护士建言行为现状及潜在剖面分析

doi:10.3761/j.issn.0254-1769.2024.01.013

摘要/Abstract

摘要：

目的分析护士建言行为现状及潜在剖面，探讨不同类别护士建言行为的影响因素。方法采用便利抽样法，于2022年4月—6月选取广东省5所三级甲等医院的915名护士作为调查对象，采用一般资料调查表、建言行为量表、医院版谦卑型领导量表、团队心理安全气氛量表进行调查。对护士建言行为进行潜在剖面分析，采用多元Logistic回归分析不同类别的影响因素。结果最终纳入812名护士。建言行为量表得分为（37.04±5.88）分。护士的建言行为可分为保守型（27.83%）、平衡风险型（61.95%）和挑战型（10.22%）3个潜在剖面。Logistic回归分析结果显示，聘用方式、是否协助科室管理、谦卑型领导与团队心理安全气氛是护士建言行为的影响因素（均P<0.05）。结论护士建言行为处于中上水平，且存在异质性。护理管理者应重点关注“保守型”和“平衡风险型”护士，根据不同类别的特征及影响因素对护士进行干预和支持，以提高其建言行为水平。

关键词: 潜在剖面分析, 护士, 建言行为, 护理管理研究

Abstract:

Objective To analyze the current situation and latent profiles of nurses’ voice behavior in nurses，and explore the influencing factors of different types. Methods Through convenience sampling，812 nurses who worked in tertiary hospitals from 5 cities in Guangdong Province during April 2022 to June 2022 were recruited. The demographic questionnaire，the Voice Behavior Scale，the Humble Leadership Scale，and the Team Psychological Safety Climate Scale were used for investigation. Latent profile analysis was used to explore the latent profiles of nurses’ voice behavior. The influencing factors of latent profiles were identified by multivariate Logistic regression. Results The total score of the voice behavior in 812 nurses is（37.04±5.88）. Voice behaviors in nurses is divided into 3 latent classes，namely “conservation group”（27.83%），“balanced-risky group”（61.95%），and “the challenge group”（10.22%）. The influencing factors include recruitment type，whether to assist in department management，humble leadership，team psychological safety climate（all P<0.05）. Conclusion The level of nurses’ voice behavior is upper medium with heterogeneity，which can be divided into 3 latent profiles. Nurses managers should focus on nurses with conservation group and balanced-risky group and conduct early targeted prevention and care according to characteristics and influencing factors of different latent profile.

Key words: Latent Profile Analysis, Nurse, Voice Behavior, Nursing Administration Research

肖景芳, 夏锐南, 王瑞, 戴美芬, 邹小芳. 护士建言行为现状及潜在剖面分析[J]. 中华护理杂志, 2024, 59(1): 93-99.

XIAO Jingfang, XIA Ruinan, WANG Rui, DAI Meifen, ZOU Xiaofang. Study on the current situation and latent profile analysis of nurses’ voice behavior[J]. Chinese Journal of Nursing, 2024, 59(1): 93-99.

图/表 4

表1 调查对象的一般资料及建言行为3个潜在剖面的单因素分析结果[n=812,名(百分比,%)]

Table 1 Single factor analysis of 3 potential profiles of respondents’ general information and voice behavior[n=812,case(percentage,%)]

表2 护士建言行为潜在剖面模型拟合指标

Table 2 Potential categories of nurse's voice behavior

图1 护士建言行为3种潜在类别的特征分布

Figure 1 The characteristic distribution of 3 potential categories of nurse’s voice behavior

表3 护士建言行为潜在剖面的多元Logistic回归分析结果

Table 3 Multivariate Logistic regression analysis of influencing factors of nurse’s voice behavior

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