南宁市全日制本科与专升本临床护士工作现状的调查分析

目的：通过调查研究全日制本科与专升本临床护士的工作现状，为合理的护理分层管理以及岗位安排提供有效依据。方法采取整群抽样的方法，采用自制临床护士工作现状调查表对广西南宁市13家三甲医院566名临床护士进行问卷调查。结果全日制本科与专升本临床护士工作现状得分总体呈低满意程度；专升本护士工作现状总得分高于全日制本科护士；专升本护士在福利待遇、护理工作特点及认同度、工作被认可、人际关系这4个维度上得分高于全日制本科护士，差异有统计学意义（P＜0．05）；在科研教学机会这个维度上得分低于全日制本科护士，差异有统计学意义（P＜0．05）；两者在排班、工作自主性、个人专业发展机会这3个维度上，差异无统计学意义（P＞0．05）。结论全日制本科护士工作现状总体表现不如专升本护士，职业认同度等方面需要进一步加强；护理管理者需要加大护理分层使用的力度，推动岗位职责与安排的合理化进程，减少高学历临床护士的流失率。

Investigation and analysis of full-time bachelor and upgraded clinical nurses working status in Nanning

Objective To investigation the present situation of full‐time bachelor and upgraded clinical nurses ,in order to provide effective basis for the reasonable nursing hierarchical management and job arrangement .Methods Using cluster sampling method ,the working status of clinical nurses self‐designed questionnaire survey for 566 clinical nurses from 13 three level of first‐class hospitals of Nanning city were investigated by self‐designed questionnaire survey .Results The total score of full‐time bache‐lor and upgraded clinical nurses working status showed low satisfaction;the total score of working status of the upgraded nurse was higher than full‐time bachelor nurses .The upgraded clinical nurse in 4 dimensions of welfare treatment ,nursing working character‐istics and identity ,the work to be recognized ,interpersonal relationship scored higher than full‐time bachelor nurse(P<0 .05);in the dimension of scientific research and teaching opportunities scored lower than full‐time bachelor nurses(P<0 .05);in 3 dimen‐sions of scheduling ,job autonomy ,personal professional development opportunities ,the difference was not statistically significant (P>0 .05) .Conclusion The overall performance of working statute of full‐time bachelor nurses is worse than upgraded nurses ,and some aspects including the occupation identification need to be further strengthened .The nursing managers need to increase the nursing hierarchical using of strength ,promote the rationalization process of job responsibility and arrangement of the high degree of clinical nurses ,in order to reduce the flow loss rate .