护理学报 ›› 2020, Vol. 27 ›› Issue (24): 42-46.doi: 10.16460/j.issn1008-9969.2020.24.042
章琼1, 朱芳1, 沈元春2
摘要: 目的 识别院前急救护士职业压力源并根据其暴露程度进行排序,为减压措施和应对策略的研究提供参考。方法 通过文献回顾法提取院前急救科护士职业压力源形成初始条目池,应用模糊层次分析法对15名相关领域护理专家进行2轮问卷调查,确定院前急救护士职业压力源及暴露程度排序。结果 2轮函询中15名专家的积极系数均为100%;权威系数分别为0.815和0.795;专家意见的肯德尔协调系数分别为0.320(χ2=127.675,P<0.001)和0.345(χ2=139.412,P<0.001);各条目变异系数0.110~0.239;各维度一致性检验CR值0.011~0.076;筛选的职业压力源包括5个维度和30个条目,其暴露程度排序为:患者护理压力>个人压力>环境压力>与同事、患者及家属沟通合作压力>管理压力。结论 应用模糊层次分析法对院前急救护士职业压力源进行筛选和排序具有科学性和实用性,研究结果可为减压措施和应对策略的制定提供参考。
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