因子。
结论:麻醉护士的任职能力处于较高水平,有待进一步提高。临床护理管理者应重视麻醉护士的身心健康和特殊需求。根据主要影响因素进行干预,从而降低术前发生率,提高手术质量和安全性。
BACKGROUND: The department of anesthesiology is the main battlefield for the treatment of acute and critical patients, with high work risk and high work pressure. Due to the particularity of the working environment and nature of work, medical staff have become a group with a high incidence of occupational exhaustion and presenteeism.
OBJECTIVE: To investigate the current status of presenteeism among anesthesiology nurses in China and to analyze the related influencing factors.
METHODS: Three hundred twelve anesthesiology nurses in Sichuan Province were surveyed by means of general data questionnaire, presenteeism scale, work-family conflict scale, perceived social support scale, occupational commitment scale and stress resistance scale from September to November 2023 by convenience sampling method.
RESULTS: The total score of presenteeism was (14.67 ± 3.92), the score of work-family conflict was (45.44 ± 15.90), the score of professional commitment was (87.28 ± 14.30), and the score of perceived social support was (66.04 ± 12.78). The evaluation score of stress resistance was (73.35 ± 11.54). The results of multivariate analysis showed that age, education, mode of employment, position, overtime hours per week, work-family conflict, perceived social support and stress resistance were the factors that affected the presenteeism of anesthesiology nurses, which could explain 44.1% of the total variation. The position ( β = 0.296, P < 0.001), overtime hours per week (h) ( β = 0.271, P < 0.001), perceived social support ( β = -0.279, P < 0.001) turned out as the stronger predictors of presenteeism.
CONCLUSIONS: The presenteeism of anesthesiology nurses is at a high level and needs to be further improved. Clinical nursing managers should pay attention to the physical and mental health and special needs of anesthesiology nurses. Interventions are made according to the main influencing factors, so as to reduce the incidence of presenteeism and improve the quality and safety of surgery.