三甲医院临床护士工作退缩行为现状及影响因素分析
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女,硕士,主管护师

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国家自然科学基金项目(82204071);合肥市第四人民医院科研项目(HFSY2023YB14)


Work withdrawal behavior and its influencing factors among clinical nurses in grade A tertiary hospitals
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    摘要:

    目的 探讨三甲医院临床护士工作退缩行为现状及影响因素,为制订针对性的干预措施提供参考。 方法 便利选取安徽省13所三甲医院的3 802名护士为研究对象,采用工作退缩行为量表、挑战性-阻碍性压力源量表、组织支持量表和辱虐管理量表进行调查。 结果 三甲医院护士工作退缩行为总分为25.00(21.00,30.00)分。多元线性回归分析结果显示,性别、工作年限、职称、每月绩效、聘任方式、工作科室、目前职务、挑战性-阻碍性压力源、组织支持和辱虐管理是护士工作退缩行为的影响因素(均P<0.05),共解释总变异的34.6%。 结论 三甲医院临床护士工作退缩行为处于中等偏低水平,且受人口学特征和工作环境双重因素影响。建议护理管理者根据影响因素优化组织支持体系,改善压力管理机制,以减少护士工作退缩行为。

    Abstract:

    Objective To explore the current status and its influencing factors of work withdrawal behavior among clinical nurses in grade A tertiary hospitals, so as to provide a reference for developing targeted interventions. Methods A total of 3,802 clinical nurses from 13 grade A tertiary hospitals in Anhui Province were selected using a convenience sampling method, then they were investigated by utilizing the Work Withdrawal Behavior Scale, the Challenge-Hindrance Stressor Scale, the Perceived Organizational Support Scale, and the Abusive Supervision Scale. Results The participants′ score of work withdrawal behavior was 25.00(21.00,30.00).Multivariate linear regression analysis revealed that, gender, working years, professional title, monthly performance pay, employment status, working department, current position, challenge-hindrance stressors, organizational support, and abusive supervision were main influencing predictors of nurses′ work withdrawal behavior (all P<0.05), which accounted for 34.6% of the total variance. Conclusion Clinical nurses in grade A tertiary hospitals exhibit moderate and low levels of work withdrawal behavior, and it is influenced by demographic characteristics and work environment factors.It is recommended that nursing administrators optimize organizational support systems and improve stress management mechanisms according to the influencing factors, so as to reduce nurses′ work withdrawal behavior.

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丁慧,宋晨霞,陈娟,张勤,许玉玲,宋瑰琦.三甲医院临床护士工作退缩行为现状及影响因素分析[J].护理学杂志,2026,41(1):10-14

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  • 收稿日期:2025-08-10
  • 最后修改日期:2025-10-10
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  • 在线发布日期: 2026-02-13