| Objective: Quantitative research: To investigate current situation of health-promoting lifestyle and occupational well-being of nurses at directly under the provincial level third-grade class-A hospitals in Nanchan,using some profiles;To explore the predicting factors of nurses' health-promoting lifestyle and occupational well-being,analyzing the relationship between them.Qualitative research: To know nurses' perceptions of their own health-promoting lifestyle;To understand the nurses' subjective experience of occupational well-being.According to the research results,some suggestions are put forward.Methods: This study used quantitative research and qualitative research methods.The study population are the nurses at directly under the provincial level third-grade class-A hospitals.We use multi-stage random sampling to take 425 nurses from 5 hospitals.A questionnaire survey was conducted using general information questionnaire,healthpromoting lifestyle profile and medical workers' occupational well-being scale.On the basis of the preliminary observation,selecting 12 nurses as the interview object purposefully,and the semi-structured in-depth interview was conducted according to the outline of the interview.Results:(1)The average total score of nurses' health-promotion lifestyle was(63.12±13.12).Average score of each dimension: Self-realization(18.42± 4.10),exercise(8.18±4.84),balanced diet(7.79 ± 2.49),occupational safety(15.13±2.92),interpersonal support(13.60±3.70).The average score of the items in each dimension were occupational safety(2.16),self-realization(2.05),balanced diet(1.95),interpersonal support(1.94),and exercise(0.91).The average total score of nurses' occupational well-being was(75.29 ± 14.80).The average score of each dimension : physical and mental health(15.14 ± 4.78),value or ability embodiment(19.17± 5.01),social support(20.21± 2.88),income(8.65 ± 3.38),work environment(12.13 ± 3.69).The average score of items in each dimension were social support(4.04),value / capacity embodiment(3.19),working environment(3.03),income(2.88),physical and mental health(2.52).(2)The scores of health-promoting lifestyle and occupational well-being were positively related(r=0.449),and the correlation coefficient between each dimension was 0.115 ~ 0.420.(3)Univariate analysis found that the difference of health-promoting lifestyle of nurses among 8 different demographic characteristics was statistically significant.They were years of working,the initial degree,professional title,hospital category,night shift,personality characteristics,labor relations,the annual income.According to the results of the comparison data,the scores of nurses' health-promoting lifestyle were as follows: nurses with above 20 years or less than 5 years of working scored higher;nurses whose initial degree was technical secondary school education scored higher than undergraduate and above;nurse and co-chief superintendent nurse scored higher;general hospital scored higher than specialized hospital;nurses with no night shift scored higher than a night shift;the O utgoing personality or in the middle scored higher than the introverted and partial introverted;t he authorized strength scored higher than the contract;nurses with higher earning scored higher.Univariate analysis found that the difference of occupational well-being of nurses among 10 different demographic characteristics was statistically significant.They were Gender,age,working years,professional title,hospital category,health sector,night shift,labor relations,annual income,and administrative positions.According to the results of the comparison data,the scores of nurses' occupational well-being were as follows: men scored higher than women;nurses ranging in age from 25 to 35 years old scored least;nurses with working years in 5-15 years scored least;nurses with higher professional title scored higher generally;the general hospitals scored higher than specialized hospitals;nurses in department of surgery,operating theatre or other sectors scored higher than in internal medicine department;nurses with no night shift scored higher than a night shift;the authorized strength scored higher than the contract;nurses with high income scored higher;The head nurse scored higher than common clinical nurses.(4)To analyze the predictors of nurses' health-promoting lifestyle using multivariate linear regression analysis.In the final model,factors into the equation were value or ability embodiment,physical and mental health,the initial degree,social support,which explained a total of 23% of the variable.To analyze the predictors of nurses' occupational well-being using multivariate linear regression analysis.In the final model,factors into the equation were occupational safety,annual income,exercise,hospital category,labor relations 1(personnel trusteeship),and self-realization,which explained a total of 29.4% of the variable.(5)Qualitative research: O n nurses' perceptions of their own health-promoting lifestyle,7 categories were identified: ‘daily schedule disorder',‘Reasonable diet but a lack of regularity',‘a lack of exercise',‘interpersonal deprivation',‘increasing health responsibility with age',‘spiritual growth',and ‘work occupying personal life time'.Under the perspective of nurses,their occupational well-being can not be judged by the absolute nature,which need to be divided into two.Eight themes were extracted on its influencing factors: ‘the sense of life-saving mission',‘approved by the society to bring a sense of accomplishment',‘personality traits of contentedness',‘work overload',‘interfering healthy lifestyle',‘health care system is not sound',‘Attaching great importance to the doctors and despising nurses in the national ideology',‘nursing professional development need a breakthrough'.Conclusion: Both the nurses' health-promoting lifestyle and occupational well-being are at the secondary level,and need to be further improved.The nurses' health-promoting lifestyle and occupational well-being were influencd by a variety of factors.Meanwhile they were positively correlated,influencing each other,promoting each other.N urses thought their health promoting lifestyle level is not high.There were much insufficiency such as daily routine,diet,sleep,exercise,interpersonal communication and leisure time,but the medical work made the nurses health concepts improved,the mind more mature.Nurses' occupational well-being can not be judged absolutely,which need to be divided into two.‘The sense of life-saving mission' and ‘approved by the society to bring a sense of accomplishment' help to increase the occupational well-being.‘Work overload',‘interfering healthy lifestyle',‘health care system is not sound',‘Attaching great importance to the doctors and despising nurses in the national ideology' and ‘The limitations of nursing profession development' made their occupational well-being decreased.Meanwhile,people with different personalities had different cognition about the well-being.Health-promoting lifestyle and occupational well-being were positively correlated,influencing each other,promoting each other.Managers should take pertinent measures to strengthen one of them,then the other improved,forming a vituous circle.It will help to improve nurses' phisical and mental health,increase nursing quality,retain nursing talents,and stabilize the nursing team. |
PDF Full Text Request