重庆市非在编护士自由流动现状调查及对策分析

目的 了解重庆市非在编护士自由流动现状,探讨影响其自由流动意愿的因素,为制订科学的管理措施提供依据.方法 自行设计调查问卷,采用分层整群抽样的方法,随机抽取重庆市18家不同等级医院的在职非在编护士进行问卷调查.结果 共调查1145名非在编护士,其中42.53%和52.49%的非在编护士表示如有机会愿意选择跳槽和选择转行,高达84.89%的非在编护士不愿意其子女再从事护理工作.68.56%的非在编护士认为自由流动对自身有影响,74.50%的非在编护士认为自由流动对医院工作有影响.影响非在编护士自由流动意愿的主要因素包括"认为本人的工作未受到肯定"、"在医院未受到尊重"、"认为在医院工作无发展前途"等.结论 重庆市非在编护士自由流动意愿率高,对自身及医院的发展都有较大的影响.应改善非在编护士待遇,提高其受尊重程度,以稳定护理队伍.

Investigation in free flow of non-licensed nurses in Chongqing and countermeasure

Objective To understand the current situation about flexible position switch of non-licensed nurses in Chongqing, to discuss the cause of the flexible position switch, and to provide basic information for constructing scientific managerial measure. Methods Using the stratified clustering method to sample the nurses from 18 hospitals of different ranks in Chongqing and investigated them with self-designed questionnaire. Results Among the 1145 non- licensed nurses joining the investigation, 42.53%and 52.49% of them showed the will to switch their positions or occupations, 84.89% of them objected their children to occupy themselves with nursing service. 68.56% non-licensed nurses believed that flexible position switching had influence on themselves, while 74.50% of them believed that flexible position switching had impacts on hospitals. The main cause of the flexible position switching of non-licensed nurses included: "feeling their work not beyond exceptions"、 "not enough respect in hospital" 、"lack of further development", and so on. Conclusions The high rate of will for flexible position switch cause great influences on the development of hospitals and non-licensed nurses themselves. Better treatment and raising respect should be given to them in order to stabilize nursing team.