网约护士接单知信行的现状及影响因素分析

潘莘莘; 苏翔逸; 郑小冬; 柳琼; 黄关立

doi:10.16766/j.cnki.issn.1674-4152.003397

网约护士接单知信行的现状及影响因素分析

doi: 10.16766/j.cnki.issn.1674-4152.003397

温州医科大学附属第一医院护理部，浙江温州 325000

基金项目:

浙江省温州市基础性科研项目 Y20220513

浙江省自然科学基金项目 LY20H160011

详细信息

通讯作者:
柳琼，E-mail：pan5556656@163.com

中图分类号: R47 R192.6
计量
- 文章访问数: 37
- HTML全文浏览量: 12
- PDF下载量: 3
- 被引次数: 0
出版历程
- 收稿日期: 2023-08-14
- 网络出版日期: 2024-03-27

The current status and influence factors of knowledge, attitude and practice in online-hailing nurses

Nursing Department, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, China

摘要

摘要: 目的探讨网约护士接单知识-信念-行为的现状及其影响因素，以期为完善网约护士的管理、促进接单积极性提供一定的参考和借鉴。方法使用方便抽样法，于2023年1—3月在温州市选取4所开展“互联网+护理服务”医院的286名网约护士作为研究对象。使用基本资料调查表、体面劳动感知量表、网约护士接单知信行量表进行问卷调查，使用多元线性回归分析研究网约护士接单知信行的影响因素。结果网约护士接单知识、信念和行为得分分别为(62.73±12.24)分、(61.87±11.96)分和(29.61±4.12)分。网约护士体面劳动感知得分为(48.96±8.62)分，各维度条目均分从高到低依次为职业发展、工作岗位、工作氛围、职业认可和工作回报。职称和从事网约护士时间均是接单相关知识的主要影响因素(P < 0.05)；家人支持度、体面劳动感知和从事网约护士时间均是接单相关信念的主要影响因素(P < 0.05)；体面劳动感知和家人支持度均是接单相关行为的主要影响因素(P < 0.05)。结论医院管理者应关注网约护士的体面劳动感知，积极完善相关制度，对不同职称的网约护士进行分层培训与管理，减少接单行为对家庭的影响，引导网约护士形成正确的职业价值观。
- 互联网+护理服务 /
- 网约护士 /
- 体面劳动感知 /
- 接单知信行
Abstract: Objective This study aims to explore the current status of knowledge, attitude, and practice among online-hailing nurses, as well as identify the influencing factors. The findings will serve as a valuable reference for improving management strategies and promoting their enthusiasm in the field. Methods A total of 286 online-hailing nurses were recruited from 4 hospitals between January and March 2023 by convenience sampling. The basic data questionnaire, decent work perception scale, and network nursing knowledge-attitude-practice questionnaire were used in the survey. Results The scores for knowledge, attitude, and practice in network nursing were as follows: knowledge (62.73±12.24) points, attitude (61.87±11.96) points, and practice (29.61±4.12) points. The score for decent work perception was (48.96±8.62) points. Among the dimensions of decent work perception, the scores ranked from high to low as follows: career development, job position, working atmosphere, career recognition, and work return. In terms of influencing factors, professional title and network nursing time were found to significantly influence knowledge (P < 0.05). Family support, decent work perception, and network nursing time were identified as influencing factors for attitude (P < 0.05). Decent work perception and family support were found to be influencing factors of practice (P < 0.05). Conclusion Hospital managers should pay attention to the enhancement of decent work perception and actively work towards improving relevant systems. They should also conduct targeted training programs for online-hailing nurses based on their different titles. Efforts should be made to minimize the impact of network nursing on families and provide guidance to help nurses develop appropriate professional values.
- Internet + nursing service /
- Online-hailing nurses /
- Decent work perception /
- KAP of network nursing

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表 1 286名网约护士接单知信行和体面劳动感知得分情况(x±s, 分)

Table 1. Scores of knowledge, attitude and practice and decent work perception of 286 online-hailing nurses (x±s, points)

项目	得分	条目均分
接单相关知识	62.73±12.24	3.90±0.70
接单相关信念	61.87±11.96	3.45±0.61
接单相关行为	29.61±4.12	4.21±0.62
体面劳动感知总分	48.96±8.62	3.07±0.52
职业发展	9.47±1.45	3.18±0.50
工作岗位	9.38±1.39	3.11±0.47
工作氛围	9.22±1.42	3.06±0.51
职业认可	9.15±1.40	3.01±0.48
工作回报	11.73±1.79	2.91±0.46

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表 2 网约护士接单知信行影响因素的单因素分析(x±s, 分)

Table 2. Univariate analysis of the influencing factors of network nursing knowledge, attitude, and practice in online-hailing nurses (x±s, points)

项目	例数	接单知识得分	接单信念得分	接单行为得分
性别
男性	11	62.16±12.03	59.05±10.47	26.81±3.52
女性	275	62.75±12.20	61.98±11.62	29.72±4.10
t值		0.159	0.906	2.672
P值		0.873	0.365	0.008
学历
专科	51	61.69±11.79	58.49±10.72	30.38±4.04
本科	196	62.84±12.03	62.31±10.87	29.31±3.97
研究生	39	63.52±12.21	64.08±11.61	30.11±3.88
F值		0.284	3.385	1.828
P值		0.753	0.035	0.163
职称
护师	90	60.42±10.92	59.71±10.77	29.45±3.78
主管护师	173	63.45±11.72	62.59±10.86	29.58±3.99
副主任护师	23	66.31±12.23	64.87±11.04	30.46±4.10
F值		3.260	3.046	0.616
P值		0.040	0.049	0.541
工作年限(年)
5~10	126	61.09±11.51	60.91±10.64	29.23±3.92
>10	160	64.02±12.07	62.62±11.21	29.91±4.03
t值		2.092	1.318	1.438
P值		0.037	0.189	0.151
从事网约护士时间(月)
≤12	153	61.26±11.87	60.13±10.86	28.63±4.08
>12	133	64.41±12.01	63.86±11.57	30.73±4.12
t值		2.224	2.798	4.319
P值		0.027	0.005	< 0.001
接单频率(次/周)
≤3	223	62.62±11.42	61.69±10.94	29.32±4.01
≥4	63	63.11±11.89	62.51±10.88	30.62±4.06
t值		0.291	0.528	2.250
P值		0.771	0.598	0.025
主要上门服务时间
上班时间	29	58.89±10.57	59.89±10.45	29.06±3.94
业余时间	257	63.16±11.36	62.09±10.73	29.67±4.04
t值		2.047	1.072	0.788
P值		0.042	0.285	0.431
家人支持度
支持	123	64.51±12.13	63.72±11.39	30.21±4.06
中立	91	63.71±11.89	61.89±11.07	29.59±3.94
不支持	72	58.45±10.84	58.67±10.71	28.61±3.98
F值		6.531	4.682	3.631
P值		0.002	0.010	0.028
注：本表仅列出差异有统计学意义的变量。

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表 3 自变量赋值情况

Table 3. Assignment of independent variables

变量	赋值方法
性别	男性=0，女性=1
学历	专科=0，本科=1，研究生=2
职称	护师=0，主管护师=1，副主任护师=2
工作年限	5~10年=0，>10年=1
从事网约护士时间	≤12个月=0，>12个月=1
接单频率	≤3次/周=0，≥4次/周=1
上门服务时间	上班时间=0，业余时间=1
家人支持度	不支持=0，中立=1，支持=2

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表 4 网约护士接单知信行影响因素的多元线性回归分析

Table 4. Multiple linear regression analysis of the influencing factors of the network nursing knowledge-attitude-and practice in online-hailing nurses

变量	B	SE	β	t值	P值
接单相关知识
职称	1.031	0.251	0.327	4.107	< 0.001
从事网约护士时间	0.825	0.304	0.274	2.714	0.007
接单相关信念
家人支持度	1.240	0.316	0.296	3.922	< 0.001
体面劳动感知	0.911	0.293	0.301	3.112	< 0.001
从事网约护士时间	0.862	0.389	0.254	2.219	0.028
接单相关行为
体面劳动感知	0.965	0.266	0.387	3.633	< 0.001
家人支持度	1.048	0.351	0.289	2.984	0.003
注：接单相关知识，R²=0.168，调整R²=0.155，F=11.482，P < 0.01；接单相关态度，R²=0.289，调整R²=0.277，F=16.482，P < 0.01；接单相关行为，R²=0.322，调整R²=0.290，F=21.482，P < 0.01。仅列出差异有统计学意义的变量

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