护理科研现状调查及相关因素分析
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摘要
目的了解三级医院护理人员护理科研产出现状及其影响因素,为管理者制定管理策略提供参考。方法以计划行为理论为依据设计在线调查问卷,对909名三级医院护理人员进行调查。结果调查对象中近5年已发表文章者占12.3%,有护理专业科研立项者占4.7%,结题者占3.4%,科研获奖者占1.87%;每天阅读文献者仅占3.1%。不同年龄、学历、职务、职称、工作年限以及不同的文献阅读频次的护理人员发表科技论文、已有科研立项与结题的人数不同,差异均有统计学意义(P<0.05);不同科室护士已发表科技论文的人数不同,差异有统计学意义(P<0.05)。多因素分析结果显示,学历、职称、职务对科技论文与科研结题均有影响;学历、职称、阅读文献情况对科研立项有影响。学历与护理人员主观规范、科研能力自评有相关性,职称仅与主观规范有相关性,差异有统计学意义(P<0.05);英语水平限制、工作太忙、没有专人指导是制约护士开展护理科研的主要原因。结论科研产出数量少、被认可度不高;护理人员科研态度积极,但学习科研知识的行为执行力低;学历、技术职称、职务、阅读文献情况是促进护理科研产出的主要影响因素。建议管理者针对不同层次护士设置科研进阶课程,建立"帮带"课题组,激励护士积极开展护理科研活动。
Objective To explore the research output of nursing staff in tertiary general hospitals and its influencing factors,to provide references for managers to develop management strategy. Methods Theory of planned behavior was used as core ideal to design online questionnaire and a total of 909 nurses from tertiary hospitals were investigated. Results It was showed that 12.3% of the participants had published papers in journal articles for recent five years,4.7% had nursing scientific research project and 3.4% passed the final report check,1.87% had research awards,3.1%red literatures daily.The numbers of published papers and research projects of nursing staff were statistically significant differences among different ages,education backgrounds,professional titles,working years and literature reading frequency(P<0.05).The number of published papers of nurses in different departments was statistically different(P<0.05).The results of multivariate analysis showed that academic degree,technical title and position had an impact on scientific papers and research projects.Education level was correlated with nursing staff's subjective standard and scientific research ability,and the difference was statistically significant(P<0.05).The limitation of English level,too much work and no special person's guidance were the main reasons restricting nurses to carry out nursing research. Conclusion The quantity of scientific research output was small with low recognition;nursing staff had a positive attitude towards scientific research,but low executive ability of learning scientific research knowledge;education background,technical title,position and literature reading were the main influencing factors to promote the output of nursing scientific research.It was suggested that managers should set up advanced scientific research courses for nurses at different levels,establish a "help and lead" research group,and encourage nurses to actively carry out nursing scientific research activities.
Objective To explore the research output of nursing staff in tertiary general hospitals and its influencing factors,to provide references for managers to develop management strategy. Methods Theory of planned behavior was used as core ideal to design online questionnaire and a total of 909 nurses from tertiary hospitals were investigated. Results It was showed that 12.3% of the participants had published papers in journal articles for recent five years,4.7% had nursing scientific research project and 3.4% passed the final report check,1.87% had research awards,3.1%red literatures daily.The numbers of published papers and research projects of nursing staff were statistically significant differences among different ages,education backgrounds,professional titles,working years and literature reading frequency(P<0.05).The number of published papers of nurses in different departments was statistically different(P<0.05).The results of multivariate analysis showed that academic degree,technical title and position had an impact on scientific papers and research projects.Education level was correlated with nursing staff's subjective standard and scientific research ability,and the difference was statistically significant(P<0.05).The limitation of English level,too much work and no special person's guidance were the main reasons restricting nurses to carry out nursing research. Conclusion The quantity of scientific research output was small with low recognition;nursing staff had a positive attitude towards scientific research,but low executive ability of learning scientific research knowledge;education background,technical title,position and literature reading were the main influencing factors to promote the output of nursing scientific research.It was suggested that managers should set up advanced scientific research courses for nurses at different levels,establish a "help and lead" research group,and encourage nurses to actively carry out nursing scientific research activities.
引文
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[7]廖小卿,丁小容,曽杏珍,等.北京大学深圳医院护理人员科研能力现状研究[J].中华医学科研管理杂志,2013,26(3):194-196.
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[9]陈旭雯,朱芝洲.对职称晋升制度的理性思考[J].浙江工贸职业技术学院院报,2006,6(1):7-11.
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[11]邓明燕,薛菊兰.“知-信-行”理论在提高护士长科研创新能力中的应用[J].护理管理杂志,2012,12(9):669-671.
[12]任晓波,赵丽君,李仕香,等.感动服务在门诊健康教育中的应用[J].现代临床护理,2007,6(6):52-53.
[13]王逸如,黄华兰.16所地市级医院护理人员护理科研现状及需求的调查[J].护理研究,2005,19(4):586-588.
[14]倪元红,刘云,孙琳.全程督导提高护理科研水平及论文写作质量[J].中华护理杂志,2009,44(11):999-1000.
[15]苏东水.管理心理学[M].3版.上海:复旦大学出版社,2001:151.
[2]于荣辉,丁炎明,朱赛楠,等.北京市某三级甲等医院护理人员科研现状的调查[J].中华现代护理杂志,2012,18(21):2485-2487.
[3]张煜,李利,权京玉.北京市某三级甲等医院临床护理人员科研现状的调查分析[J].中国实用护理杂志,2009,25(5):59-61.
[4]张静,秦瑛.北京协和医院临床护士开展护理科研现状分析及其影响因素[J].护理研究,2010,24(2):59-61.
[5]张玉华,郭红,杨志清,等.对2005年9种护理核心期刊中护理论文的剖析[J].护理管理杂志,2007,7(6):l-3.
[6]王冬黎,艾淑娟,吴丽军.18省市护理教师科研现状及影响因素的调查分析[J].中国实用护理杂志,2012,28(23):81-83.
[7]廖小卿,丁小容,曽杏珍,等.北京大学深圳医院护理人员科研能力现状研究[J].中华医学科研管理杂志,2013,26(3):194-196.
[8]于荣辉,丁炎明,朱赛楠.761名临床护士科研现状调查分析[J].中国护理管理,2012,12(6):47-49.
[9]陈旭雯,朱芝洲.对职称晋升制度的理性思考[J].浙江工贸职业技术学院院报,2006,6(1):7-11.
[10]孙孝琴,邢俊华,王学娟.分析论文产出指导护理科研管理思路[J].护理学报,2006,13(11):l2-14.
[11]邓明燕,薛菊兰.“知-信-行”理论在提高护士长科研创新能力中的应用[J].护理管理杂志,2012,12(9):669-671.
[12]任晓波,赵丽君,李仕香,等.感动服务在门诊健康教育中的应用[J].现代临床护理,2007,6(6):52-53.
[13]王逸如,黄华兰.16所地市级医院护理人员护理科研现状及需求的调查[J].护理研究,2005,19(4):586-588.
[14]倪元红,刘云,孙琳.全程督导提高护理科研水平及论文写作质量[J].中华护理杂志,2009,44(11):999-1000.
[15]苏东水.管理心理学[M].3版.上海:复旦大学出版社,2001:151.