摘要
目的调查手术室护士调节焦点现状、分析其影响因素并总结护理策略,为制定针对性护理管理方案提供参考依据。方法采用便利抽样法,2023年4月—7月采用一般资料调查问卷、护士调节焦点量表(nurse regulatory focus questionnaire,NRFQ)、精神气候量表(spiritual climate scale,SCS)、职业召唤量表(calling scale-12,CS-12)和知觉压力量表(Chinese version perceived stress scale,CPSS)对江苏省18所地级市二级甲等及以上医院共681名手术室护士进行调查,手术室护士促进焦点、防御焦点与精神气候、职业召唤和知觉压力的相关性采用Pearson相关性分析,并通过单因素分析和多重线性回归分析促进焦点、防御焦点的影响因素。结果681名手术室护士完成研究。手术室护士促进焦点为(23.57±2.64)分,防御焦点为(24.06±2.72)分,促进焦点得分低于防御焦点。促进焦点和防御焦点与精神气候、职业召唤呈正相关,与知觉压力呈负相关(P<0.01)。手术室护士精神气候、职业召唤和知觉压力是其促进焦点的影响因素,共同解释其28.00%的变异(均P<0.05);手术室护士职业召唤和知觉压力是其防御焦点的影响因素,共同解释其23.60%的变异(均P<0.05)。结论手术室护士精神气候正向影响调节焦点中的促进焦点,职业召唤正向影响、知觉压力负向影响调节焦点中的防御焦点。因此,护理管理者需营造良好的精神气候氛围,增强护士的职业召唤感,减轻知觉压力水平,提升手术室护士的促进和防御焦点水平,提高护理效率,改善护理质量。
Objective To investigate the current status of regulatory focus among the nurses in operating room,analyse the influencing factors and summarise nursing strategies to provide a reference for development of the programs in targeted nursing management.Methods A total of 681 operating room nurses from 18 hospitals of Grade IIA and above in Jiangsu Province were selected by convenience sampling method from Arprial to July 2023.The nurses who participated in the study were surveyed with a general information questionnaire,the nurse regulatory focus scale(NRFQ),spiritual climate scale(SCS),calling scale-12(CS-12),and perceived stress scale(CPSS).Results All 681 operating room nurses completed the study.The promotive focus score was lower than the defensive focus( 23.57±2.64 vs. 24.06±2.72). It was found that the promotive focus and defensive focus were positively correlated with spiritual climate and occupational call,and negatively correlated with perceived stress( P<0.01). Spiritual climate,occupational call and perceived stress were the influencing factors that affected the promotion focus,jointly explaining 28.00% of the variance( all P<0.05). While occupational call and perceived stress among the operating room nurses were the influencing factors to the defensive focus,jointly explaining 23.60% of the variance( both P<0.05). Conclusion This study has identified that spiritual climate of nurses in operating room positively influences promotive focus in the regulatory focus. The regulatory focus as a whole is positively regulated by occupational call and negatively influenced by perceived stress. Therefore,nursing administrators should create a favourable spiritual climate to enhance the sense of professional call,reduce the perceived stress and increase the promotive and defensive focus among the nurses in operating room,hence to increase the nursing efficiency,thereby improving the quality of nursing care.
作者
毕雅昕
何丽君
谢薄
龚荣花
Bi Yaxin;He Lijun;Xie Bo;Gong Ronghua(Northern Jiangsu People’s Hospital,Yangzhou 225000,Jiangsu Province,China;Yangzhou Hospital of Traditional Chinese Medicine,Yangzhou 225000,Jiangsu Province,China)
出处
《现代临床护理》
2024年第10期22-29,共8页
Modern Clinical Nursing
基金
扬州市软科学研究课题,项目编号为2024204。
关键词
调节焦点
精神气候
知觉压力
职业召唤
手术室护士
regulatory focus
spiritual climate
perceived stress
occupational call
operating room nurses
作者简介
毕雅昕(1996-),女,护师,硕士,主要从事手术室护理工作;通信作者:龚荣花,科护士长,主任护师,本科,E-mail:862124229@qq.com。
