摘要
目的:调查浙江省疼痛护理专科护士的执业现况,分析职业认同的影响因素,为提高该群体的职业认同水平提供依据。方法:采用整群抽样法,于2025年4月—5月对参与浙江省疼痛护理专科护士培训的252名护士进行问卷调查,调查工具包括基本信息问卷、疼痛护理专科护士执业现况调查问卷和护士职业认同量表。结果:共收集192份有效问卷。执业现况方面,86.5%的疼痛护理专科护士兼职从事疼痛护理工作,疼痛护理工作内容主要涵盖临床护理、护理教学、健康教育和护理科研;困难为缺少疼痛专科工作岗位、缺乏相关资源及设备支持;仅29.2%的专科护士培训费用完全由单位支付,获得证书后40.1%的护士待遇无变化。疼痛护理专科护士的职业认同得分为(88.2±14.0)分。回归分析结果显示,在三级医院工作、培训知识与技能的应用频率较高、参与学术会议以及单位全额支付培训费用是其职业认同的积极因素(均P<0.05)。结论:浙江省疼痛护理专科护士职业认同感较强,但其职业发展受限于岗位、资源与激励机制等方面的不足。管理者应通过优化岗位设置、提供学术交流机会与组织支持等措施,提高护士职业认同水平。
Objective:To investigate the practice status of pain care specialist nurses in Zhejiang province,analyze the influencing factors of their professional identity,and provide a basis for improving the level of professional identity of pain care specialist nurses.Methods:From April to May 2025,a cluster sampling method was adopted to conduct a questionnaire survey among 252 nurses who participated in the training for pain care specialist nurses in Zhejiang province.The survey tools included a basic information questionnaire,a questionnaire on the current practice status of pain care specialist nurses,and a Nurse Professional Identity Scale.Results:A total of 192 valid responses were obtained.Regarding practice status,86.5%nurses worked part-time in pain management,with primary activities covering clinical care,nursing education,health education,and nursing research.Common challenges included the lack of dedicated pain care positions and insufficient resources and equipment.Only 29.2%of the nurses had their training expenses fully covered by their institutions,and 40.1%of the nurses reported no change in their benefits after obtaining the qualification certificate.The mean professional identity score was 88.2±14.0.Multivariate regression analysis results showed that employment in tertiary hospitals,high frequency of applying the knowledge and skills acquired from training,participation in academic conferences,and full coverage of training expenses by the institution were positive factors for their professional identity(all P<0.05).Conclusion:Pain care specialist nurses in Zhejiang province demonstrate a relatively strong sense of professional identity.However,their professional development is constrained by limited positions,resources,and incentive mechanisms.Administrators should optimize position establishment,provide opportunities for academic exchange,and strengthen organizational support to elevate the level of professional identity among these nurses.
作者
刘敏君
祁海鸥
童莺歌
沈丽华
薛子豪
陈洁
丁群芳
庄一渝
LIU Minjun;QI Hai'ou;TONG Yingge;SHEN Lihua;XUE Zihao;CHEN Jie;DING Qunfang;ZHUANG Yiyu(Nursing Department,Sir Run Run Shaw Hospital,Affiliated to Zhejiang University School of Medicine,Hangzhou,310016,China)
出处
《中国护理管理》
北大核心
2025年第10期1446-1451,共6页
Chinese Nursing Management
关键词
疼痛
专科护士
执业现况
职业认同
pain
specialist nurse
practice status
professional identity
