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中国一家新冠肺炎定点医院一线护士的工作满意度与护理缺失情况:一项横断面研究

Frontline Nurses' Job Satisfaction and Missed Nursing Care in a COVID-19 Dedicated Hospital in China: A Cross-Sectional Study.

作者信息

Zhang Xia, Zhou Jing, Chen Fang, Yang Jing, Jiang Zhixia, De Jesus David Hali

机构信息

Department of Critical Care Medicine, Department of Nursing, Affiliated Hospital of Zunyi Medical University, Zunyi, China.

School of Nursing, Philippine Women's University, Manila, Philippines.

出版信息

J Nurs Manag. 2024 Feb 27;2024:5918935. doi: 10.1155/2024/5918935. eCollection 2024.

Abstract

This study examined the current situation and relationship between missed nursing care (MNC) and job satisfaction among frontline nurses in a hospital dedicated to treating COVID-19 patients in China. Many dedicated hospitals were constructed or refurbished to centrally manage patients with COVID-19. Most nurses and doctors in these hospitals were redeployed from other departments or hospitals. This may have compromised nursing quality and job satisfaction. The omission of nursing care is a critical factor in assessing nursing quality; therefore, focusing on both MNC and job satisfaction is essential. This cross-sectional study used convenience and snowball sampling techniques to recruit frontline nurses working in a hospital for treating COVID-19 patients from November to December 2022. The questionnaires used in this study included sociodemographic information, job satisfaction, and the MISSCARE survey. Differences in job satisfaction and MISSCARE scores among participants' demographic deviations were explored using the Mann-Whitney Z test (two groups) and the Kruskal-Wallis H test (three or more groups). The correlation between participants' job satisfaction and missed nursing actions was analysed using Spearman's correlation analysis. The analysis included 306 frontline nurses. Frontline nurses' job satisfaction was high, and their MNC was low. The highest MNC was "offer rehabilitation care and guidance to patients in need every day." The most reported reasons for the MNC were "urgent patient situations." In addition, the job satisfaction scale, MNC scores, and reasons for MNC scores showed statistically significant differences among participants' demographic variables. Moreover, this study identified a negative correlation between frontline nurses' job satisfaction and MNC. Frontline nurses' job satisfaction was high, and their MNC was low. Frontline nurses' demographics were shown to affect their job satisfaction, MNC, and reported reasons. Furthermore, participants' job satisfaction can influence the MNC. Tailored interventions aimed at maintaining low levels of MNC should consider frontline nurses' demographic characteristics and job satisfaction.

摘要

本研究调查了中国一家收治新冠肺炎患者的医院中一线护士的未落实护理(MNC)现状及其与工作满意度之间的关系。许多专门医院被新建或翻新,以集中管理新冠肺炎患者。这些医院的大多数护士和医生都是从其他科室或医院重新调配而来的。这可能会影响护理质量和工作满意度。护理工作的遗漏是评估护理质量的一个关键因素;因此,关注未落实护理和工作满意度都至关重要。这项横断面研究采用便利抽样和滚雪球抽样技术,招募了2022年11月至12月在一家收治新冠肺炎患者的医院工作的一线护士。本研究使用的问卷包括社会人口学信息、工作满意度和未落实护理情况调查。使用曼-惠特尼Z检验(两组)和克鲁斯卡尔-沃利斯H检验(三组或更多组)探讨了参与者人口统计学差异中工作满意度和未落实护理情况得分的差异。使用斯皮尔曼相关性分析来分析参与者的工作满意度与未落实护理行为之间的相关性。分析纳入了306名一线护士。一线护士的工作满意度较高,未落实护理情况较少。未落实护理情况最多的是“每天为有需要的患者提供康复护理和指导”。未落实护理情况最常报告的原因是“患者情况紧急”。此外,工作满意度量表、未落实护理情况得分以及未落实护理情况得分的原因在参与者的人口统计学变量之间存在统计学显著差异。此外,本研究发现一线护士的工作满意度与未落实护理情况之间存在负相关。一线护士的工作满意度较高,未落实护理情况较少。一线护士的人口统计学特征被证明会影响他们的工作满意度、未落实护理情况以及报告的原因。此外,参与者的工作满意度会影响未落实护理情况。旨在维持低水平未落实护理情况的针对性干预措施应考虑一线护士的人口统计学特征和工作满意度。

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