我国130所医院儿科护士的职业获益感现状及其影响因素分析

doi:10.3761/j.issn.2096-7446.2025.12.015

摘要/Abstract

摘要：

目的调查儿科护士职业获益感现状并分析其影响因素，为提升其职业心理健康水平提供依据。方法采用便利抽样法，使用一般资料调查表、护士职业获益感问卷，于2022年8月—12月对全国15个省份、31个城市的130所儿童专科医院、妇幼保健院和综合医院的529名儿科护士进行线上问卷调查，采用单因素分析和多元线性回归分析探索其影响因素。结果儿科护士职业获益感总分为（140.28±19.21）分，整体处于中上水平。多元回归分析显示，职称（β=0.196，P<0.001）、与带教老师的关系（β=-0.224，P<0.001）、与同事的关系（β=-0.106，P=0.039）、选择护理专业的原因（β=-0.176，P<0.001）、接受人文关怀教育（β=-0.126，P=0.001）是其独立影响因素。结论儿科护士职业获益感总体良好，但仍有提升空间，护理管理者应提供心理支持，强化人文关怀培训，以提升其职业获益感，保障儿科护理队伍的稳定。

关键词: 儿科, 护士, 职业获益感, 影响因素, 护理管理研究

Abstract:

Objective To investigate the current level of perceived professional benefits among pediatric nurses and identify influencing factors，providing evidence for improving their professional mental health. Methods A cross sectional online survey was conducted from August to December 2022 using convenience sampling，using a general information questionnaire and the Nurse’s Perceived Professional Benefits（NPPB）scale. A total of 529 pediatric nurses from 130 children’s hospitals，maternal and child health hospitals，and general hospitals across 31 cities in 15 provinces were enrolled. Univariate analysis and multiple linear regression were performed to identify influencing factors. Results The mean NPPB score was 140.28±19.21，exceeding the theoretical median of 132，indicating a moderate to high level of professional benefit perception. Multiple regression analysis revealed that professional title （β=0.196，P<0.001），relationship with preceptors（β=-0.224，P<0.001），relationship with colleagues（β=-0.106，P=0.039），reasons for choosing nursing as a career（β=-0.176，P<0.001），and receipt of humanistic care education（β= -0.126，P=0.001） were independent predictors. Conclusion Pediatric nurses report a generally favorable level of perceived professional benefits，yet room for improvement remains. Nursing administrators should enhance psychological support and strengthen humanistic care training to improve professional recognition and ensure workforce stability.

Key words: Pediatric, Nurse, Perceived Professional Benefits, Risk Factors, Nursing Administration Research

张翠平, 徐红贞, 朱淑贞, 叶贤. 我国130所医院儿科护士的职业获益感现状及其影响因素分析[J]. 中华急危重症护理杂志, 2025, 6(12): 1489-1495.

ZHANG Cuiping, XU Hongzhen, ZHU Shuzhen, YE Xian. An analysis of the status quo and influencing factors of perceived professional benefits among pediatric nurses in 130 hospitals in China[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(12): 1489-1495.

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参考文献 19

[1]	World Health Organizationtion:state of the world’s nursing 2020:investing in education,jobs and leadership[C]. Geneva, Switzerland: World Health Organi-zationtion, 2020.
[2]	Yang YY, Chen JJ. Related factors of turnover intention among pediatric nurses in mainland China:a structural equation model-ing analysis[J]. J Pediatr Nurs,2020,53:e217-e223.
[3]	Catton H. International Nurses Day:Nurses can change the world,given the investment and support they deserve[J]. Int Nurs Rev, 2022, 69(3):261-264. doi: 10.1111/inr.v69.3
[4]	孙慧君, 鲁剑萍, 张洁. 积极心理学视阈下男护士职业认同感与职业获益感的研究进展[J]. 中华现代护理杂志, 2018, 24(18):2214-2218.
	Sun HJ, Lu JP, Zhang J. Research prog-ress of male nurses’ professional identity and occupational benefit from the perspe-ctive of positive psychology[J]. Chin J Mod Nurs, 2018, 24(18):2214-2218.
[5]	甘露, 张海燕, 尚文涵, 等. 护士离职率现状及影响因素分析[J]. 中华护理杂志, 2020, 55(2):198-203. doi: 10.3761/j.issn.0254-1769.2020.02.007
	Gan L, Zhang HY, Shang WH, et al. Nursing turnover rate and its influen-cing factors[J]. Chin J Nurs, 2020, 55(2):198-203.
[6]	杨园园, 陈燕芬, 李蕊, 等. 儿科护士职业认同与离职倾向的调查研究[J]. 护理管理杂志, 2019, 19(2):115-118.
	Yang YY, Chen YF, Li R, et al. Investigation on professional identity and turnover intention of pediatric nurses[J]. J Nurs Adm, 2019, 19(2):115-118.
[7]	张思苑, 高欢玲, 刘利红, 等. 术前老年结直肠癌患者衰弱现状及影响因素研究[J]. 中华护理杂志, 2025, 60(11):1302-1308. doi: 10.3761/j.issn.0254-1769.2025.11.004
	Zhang SY, Gao HL, Liu LH, et al. Study on the current situa-tion of frailty and influencing factors in elderly patients with colorectal cancer before surgery[J]. Chin J Nurs, 2025, 60(11):1302-1308.
[8]	胡菁, 刘晓虹. 护士职业获益感问卷的编制及其信效度检验[J]. 解放军护理杂志, 2013, 30(22):1-5.
	Hu J, Liu XH. Establishment of a questionnaire of nurses’ perceived professional benefits:reliability and validity assess-ment[J]. Nurs J Chin PLA, 2013, 30(22):1-5.
[9]	陈杨, 纪晓晖, 杨丹丹, 等. 职业获益感在二级医院护士积极心理健康与留职意愿间的中介效应[J]. 护理管理杂志, 2025, 25(7):635-639.
	Chen Y, Ji XH, Yang DD, et al. Mediating effect of career benefit on positive mental health and willingness to stay among secondary hospital nurses[J]. J Nurs Adm, 2025, 25(7):635-639.
[10]	贾燕, 许勤, 卢红, 等. ICU护士幸福感的潜在剖面分析及影响因素研究[J]. 中华急危重症护理杂志, 2025, 6(6):725-731. doi: 10.3761/jissn.2096-7446.2025.06.017
	Jia Y, Xu Q, Lu H, et al. Latent profile analysis and influen-cing factors of happiness of ICU nurses[J]. Chin J Emerg Crit Care Nurs, 2025, 6(6):725-731.
[11]	钱孔嘉, 徐红贞, 程晓英, 等. 新生儿专科护士核心能力评价指标体系的构建[J]. 中国实用护理杂志, 2023, 39(1):46-52.
	Qian KJ, Xu HZ, Cheng XY, et al. Construction of evaluation index system of core competence of neonatal specialist nurses[J]. Chin J Pract Nurs, 2023, 39(1):46-52.
[12]	Wang J, Wang H, Chen XL, et al. Professional benefits percep-tion among pediatric nurses:a cross-sectional survey[J]. Front Pediatr, 2025,13:1539376.
[13]	Kong LL, Li WC, Wang HM, et al. The relationship between effort-reward imbalance and empathy among clinical nurses:a cross-sectional online survey[J]. J Clin Nurs, 2020, 29(17/18):3363-3372. doi: 10.1111/jocn.v29.17-18
[14]	杨建丽, 周艳, 麻笑娇, 等. 护-护合作水平对急诊科护士职业获益感的影响[J]. 中华现代护理杂志, 2018, 24(32):3872-3875.
	Yang JL, Zhou Y, Ma XJ, et al. Effects of nurse-nurse collaboration on perceived professional benefits in emergency service nurses[J]. Chin J Mod Nurs, 2018, 24(32):3872-3875.
[15]	Wang Y, Li N, Huang X, et al. Burnout and anxiety among Chinese nurses:the mediating roles of positive coping strate-gies and interpersonal relationship problems:a cross-sectional study[J]. Front Psychiatry, 2025,16:1595392.
[16]	方静静, 吴伟丹, 金丽虹, 等. 儿科护士职业压力与职业倦怠的现状调查研究[J]. 中华现代护理杂志, 2024, 30(27):3755-3758.
	Fang JJ, Wu WD, Jin LH, et al. Current situation of occupa-tional stress and burnout among pediatric nurses[J]. Chin J Mod Nurs, 2024, 30(27):3755-3758.
[17]	郭宏卿, 严萌玮, 李静, 等. 儿科护士情绪劳动的现状及影响因素分析[J]. 中华护理杂志, 2023, 58(17):2134-2142. doi: 10.3761/j.issn.0254-1769.2023.17.012
	Guo HQ, Yan MW, Li J, et al. Current situation of the emo-tional labor in pediatric nurses and its influencing factors analysis[J]. Chin J Nurs, 2023, 58(17):2134-2142.
[18]	常雅舒, 邓鑫, 倪志宏. 职业认同感在护理本科生自我表露与人文关怀能力间的中介作用[J]. 护理学杂志, 2025, 40(13):83-87.
	Chang YS, Deng X, Ni ZH. The mediating role of professional identity in the relationship between self-disclosure and huma-nistic care ability among nursing undergraduates[J]. J Nurs Sci, 2025, 40(13):83-87.
[19]	Li FZ, Ning LQ, Li SH, et al. Latent profiles of nursing stu-dents’ professional identity and their relationship with stress and coping styles during clinical practicum[J]. Nurse Educ Pract, 2023,73:103840.