Study on the working status and influencing factors of specialist nurses in 72 tertiary hospitals in Anhui Province

doi:10.3761/j.issn.0254-1769.2024.13.014

Abstract

Abstract:

Objective The aim of this study is to analyze the current situation and influencing factors of specialist nurses’ work in 72 tertiary hospitals in Anhui Province which can provide suggestions for the training and use of specialist nurses. Methods Using stratified sampling，a survey of 2，400 specialist nurses in 72 tertiary hospitals across the province were recruited and investigated by a self-administered questionnaire on the current work status and competencies of specialist nurses，from December 2022 to January 2023. The one-way ANOVA and multiple linear regression methods to analyze the influencing factors. Results A total of 2，248 valid questionnaires were returned from specialist nurses，with a validity rate of 93.67%. Specialist nurses scored （19.07±5.11） for their current work status and（17.07±2.84） for their ability to work. The results of multiple linear regression analyses showed that the level and nature of the hospital，title，position，method of obtaining training qualifications，working time in the speciality after training，and the competence of the specialist nurses were the factors influencing the current status of the specialist nurses’ work（P<0.05）. Conclusion The current status of specialist nurses’ work in tertiary hospitals in Anhui Province is relatively satisfactory，and it is influenced by the level and nature of the hospital，the way of training and selection，and factors of the specialist nurses themselves. It is recommended to pay attention to the subsequent use and training of specialist nurses to improve their ability to work and provide high-quality professional care to patients.

Key words: Specialist Nurse, Specialized Ability, Root Cause Analysis, Cross-Sectional Study, Nursing Administration Research

摘要：

目的了解安徽省72所三级医院专科护士工作现状及其影响因素，为专科护士培养和使用提供借鉴。方法采用分层抽样法，于2022年12月—2023年1月使用专科护士工作现状及工作能力调查问卷对安徽省72所三级医院2 400名专科护士进行调查，通过单因素分析及多元线性回归分析探讨其工作现状的影响因素。结果共回收有效问卷2 248份，有效问卷回收率为93.67%。专科护士工作现状得分为（19.07±5.11）分，工作能力得分为（17.07±2.84）分。多元线性回归分析结果显示，医院等级、医院性质、职称、职务、培训资格获取方式、培训后专科工作时间及工作能力是专科护士工作现状的影响因素（P<0.05）。结论安徽省三级医院专科护士工作现状较为理想，受医院等级、医院性质、培训选拔方式以及专科护士自身因素的影响。建议医疗机构重视专科护士的后续使用和培养，提高其工作能力，为患者提供高质量的专业照护。

关键词: 专科护士, 专科能力, 影响因素分析, 横断面研究, 护理管理研究

LI Zhiju, WU Yihua, ZHANG Jianfeng, REN Chunxia. Study on the working status and influencing factors of specialist nurses in 72 tertiary hospitals in Anhui Province[J]. Chinese Journal of Nursing, 2024, 59(13): 1632-1638.

李志菊, 武义华, 张建凤, 任春霞. 安徽省72所三级医院专科护士工作现状及影响因素研究[J]. 中华护理杂志, 2024, 59(13): 1632-1638.

Figures/Tables 5

Table 1 Univariate analysis of general data and working status of specialist nurses（n=2 248）

Table 2 Working status of specialist nurses（n=2 248）

Table 3 Working competence of specialist nurses（n=2 248）

Table 4 Assignment of independent variables

Table 5 Multiple linear regression analysis of clinical work of specialist nurses（n=2 248）

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