Attitudes of clinical nurses to advance fixed scheduling model and its influencing factors
10.3760/cma.j.cn115682-20200717-04452
- VernacularTitle:临床护士预支固定排班模式的态度及其影响因素研究
- Author:
Piaoyu YANG
1
;
Li FENG
;
Ping WANG
;
Wanting ZHOU
;
Yuxia ZHANG
Author Information
1. 复旦大学附属中山医院急诊科，上海 200032
- Keywords:
Nurses;
Shift;
Advance fixed scheduling;
Attitudes;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2021;27(10):1268-1275
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the attitude of clinical nurses in a ClassⅢ Grade A hospital in Shanghai towards the implementation of the advance fixed scheduling model and to explore the influencing factors of whether nurses are willing to try the advance fixed scheduling model, so as to lay the foundation for later development in clinical practice.Methods:Mixed design was used to study. In the quantitative study, a cross-sectional survey of 1 326 nurses in a comprehensive Class Ⅲ Grade A hospital in Shanghai was conducted with a self-made questionnaire from September to October 2018 with cluster sampling method. And multivariate Logistic regression was used to analyze the influencing factors of the willingness of nurses to try the advance fixed scheduling model. A total of 1 326 questionnaires were distributed and 1 326 were effectively collected, with an effective recovery rate of 100.0%. In the qualitative study, 12 nurses from a comprehensive Class Ⅲ Grade A hospital in Shanghai from September to December 2018 were selected for semi-structured in-depth interviews with the purposive sampling method, so as to deeply understand the attitude and reasons of clinical nurses towards the implementation of the advance fixed scheduling model. And Colaizzi phenomenological analysis method was used to collate and analyze the interview data.Results:A total of 49.2% (653/1 326) of the nurses heard of the advance fixed scheduling model and 67.5% (896/1 326) of the nurses expressed their willingness to try the advance fixed scheduling model. The results of multivariate Logistic regression analysis showed that non-emergency department, whether they had children, whether they heard of the advance scheduling model and whether they believed that shifts had a great effect on life were influencing factors of the willingness of nurses to try the advance fixed scheduling model ( P<0.05) . The results of qualitative interviews showed that some nurses supported the advance fixed scheduling model and looked forward to a more reasonable arrangement of their study and life under the new work model, while some nurses feared change, and worried about their competence, fairness issues and non-support from their family members. Conclusions:Clinical nurses have a general attitude towards the advanced fixed scheduling model. In clinical practice in the future, some nurses who are willing to try can be recruited to implement the advance fixed scheduling model and their working status, satisfaction and quality of work can be dynamically monitored to provide an empirical basis for the new nursing manpower management model.
