三甲医院手术室护士出勤主义行为与工作绩效的关系研究

目的:研究某市三甲医院手术室护士出勤主义行为、工作绩效的状况及二者之间的关系。方法:采用便利整群抽样的方法，使用《出勤主义行为问卷》和《工作绩效量表》，对3所三甲医院的216名手术室护士进行问卷调查。结果:出勤主义行为评分为（4.43±1.64）分，工作绩效评分为（74.28±7.29）分，合同工护士的出勤主义行为评分高于人事在编的护士（P<0.01），护理管理者的出勤主义行为评分高于普通护士（P<0.05），本科及以上学历护士的出勤主义行为评分高于专科学历的护士（P<0.05）；人事在编的护士工作绩效及其各维度的评分均高于合同工护士（P<0.05～P<0.01），护师、主管护师及以上职称的护理人员在关系绩效维度的评分高于护士（P<0.05）；手术室护士出勤主义行为与工作绩效及其各维度的变量呈负相关关系（P<0.01）；结构方程模型显示:出勤主义行为对工作绩效有直接负向预测作用，标准化路径系数为-0.56（P<0.01），“出勤主义行为”变量可以解释“工作绩效”变量31%的变异量。结论:三甲医院手术室护士工作绩效较高，出勤主义行为情况不乐观；出勤主义行为对工作绩效具有一定的预测作用；护理管理者应着力降低手术室护士的出勤主义行为，进一步提高护士的工作绩效。

Study on the relationship between the presenteeism behavior and job performance of operating room nurses in grade A tertiary hospitals

Objective: To study the relationship between the presenteeism behavior and work performance of operating room nurses in grade A tertiary hospitals.Methods: Two hundred and sixteen operating room nurses from 3 grade A tertiary hospitals were selected using the cluster sampling method,and investigated using the "presenteeism behavior questionnaire" and "job performance scale".Results: The scores of presenteeism behavior and job performance were(4.43±1.64) and(74.28±7.29),respectively.The presenteeism behavior score of contract nurses was higher than that of enrolled nurses(P<0.01),the presenteeism behavior score of nursing managers was higher than that of general nurses(P<0.05),and the presenteeism behavior score of nurses with bachelor degree or above was higher than that of nurses with college degree nurses(P<0.05).The scores of job performance and its each dimension of enrolled nurses were higher those of contract nurses(P<0.05 to P<0.01),and the score of job performance dimension of nurse practitioner,nurse-in-charge and above title nurses were higher that of general nurses(P<0.05).The presenteeism behavior in operating room nurses was negatively correlated with work performance and its dimension(P<0.01).Structural equation model showd that the presenteeism behavior performance had a direct negative effect on work,the standardized path coefficient was -0.561(P<0.01),and the "presenteeism" variables could explain the 31% "performance" of the variance.Conclusions: The job performance of operating room nurses in grade A tertiary hospitals is higher,and the presenteeism behavior situation is not optimistic.The presenteeism behavior has certain prediction effect on job performance.Nursing managers should focus on reducing the presenteeism behavior of operating room nurses,and further improve the nurses' job performance.