Zhao Ailin, Zhang Li, Shi Xiaomei
Department of Neurosurgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong Province, 250001, People's Republic of China.
Risk Manag Healthc Policy. 2024 Mar 18;17:623-631. doi: 10.2147/RMHP.S452271. eCollection 2024.
To investigate the current nursing practice environment in Jinan, Shandong Province, and to identify the factors influencing the practice environment.
This study is a cross-sectional study for nurses. From October to December 2022, using the clustering and stratified sampling methods, 2426 nurses from internal Medicine, Surgery, Obstetrics and Gynecology, Outpatient Department and Intensive Care Department of the Provincial Hospital of Shandong Medical University were selected and then investigated and analyzed using the revised Nurse Practice Environment Assessment Scale.
The overall mean evaluation of the practice environment scored 75.13±19.87, with a minimum value of 59.74 and a maximum value of 95.82. The items with higher scores were "the hospital has systematic training for new nurses", "the work system is perfect", and "the hospital can provide continuing education for nurses in accordance with the needs of their positions". The items with lower scores were "nurses enjoy legal benefits", "nurses have the opportunity to participate in hospital management decisions", and "nurses have the opportunity to participate in hospital internal management". The results of the multiple linear regression analysis of the factors influencing nurses' practice environment showed that gender, education, position, and years of work were independent influences on nurses' practice environment scores ( < 0.05), and they explained 48.127% of the variation in the total scores of the nurses' practice environment scale. The estimated values (β) of sex, education, cheif nurse, nurses staff, work experience (year), and whether the only child variables were 3.141, 3.237, 2.713, 5.471, 2.074 and 0.732, respectively.
The nurse practice environment still needs to be improved, mainly in terms of hospital management participation, human resource allocation and salary distribution system.
调查山东省济南市当前的护理执业环境，并找出影响执业环境的因素。
本研究是一项针对护士的横断面研究。2022年10月至12月，采用整群抽样和分层抽样方法，选取山东医科大学附属医院内科、外科、妇产科、门诊和重症监护室的2426名护士，然后使用修订后的《护士执业环境评估量表》进行调查分析。
执业环境的总体平均评分为75.13±19.87，最小值为59.74，最大值为95.82。得分较高的项目有“医院对新护士有系统培训”“工作制度完善”“医院能根据护士岗位需求提供继续教育”。得分较低的项目有“护士享有法定福利”“护士有机会参与医院管理决策”“护士有机会参与医院内部管理”。影响护士执业环境因素的多元线性回归分析结果显示，性别、学历、职位和工作年限对护士执业环境得分有独立影响（<0.05），它们解释了护士执业环境量表总分变异的48.127%。性别、学历、护士长、护士员工、工作经验（年）和是否为独生子女变量的估计值（β）分别为3.141、3.237、2.713、5.471、2.074和0.732。
护士执业环境仍需改善，主要体现在医院管理参与、人力资源配置和薪酬分配制度方面。
