摘要目的:了解上海市某三级甲等医院临床护士对实施预支固定排班模式的态度，探究护士是否愿意尝试预支固定排班模式的影响因素，为后期的临床开展奠定基础。方法:采用混合设计研究。量性研究：采用整群抽样法，于2018年9—10月采用自制问卷对上海市某综合性三级甲等医院的1 326名护士进行横断面调查，采用二项Logistic回归分析护士愿意尝试预支固定排班模式的影响因素。本研究共发放1 326份问卷，共回收有效问卷1 326份，有效回收率为100.0%。质性研究：采用目的抽样法，选取2018年9—12月上海市某综合性三级甲等医院的12名护士进行半结构式深度访谈，深入了解临床护士对实施预支固定排班模式的态度及缘由。并采用Colaizzi现象学分析方法对访谈资料进行整理分析。结果:49.2%（653/1 326）的护士听说过预支固定排班模式；67.5%（896/1 326）的护士表示愿意去尝试预支固定排班模式。二项Logistic回归分析结果显示，非急诊科室、是否有孩子、是否听说过预支排班模式、认为轮班对生活影响大是护士是否愿意尝试预支固定排班模式的影响因素（ P<0.05）。质性访谈结果显示，部分护士支持预支固定排班模式，期待在新的工作模式下能更合理安排自己的学习和生活；部分护士害怕改变、担忧能否胜任、公平问题、家人不支持。 结论:临床护士对预支固定排班模式的态度一般。在今后的临床实践中，可招募部分愿意尝试的护士实行预支固定排班模式，并动态监测护士的工作状态、满意度及工作质量，为新的护理人力管理模式提供实证基础。

abstractsObjective: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.