Xue Huiyuan, Jing Songbin, Song Xiaoren, Zhang Fen, Liu Xiaoli, Si Xiaona
Department of Neurology, People's Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou, Henan, China.
Nursing Department, People's Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou, Henan, China.
Front Psychol. 2024 Jul 31;15:1387288. doi: 10.3389/fpsyg.2024.1387288. eCollection 2024.
In the medical field, effective time management by clinical nurses is crucial for enhancing the quality of patient care. However, in recent years, with increasing work pressure for clinical nurses, procrastination has become a prevalent issue. Many nurses use smartphones as a way to alleviate stress and manage emotions, but excessive smartphone use could exacerbate procrastination, thereby jeopardizing patient safety and healthcare quality. Therefore, understanding the current state of work procrastination among clinical nurses, its heterogeneity, and exploring the impact of smartphone addiction and demographic factors on different aspects of nurse procrastination hold significant importance for improving patient care quality.
This study aims to explore the current state of work procrastination among clinical nurses and identify potential profile categories. It further analyzes the impact of mobile phone addiction and demographic factors on work procrastination among clinical nurses.
Convenience sampling was employed to recruit participants from three tertiary hospitals in central China from October to November 2023. Surveys measuring nurses' work procrastination and smartphone addiction were distributed and collected through online platforms. A total of 1,536 nurses participated in this study. Mplus 8.3 statistical software was used for latent profile analysis of clinical nurses' work procrastination, and SPSS 26.0 software was utilized for chi-square tests, rank-sum tests, and multi-classification logistic regression analyses.
The median total score for clinical nurses' work procrastination was 21.00 (17.00, 28.00), and three subgroups were identified: low procrastination (66.93%), medium-low procrastination (20.66%), and medium-high procrastination (12.41%). Additionally, logistic regression analysis revealed that smartphone addiction and department atmosphere were common influencing factors for medium-low and medium-high work procrastination. Hospitals with stricter management and nurses holding the position of head nurse were more likely to belong to the low work procrastination group. Nurses with higher incomes or those holding intermediate titles were more prone to medium-low work procrastination, while those experiencing career advancement difficulties were more likely to exhibit medium-high work procrastination ( < 0.05).
Clinical nurses' work procrastination is generally at a medium-to-low level, with three subgroups identified: low procrastination, medium-low procrastination, and medium-high procrastination. Additionally, clinical nurses in surgical departments or those with intermediate titles exhibit higher levels of procrastination. Factors such as smartphone addiction, higher monthly income, tense departmental atmosphere, and unsuccessful career advancement are more likely to lead to work procrastination. Conversely, nurses in hospitals with strict management or those holding the position of head nurse exhibit lower levels of work procrastination. Therefore, nursing managers should pay close attention to the work procrastination behaviors of clinical nurses, actively monitor predictive factors among different groups, and provide psychological counseling and relevant training based on individual nurse circumstances. Additionally, it is also essential to focus on and improve departmental atmosphere and nurse smartphone addiction to enhance clinical nurses' work efficiency and reduce work procrastination.
在医疗领域，临床护士有效的时间管理对于提高患者护理质量至关重要。然而，近年来，随着临床护士工作压力的增加，拖延已成为一个普遍问题。许多护士使用智能手机来缓解压力和管理情绪，但过度使用智能手机可能会加剧拖延，从而危及患者安全和医疗质量。因此，了解临床护士工作拖延的现状、其异质性，并探索智能手机成瘾和人口统计学因素对护士拖延不同方面的影响，对于提高患者护理质量具有重要意义。
本研究旨在探讨临床护士工作拖延的现状并识别潜在的类别。进一步分析手机成瘾和人口统计学因素对临床护士工作拖延的影响。
采用便利抽样法，于2023年10月至11月从中国中部地区的三家三级医院招募参与者。通过在线平台发放并收集测量护士工作拖延和智能手机成瘾的调查问卷。共有1536名护士参与了本研究。使用Mplus 8.3统计软件对临床护士的工作拖延进行潜在类别分析，使用SPSS 26.0软件进行卡方检验、秩和检验和多分类逻辑回归分析。
临床护士工作拖延总分中位数为21.00（17.00，28.00），识别出三个亚组：低拖延（66.93%）、中低拖延（20.66%）和中高拖延（12.41%）。此外，逻辑回归分析显示，智能手机成瘾和科室氛围是中低和中高工作拖延的常见影响因素。管理更严格的医院和担任护士长职位的护士更有可能属于低工作拖延组。收入较高或具有中级职称的护士更容易出现中低工作拖延，而职业发展困难的护士更有可能表现出中高工作拖延（<0.05）。
临床护士的工作拖延总体处于中低水平，识别出三个亚组：低拖延、中低拖延和中高拖延。此外，外科科室的临床护士或具有中级职称的护士表现出较高水平的拖延。智能手机成瘾、月收入较高、科室氛围紧张和职业发展不顺利等因素更有可能导致工作拖延。相反，管理严格的医院的护士或担任护士长职位的护士工作拖延水平较低。因此，护理管理者应密切关注临床护士的工作拖延行为，积极监测不同群体中的预测因素，并根据护士个人情况提供心理咨询和相关培训。此外，关注并改善科室氛围和护士智能手机成瘾情况，以提高临床护士的工作效率并减少工作拖延也至关重要。
