康复科护理人员对残疾人态度、工作成就感与人性化护理能力的关系

doi:10.3969/j.issn.1006-9771.2022.00.002

Abstract

Abstract:

Objective To investigate the level of humanized nursing abilities of nursing staff in rehabilitation department, and to explore the relationship with attitudes toward the persons with disabilities and work achievement. Methods From December, 2020 to March, 2021, 196 nursing staff in rehabilitation department in eight tertiary hospitals in Jinzhou, Panjin, Yingkou and Fushun in Liaoning, China were investigated with attitude of healthcare professionals toward persons with disability scale, work achievement scale and Healthcare Professional Humanization Scale for Nursing (HUMAS). Results The score of HUMAS was (73.39±10.75), and the average score of total items was (3.86±0.57). The scores of attitudes toward the persons with disabilities and work achievement positively correlated with the score of HUMAS (r = 0.208~0.774, P < 0.01). Work achievement partially mediated the attitudes toward the persons with disabilities and the humanized nursing abilities, with mediating effect of 0.420, accounting for 52.83% of the total effect. Conclusion The humanized nursing ability of nursing staff in rehabilitation department needs to be improved. The better the attitudes toward the persons with disabilities are, the higher the work achievements are, the higher the humanized nursing abilities are. Attitudes toward the persons with disabilities among nursing staff in rehabilitation department may not only directly affect humanized nursing abilities, but also indirectly affect the humanized nursing abilities through the sense of work achievement.

Key words: people with disabilities, attitude, humanized nursing ability, work achievement

CLC Number:

R473

DONG Hong,CUI Huixia,XU Xiaoxiao,WANG Weiwei. Relationship of humanized nursing abilities to attitudes toward persons with disabilities and achievement among nursing staff in rehabilitation department[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(6): 739-744.

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References 27

[1]	JING Q, TANG Q, SUN M, et al. Regional disparities of rehabilitation resources for persons with disabilities in China: data from 2014 to 2019[J]. Int J Environ Res Public Health, 2020, 17(19): 7319. doi: 10.3390/ijerph17197319
[2]	中共中央, 国务院. 中共中央国务院印发«"健康中国2030"规划纲要»[EB/OL]. (2016-10-25)[2021-10-25]. http://www.xinhuanet.com//politics/2016-10/25/c_1119785867.htm.
[3]	国家卫生计生委. 全国护理事业发展规划(2016-2020年)[J]. 中国护理管理, 2017, 17(1): 1-5.
[4]	黄峻. 人性化服务——现代护理的发展趋势[J]. 中华护理杂志, 2007, 42(5): 391.
	HUANG J. Humanized service: the development trend of modern nursing[J]. Chin J Nurs, 2007, 42(5): 391.
[5]	SYMONS A, FISH R, MCGUIGAN D, et al. Development of an instrument to measure medical students' attitudes toward people with disabilities[J]. Intellect Dev Disabil, 2012, 50(3): 251-260. doi: 10.1352/1934-9556-50.3.251
[6]	SATCHIDANAND N, GUNUKULA S K, LAM W Y, et al. Attitudes of healthcare students and professionals toward patients with physical disability: a systematic review[J]. Am J Phys Med Rehabil, 2012, 91(6): 533-545. doi: 10.1097/PHM.0b013e3182555ea4
[7]	YI Y G, LEE J E, LEE S H, et al. Development and validation of a scale to assess the attitude of healthcare professionals toward persons with disability[J]. Clin Rehabil, 2020, 34(5): 667-676. doi: 10.1177/0269215520911968
[8]	程刚. 员工工作成就感与组织承诺关系研究[D]. 武汉: 湖北大学, 2013.
	CHENG G. Research on the relationship between employee accomplishment and organizational commitment[D]. Wuhan: Hubei University, 2013.
[9]	PÉREZ-FUENTES M D C, HERERA-PECO I, MOLERO JURADO M D M, et al. The development and validation of the Healthcare Professional Humanization Scale (HUMAS) for Nursing[J]. Int J Environ Res Public Health, 2019, 16(20): 3999. doi: 10.3390/ijerph16203999
[10]	李康源, 崔慧霞, 孟迪, 等. 护士人性化护理能力量表汉化及信效度检验[J]. 护理学杂志, 2020, 35(23): 55-58.
	LI K Y, CUI H X, MENG D, et al. Translation and validation of the Healthcare Professional Humanization Scale for Nursing[J]. J Nurs Sci, 2020, 35(23): 55-58.
[11]	AJZEN I. The theory of planned behaviour: reactions and reflections[J]. Psychol Health, 2011, 26(9): 1113-1127. doi: 10.1080/08870446.2011.613995
[12]	KLEIMAN S. Humanistic nursing theory[J]. NLN Publ, 1993(15-2548): 20-34.
[13]	SUAZO I, PÉREZ-FUENTES M D C, MOLERO JURADO M D M, et al. Moral sensitivity, empathy and prosocial behavior: implications for humanization of nursing care[J]. Int J Environ Res Public Health, 2020, 17(23): 8914. doi: 10.3390/ijerph17238914
[14]	郎红娟, 李源莉, 王仙丽, 等. 截瘫患者心理健康水平及心理康复的效果[J]. 中国康复理论与实践, 2013, 19(2): 174-176.
	LANG H J, LI Y L, WANG X L, et al. Mental health and psychological rehabilitation for paraplegic patients[J]. Chin J Rehabil Theory Pract, 2013, 19(2): 174-176.
[15]	MAFFONI M, SOMMOVIGO V, GIARDINI A, et al. Dealing with ethical issues in rehabilitation medicine: the relationship between managerial support and emotional exhaustion is mediated by moral distress and enhanced by positive affectivity and resilience[J]. J Nurs Manag, 2020, 28(5): 1114-1125. doi: 10.1111/jonm.13059
[16]	王婷, 李晓捷, 黄玉柱, 等. 脑性瘫痪儿童父母焦虑及抑郁心理健康状况的临床研究[J]. 中国康复医学杂志, 2021, 36(9): 1076-1081, 1106.
	WANG T, LI X J, HUANG Y Z, et al. Clinical study on mental health status of anxiety and depression in parents of children with cerebral palsy[J]. Chin J Rehabil Med, 2021, 36(9): 1076-1081, 1106.
[17]	MOLERO JURADO M D M, PÉREZ-FUENTES M D C, GAZQUEZ LINARES J J, et al. Burnout in health professionals according to their self-esteem, social support and empathy profile[J]. Front Psychol, 2018, 9: 424. doi: 10.3389/fpsyg.2018.00424
[18]	DEVKOTA H R, MURRAY E, KETT M, et al. Healthcare provider's attitude towards disability and experience of women with disabilities in the use of maternal healthcare service in rural Nepal[J]. Reprod Health, 2017, 14(1): 79. doi: 10.1186/s12978-017-0330-5
[19]	王莹, 翁瑛丽, 周兰姝. 康复专科护士角色定位的研究[J]. 中华护理教育, 2019, 16(9): 657-661.
	WANG Y, WENG Y L, ZHOU L S. Role orientation of specialty nurses in rehabilitation[J]. Chin J Nurs Educ, 2019, 16(9): 657-661.
[20]	LAWRENCE M, CAMPBELL L. Nurse education needed to address uncertainties of role and contribution in stroke rehabilitation units[J]. Evid Based Nurs, 2018, 21(2): 44. doi: 10.1136/eb-2017-102851
[21]	郑洁皎, 沈利岩, 段林茹, 等. 上海市康复人力资源发展现状[J]. 中国康复理论与实践, 2020, 26(12): 1471-1476.
	ZHENG J J, SHEN L Y, DUAN L R, et al. Investigatation of rehabilitation human resources in Shanghai, China[J]. Chin J Rehabil Theory Pract, 2020, 26(12): 1471-1476.
[22]	杜科涛, 张鸣生, 密忠祥. 综合医院康复医学科高质量发展研究[J]. 中国医院, 2021, 25(8): 14-16.
	DU K T, ZHANG M S, MI Z X. Research on the high-quality development of rehabilitation medicine department in General Hospitals[J]. Chin Hosp, 2021, 25(8): 14-16.
[23]	井淇, 孙宏伟, 邱卓英. 国际康复人力资源构成和配置及其对发展现代康复高等教育的启示[J]. 中国康复理论与实践, 2018, 24(9): 1011-1017.
	JING Q, SUN H W, QIU Z Y. Composition and allocation of rehabilitation workforces: implications to development of higher education of modern rehabilitation[J]. Chin J Rehabil Theory Pract, 2018, 24(9): 1011-1017.
[24]	陈佳佳, 梅松莉, 蒋红英, 等. PDCA循环管理法在康复专科护士教学质量管理中的应用[J]. 中国康复理论与实践, 2016, 22(10): 1232-1235.
	CHEN J J, MEI S L, JIANG H Y, et al. Application of PDCA cycle in management of teaching quality of rehabilitation nurse[J]. Chin J Rehabil Theory Pract, 2016, 22(10): 1232-1235.
[25]	MEGLINO B M, RAVLIN E C. Individual values in organizations: concepts, controversies, and research[J]. J Manag, 1998, 24(3): 351-389.
[26]	林羽, 陈妍, 李娜, 等. 急重症护士工作压力、自尊、工作成就感之间的路径分析[J]. 中华现代护理杂志, 2014, 20(11): 1265-1268.
	LIN Y, CHEN Y, LI N, et al. Path relationship of working stress, self-esteem and the sense of achievement for acute critical care nurses[J]. Chin J Modern Nurs, 2014, 20(11): 1265-1268.
[27]	PETER K A, HAHN S, SCHOLS J M G A, et al. Work-related stress among health professionals in Swiss acute care and rehabilitation hospitals: a cross-sectional study[J]. J Clin Nurs, 2020, 29(15/16): 3064-3081. doi: 10.1111/jocn.15340

项目	人性化护理能力
项目	r值	P值
对残疾人态度	0.774	< 0.001
知识技能	0.622	< 0.001
责任	0.664	< 0.001
临床行为	0.671	< 0.001
情绪反应	0.690	< 0.001
工作成就感	0.612	< 0.001
岗位成就感	0.745	< 0.001
薪资待遇成就感	0.208	0.003
职业成就感	0.495	< 0.001
人际关系成就感	0.650	< 0.001

项目	模型1		模型2		模型3
	M		Y		Y
	B	SE	B	SE	B	SE
常数	28.179	6.801	13.227	3.568	6.998	3.385
X	0.644	0.082	0.733	0.043	0.591	0.045
M	-	-	-	-	0.221	0.034
F值	61.561		289.744		196.053
R²	0.241		0.599		0.670
P值	< 0.001		< 0.001		< 0.001

效应类别	点估计值	标准误	Z值	95%CI	95%偏差矫正CI
总效应	0.795	0.047	16.915	0.688~0.872	0.686~0.871
直接效应	0.375	0.082	4.573	0.205~0.532	0.205~0.532
间接效应	0.420	0.060	7.000	0.309~0.548	0.320~0.564

Relationship of humanized nursing abilities to attitudes toward persons with disabilities and achievement among nursing staff in rehabilitation department

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