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护理工作组织方式对医院护士工作满意度的影响

Organization of nursing care as a determinant of job satisfaction among hospital nurses.

作者信息

Mäkinen Arja, Kivimäki Mika, Elovainio Marko, Virtanen Marianna, Bond Senga

机构信息

Administrative Head Nurse, Division of Applied Psychology, University of Helsinki, Helsinki, Finland.

出版信息

J Nurs Manag. 2003 Sep;11(5):299-306. doi: 10.1046/j.1365-2834.2003.00399.x.

Abstract

This study examined the relationship between methods of organizing nursing and employee satisfaction. Data were collected from 26 ward sisters and 568 nurses working in 26 bed wards with different stabilized nursing models. Methods of organizing nursing, such as primary, modular, team and functional nursing, were associated with job satisfaction. However, this association involved only certain features of these organizational models and specific components of satisfaction. After the effects of demographic and ward characteristics were partialed out, hierarchical regression analyses showed that patient-focused work allocation, opportunity to write nursing notes and accountability for patient care contributed to nurses' satisfaction with supervision and personal growth. The relationships of duty rota and liaison with other discipline to job satisfaction were weaker or non-existing.

摘要

本研究考察了护理组织方式与员工满意度之间的关系。数据收集自26位病房护士长以及在26个设有不同稳定护理模式的床位病房工作的568名护士。护理组织方式,如责任制护理、小组护理、团队护理和功能制护理,与工作满意度相关。然而,这种关联仅涉及这些组织模式的某些特征以及满意度的特定组成部分。在排除人口统计学和病房特征的影响后,分层回归分析表明,以患者为中心的工作分配、书写护理记录的机会以及对患者护理的责任追究有助于护士对监督和个人成长的满意度。排班和与其他科室联络与工作满意度之间的关系较弱或不存在。

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