Liu Jun, Zhou Hui, Yang Xiaoqin
Department of Nursing Management, Northern Huashan Hospital, Fudan University, Shanghai, China (mainland).
Department of Operation Room, Northern Huashan Hospital, Fudan University, Shanghai, China (mainland).
Med Sci Monit. 2017 Feb 18;23:874-880. doi: 10.12659/msm.902249.
The present study was performed to quantitatively examine nurse satisfaction, to investigate the associated factors influencing satisfaction, and to evaluate the effect of improvement measures based on these factors. A survey using the 38-item Chinese version of the Practice Environment Scale (CPPE-38) was performed in a university-affiliated tertiary hospital in Shanghai, China in 2013. Linear regression analysis was performed to screen for associated factors related to each CPPE-3 score and the total satisfaction score. Several improvement measures were established to improve nurse satisfaction, and the CPPE-38 survey was again performed in 2015 to evaluate the effect of these improvement measures. A total of 1,050 respondents were recruited in 2013, with a response rate of 87.6%. The total satisfaction score of the CPPE-38 was 2.99±0.64. The lowest score in a subscale of the CPPE-38 was 2.40±0.59 for interpersonal interaction and the highest score was 3.15±0.40 for internal work motivation. Work location was associated with scores for work motivation and total satisfaction, while the highest education degree was associated with scores for internal relationship and autonomy. The scores for internal work motivation, control over practice, interpersonal interaction, and internal relationship and autonomy were significantly improved in 2015 after two years of improvement efforts, while the total satisfaction score was not significantly different compared to the 2013 score. Working location and education degree were two factors correlated with CPPE-38 scores in our hospital. Humanistic concerns, continuing education, and pay raise may improve the practice satisfaction of nurses.
本研究旨在定量考察护士满意度，调查影响满意度的相关因素，并基于这些因素评估改进措施的效果。2013年，在中国上海的一家大学附属三级医院进行了一项使用38项中文版实践环境量表（CPPE - 38）的调查。进行线性回归分析以筛选与每个CPPE - 3得分和总体满意度得分相关的因素。制定了多项改进措施以提高护士满意度，并于2015年再次进行CPPE - 38调查以评估这些改进措施的效果。2013年共招募了1050名受访者，回复率为87.6%。CPPE - 38的总体满意度得分为2.99±0.64。CPPE - 38一个子量表中得分最低的是人际互动，为2.40±0.59，得分最高的是内部工作动机，为3.15±0.40。工作地点与工作动机得分和总体满意度相关，而最高学历与内部关系和自主权得分相关。经过两年的改进努力，2015年内部工作动机、实践控制、人际互动以及内部关系和自主权得分有显著提高，而总体满意度得分与2013年得分相比无显著差异。工作地点和学历是与我院CPPE - 38得分相关的两个因素。人文关怀、继续教育和加薪可能会提高护士的实践满意度。
