Kroposki Margaret, Alexander Judith W
Greenville Technical College, South Carolina 29601, USA.
Public Health Nurs. 2004 Nov-Dec;21(6):555-63. doi: 10.1111/j.0737-1209.2004.21608.x.
The purpose of the study was to investigate the relationship of workplace variables and client outcomes, and to propose a model of the fit between the workplace variable dimensions of nursing technology (NT) and organizational structure (OS) to predict client outcomes in home health. The researchers used a correlational, predictive, descriptive design to measure NT, OS, nurses' role clarity, client outcomes, and client satisfaction. A convenience sample consisted of 43 home health sites with 205 nurses and 325 clients completing surveys. Nurses perceived that clients had better outcomes when the three dimensions of NT fit the three dimensions of OS: (1) when clients' conditions were unstable, nurses interacted with peers; (2) when care was complex, nurses consulted with supervisors; and (3) when clients' needs varied, nurses used rules to guide clinical decisions. Findings suggested that nurses' understanding of their roles correlated to OS. Nurse managers in home health care settings can use the model constructed as a result of the research to adjust the dimensions of OS to improve client outcomes.
该研究的目的是调查工作场所变量与客户结局之间的关系，并提出一个护理技术（NT）和组织结构（OS）的工作场所变量维度之间的适配模型，以预测家庭健康护理中的客户结局。研究人员采用了相关性、预测性、描述性设计来测量NT、OS、护士的角色清晰度、客户结局和客户满意度。一个便利样本包括43个家庭健康护理点，有205名护士和325名客户完成了调查。护士们认为，当NT的三个维度与OS的三个维度相匹配时，客户会有更好的结局：（1）当客户病情不稳定时，护士与同行互动；（2）当护理复杂时，护士与上级咨询；（3）当客户需求多样时，护士使用规则来指导临床决策。研究结果表明，护士对其角色的理解与OS相关。家庭健康护理环境中的护士长可以使用因该研究而构建的模型来调整OS的维度，以改善客户结局。
