發(fā)布時間：2018-05-31 22:27

  本文選題：基層醫(yī)療機構(gòu)護士 + 養(yǎng)老醫(yī)療護理��； 參考：《杭州師范大學(xué)》2017年碩士論文

【摘要】：研究目的:伴隨著國務(wù)院《關(guān)于加快發(fā)展養(yǎng)老服務(wù)業(yè)的若干意見》的頒布以及日益快速發(fā)展的人口老齡化形勢,養(yǎng)老醫(yī)療護理服務(wù)已成為最為重要的養(yǎng)老服務(wù)內(nèi)容之一。我國基層醫(yī)療機構(gòu)護士均接受過專業(yè)的醫(yī)療護理教育與培訓(xùn),其醫(yī)療護理知識、技能與臨床經(jīng)驗均完全能夠勝任養(yǎng)老醫(yī)療護理工作。因此,掌握目前基層醫(yī)療機構(gòu)護士從事養(yǎng)老醫(yī)療護理服務(wù)的意愿現(xiàn)狀,深入挖掘其影響因素,并據(jù)此提出相應(yīng)的對策建議,從而在一定程度上有助于解決養(yǎng)老醫(yī)療護理人才不足的問題,促進我國養(yǎng)老醫(yī)療服務(wù)質(zhì)量的提升,以更好地滿足老齡化社會需求。研究內(nèi)容:本文首先通過前人研究和回顧政府有關(guān)促進養(yǎng)老醫(yī)療護理事業(yè)發(fā)展規(guī)劃等方面的政策文件,界定了養(yǎng)老醫(yī)療護理的概念,了解養(yǎng)老醫(yī)療護理人員工作性質(zhì)與要求,并且從國內(nèi)外養(yǎng)老醫(yī)療護理人才從業(yè)意愿及其影響因素研究現(xiàn)狀,發(fā)現(xiàn)其不足之處,以尋找本研究的突破口。其次,基于計劃行為理論解釋與實地訪談的基礎(chǔ)上,提出本研究假設(shè)并構(gòu)建模型,對基層醫(yī)療機構(gòu)護士從事養(yǎng)老醫(yī)療護理意愿的影響因素進行了實證分析和假設(shè)驗證。研究基層醫(yī)療機構(gòu)護士不同人口學(xué)變量在其意愿水平上的差異,討論從事養(yǎng)老醫(yī)療護理意愿及其影響因素的相關(guān)性,為提高基層醫(yī)療機構(gòu)護士從事養(yǎng)老醫(yī)療護理意愿水平提供相關(guān)對策。研究方法:現(xiàn)場調(diào)研選取地點為經(jīng)濟發(fā)達且老齡化現(xiàn)象嚴(yán)重,迫切需要養(yǎng)老醫(yī)療護理服務(wù)的杭州和南京地區(qū)。采用隨機分層抽樣方法,抽取30家基層醫(yī)療衛(wèi)生機構(gòu),對300名基層醫(yī)療衛(wèi)生機構(gòu)護士進行問卷調(diào)查,對獲取的數(shù)據(jù)進行分析和假設(shè)檢驗。研究結(jié)論:不同年齡、工作年限、用工形式、職稱的基層醫(yī)療機構(gòu)護士意愿水平存在顯著差異(P0.05,P0.01)�；鶎俞t(yī)療機構(gòu)護士從事養(yǎng)老醫(yī)療護理意愿水平受發(fā)展機會、感知工作態(tài)度、工作內(nèi)容評價、管理制度評價、他人或社會環(huán)境影響等多方面的影響。因此,應(yīng)增強基層醫(yī)療機構(gòu)護士從事養(yǎng)老醫(yī)療護理的積極意識;政府積極引導(dǎo),加大政策優(yōu)惠力度;制定出規(guī)范的養(yǎng)老醫(yī)療護理管理制度,建立責(zé)權(quán)分明的協(xié)調(diào)體系;通過政府、基層醫(yī)療機構(gòu)以及護士自身職業(yè)理念這三方面共同發(fā)揮專業(yè)技能優(yōu)勢,提供新的發(fā)展平臺,推動更多基層醫(yī)療機構(gòu)護士參與養(yǎng)老醫(yī)療護理服務(wù)。
[Abstract]:Objective: with the promulgation of the State Council's opinions on accelerating the development of the old-age service industry and the aging of the population, the medical and nursing services for the aged have become one of the most important services for the aged. Nurses in primary medical institutions in China have received professional education and training in medical care, and their medical and nursing knowledge, skills and clinical experience are all fully qualified for the work of old-age medical care. Therefore, we should grasp the present situation of nurses' willingness to engage in old-age medical care service in primary medical institutions, dig into its influencing factors, and put forward corresponding countermeasures and suggestions accordingly. To a certain extent, it will help to solve the problem of shortage of medical and nursing talents for the aged, promote the improvement of the quality of medical service for the aged in our country, and better meet the needs of the aging society. Research content: first of all, through the previous research and review of the government policy documents on promoting the development of medical care for the aged, this paper defines the concept of medical care for the aged, and understands the nature and requirements of the work of the medical and nursing personnel for the aged. And from the domestic and foreign endowment medical and nursing talent employment intention and its influence factor research present situation, discovers its insufficiency, in order to seek the breakthrough point of this research. Secondly, based on the explanation of planning behavior theory and field interviews, this paper puts forward the hypothesis of this study and constructs a model, which makes empirical analysis and hypothesis verification on the influencing factors of nurses' willingness to take part in old-age medical care in primary medical institutions. To study the differences of demographic variables of nurses in primary medical institutions on their willingness level, and discuss the correlation between the willingness of nursing care for the aged and its influencing factors. In order to improve the level of nurses' willingness to take part in old-age medical care in primary medical institutions, the relevant countermeasures were provided. Methods: field investigation was conducted in Hangzhou and Nanjing, where the economy was developed and the aging phenomenon was serious, and there was an urgent need for medical and nursing services for the aged. The random stratified sampling method was used to select 30 primary medical and health institutions. 300 nurses in primary health care institutions were investigated by questionnaire, and the data obtained were analyzed and hypothetically tested. Conclusion: there are significant differences in the willingness of nurses in primary medical institutions with different ages, working years, employment forms and professional titles. The level of nurses' willingness to take part in old-age medical care is influenced by development opportunity, perceived work attitude, evaluation of work content, evaluation of management system, and influence of others or social environment. Therefore, we should strengthen the positive consciousness of nurses in primary medical institutions engaged in old-age medical care, actively guide the government, increase the intensity of preferential policies, formulate a standardized management system of medical care for the aged, and establish a coordinated system with clear responsibilities and powers. Through the three aspects of government, primary medical institutions and nurses' own professional concept, we can give full play to the advantages of professional skills, provide a new development platform, and promote more nurses in primary medical institutions to participate in old-age medical care services.
【學(xué)位授予單位】：杭州師范大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R47
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本文編號：1961557