摘要
目的调查湖南省在职护士心理弹性现状及影响因素,为护理人力资源管理及职业心理健康的发展提供一定的参考依据。方法采用混合研究方法。量性研究:2018年8月采取方便抽样的方法,选取湖南省各医院在职护士749名为研究对象,采用一般资料问卷、中文版Conner-Davidson心理弹性量表(Conner-Davidson Resilience Scale,CD-RISC)进行调查,采用SPSS 23.0进行统计分析。质性研究:随机选取参与量性研究的21名在职护士进行半结构式访谈,以资料饱和为原则,采用主题分析法进行资料整理。结果749名在职护士CD-RISC总分为(87.28±13.28)分,高于国内常模(65.40±13.90)分,差异有统计学意义(P<0.01);各维度条目均分从高到低依次为力量性(3.69±0.55)分、坚韧性(3.41±0.58)分、乐观性(3.34±0.60)分。不同年龄、学历层次、工作年限、工作单位类型、受聘形式、职称的在职护士CD-RISC总分比较差异均有统计学意义(F值分别为7.295、5.446、6.915、3.238、4.342、7.914;P<0.05);多因素分析显示,年龄与学历层次是其主要影响因素(P<0.05)。质性研究共提炼出内在因素与外在因素2个主题,内在因素包括个人适应能力提升、心理健康指导意识普及不够,外在因素包括医院管理文化的差异、心理服务机构与专业人才缺乏及信任度不够。结论湖南省在职护士心理弹性水平高于国内常模,受内在与外在因素的共同作用。建议在今后的组织管理中健全护士权益保护法案,重视护士的在职教育并提供个性化职工心理服务通道,进一步加强医院内在的社会心理服务建设。
Objective To explore the current status and influencing factors of psychological resilience in in-service nurses in Hunan Province,and provide a certain reference for the development of nursing human resource management and occupational mental health.Methods A mixed study method was adopted.Quantitative study:in August 2018,a total of 749 in-serve nurses from hospitals in Hunan Province were selected by convenient sampling and investigated with the general information questionnaire and Conner-Davidson Resilience Scale(CD-RISC).SPSS 23.0 was used for statistical analysis.Qualitative study:totally 21 in-service nurses who participated in the quantitative study were randomly selected for semi-structured interviews.Based on the principle of data saturation,the subject analysis method was used to organize the data.Results The total CD-RISC score of the 749 in-service nurses was(87.28±13.28),higher than(65.40±13.90)of the domestic norm,and the difference was statistically significant(P<0.01);the average score of each dimension in descending order was(3.69±0.55)for strength,(3.41±0.58)for toughness,and(3.34±0.60)for optimism.There were statistically significant differences between the total CD-RISC score of in-service nurses with different ages,educational levels,working years,type of affiliation,form of employment,and professional title(F=7.295,5.446,6.915,3.238,4.342,7.914;P<0.05);Multi-factor analysis showed that age and education level were the main influencing factors(P<0.05).Two themes were extracted from the qualitative study,namely internal factors and external factors.The internal factors included the lack of personal adaptability and mental health guidance awareness,while the external factors included differences in hospital management culture,and lack of psychological service institutions,professionals and trust.Conclusions The psychological resilience of in-service nurses in Hunan Province is higher than that of domestic norms,and is affected by both internal and external factors.It is recommended to enhance the nurses'rights protection bill in future organization and management,attach importance to their on-the-job education and provide personalized psychological service channels for employees,and further strengthen the hospital's internal psychosocial service construction.
作者
李珍
秦梅兰
秦月兰
龚蓓
汤珂
石泽亚
赵琼玲
熊芳
袁平
万欢
Li Zhen;Qin Meilan;Qin Yuelan;Gong Bei;Tang Ke;Shi Zeya;Zhao Qiongling;Xiong Fang;Yuan Ping;Wan Huan(Department of Nursing,Hunan Provincial People's Hospital and the First Affiliated Hospital of Hunan Normal University,Changsha 410005,China;Department of Nursing,Guangdong Provincial People's Hospital,Guangzhou 510080,China)
出处
《中华现代护理杂志》
2020年第20期2711-2717,共7页
Chinese Journal of Modern Nursing
关键词
护士
心理弹性
量性研究
质性研究
Nurses
Psychological resilience
Quantitative study
Qualitative study
