护理专业自主与人口学、心理变量的关系

A Kikuchi, T Harada
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摘要

摘要本研究旨在探讨护理专业自主性与人口学及心理变量的关系。护理专业自主性的测度分别由“认知”、“表现”、“具体判断”、“抽象判断”和“独立判断”五个因素构成,并解释为代表护理专业工作能力。人口统计变量选择年龄、护理经验年限、医院工作地点安排、护理岗位级别和教育背景。本研究使用的心理变量包括:继续从事护理工作的意向、工作满意度和动机、自信和自评护理能力。对公立医院的370名专业护士进行了问卷调查,问卷包括护理专业自主权的五分制和几个人口统计学和心理学变量。主要结果如下:(1)护理专业自主各分量表得分与年龄、工作年限、工作满意度和工作动机、自信和护理倾向呈显著正相关。(2)重症监护室和手术室护士的护理专业自主性得分显著高于病房和门诊护士。(3)随着护士职级的增加和工作年限的增加,护士的专业自主权全面提高。(4)自信、岗位水平和护理执照种类是影响护理专业自主性的最易解释的变量。
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[The relationship between professional autonomy and demographic and psychological variables in nursing].

The purpose of this study is to investigate the relationships of professional autonomy in nursing with demographic and psychological variables. The measure of professional autonomy in nursing is constructed by five factors, "Cognition", "Performance", "Concrete judgement", "Abstract judgment" and "Independent judgment", respectively and interpreted to represent the professional work abilities of nursing. Age, years of experience of nursing, arrangement of work place in the hospital, position level and educational background of nursing are selected as demographic variables. Psychological variables used in this study were intention to continue at work as a nurse, work satisfaction and motivation, self confidence and self evaluated aptitude toward nursing. Three-hundred and seventy professional nurses in the public hospital were administered a questionnaire including the five-point scale for professional autonomy in nursing and several demographic and psychological variables. The main results were as follows: (1) Each of the sub-scale scores of professional autonomy in nursing had significant and positive correlations with age, years of experience, work satisfaction and motivation, self confidence and aptitude toward nursing. (2) Nurses worked at the intensive care unit and operation room were significantly higher scores of professional autonomy in nursing than the nurses at the ward and the outpatient clinic. (3) Professional autonomy in nursing was totally increasing with the increase of nurse's position and years of experience. (4) Self confidence, position level and the kind of nursing license were the most explicable variables of professional autonomy in nursing.

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