目的：了解在职护理人员自我职业生涯规划现状，为进一步促进和完善护士岗位管理提供参考依据。方法采用自行设计的半结构式问卷对某三级甲等医院311名在职护士进行抽样调查。结果96.5%的护士认为自己适应当前的护理工作，对工作胜任能力自评得分为（88.79±7.72）分，工作总体满意度评分为（86.71±8.68）分。89.7%的受访对象具有不同意向的职业发展规划，其中排在前3位的分别为晋升职称（64.5%）、提高学历教育（55.9%）、成为临床护理专家（31.5%）。不同人口学特征的护士在有无职业规划意向方面差异无统计学意义（P>0.05），但在前3位职业规划方面具有统计学差异（P＜0.05）。结论绝大多数护士对自身的工作能力充满自信，对未来的职业生涯规划具有较清楚的认识，职业发展目标主要集中在晋升职称、提高学历教育和做临床护理专家方面。医院管理部门需根据不同特征护士的职业发展需求，进一步完善护士分层次培养机制和岗位设置与管理。%Objective To understand nurses’ career planning and to provide reference for further improvement of nurse staff’s position management. Methods A total of 311 nurses from a first-grade third-level hospital in Chongqing were investigated with a self-designed semi-structured questionnaire. Results Totally, 96.5% of the nurse believed that they were competent for the job, and the average self-assessment score of competence was 88.79±7.72. Meanwhile, nurse’s career satisfaction score was 86.71±8.68. Of the total, 89.7%of the subjects presented various career planning and the top three goals were professional title promotion (64.5%), further education (55.9%)and to be a clinical nurse specialist (31.5%)respectively. There were no statistical differences on career planning among nurses with different demographic and sociological features (P>0.05)but there were on the top three goals of career planning (P<0.05). Conclusion Most nurses have set up career planning and they are quite confident about their job competence. Therefore, the study suggests that hospital administrators should pay more attention to nurses ’ career planning and take adaptive measures to improve nursing staff’s position management based on their individual occupation goal.
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