一项基于单位的协议，以增强约旦护士的自主决策能力。
A unit-based protocol to enhance Jordanian nurses' autonomous decision making.
作者信息
Mrayyan Majd T
机构信息
The Hashemite University, Faculty of Nursing, Zarqa, Jordan.
出版信息
J Nurs Manag. 2006 Jul;14(5):391-6. doi: 10.1111/j.1365-2934.2006.00534.x.
AIM
To develop a unit-based protocol to enhance Jordanian nurses' autonomous decision making.
BACKGROUND
Many escalating changes are influencing health care organizations, which require the enhancement of nurses' autonomy to manage these frequent changes. Autonomy is addressed in the context of accountability, authority and responsibility. Nurses' involvement in patient care and unit operation decisions is a part of their autonomy. Autonomy will influence nurses' job satisfaction and retention, patients' satisfaction and the quality of nursing care.
METHODS
This protocol was developed based on a personal experience, nurses and senior nursing students' feedback, a review of the literature, and consultation with a group of 26 nurses in a teaching hospital. The nurses were asked on the comprehensiveness and applicability of the protocol to health care settings. Nurses' suggestions regarding the protocol were taken into consideration during the development and revision stages.
RESULTS AND CONCLUSIONS
A unit-based protocol was developed to enhance nurses' autonomous decision making through activities that support the process of autonomy and work environment. This protocol will have positive short, intermediate and long-term outcomes for patients, nurses and organizations.
目的
制定一项基于科室的方案，以增强约旦护士的自主决策能力。
背景
诸多不断升级的变革正在影响医疗保健机构，这就需要增强护士的自主性来应对这些频繁的变化。自主性是在问责制、权力和责任的背景下探讨的。护士参与患者护理和科室运营决策是其自主性的一部分。自主性会影响护士的工作满意度和留职率、患者满意度以及护理质量。
方法
本方案是基于个人经验、护士和高级护理专业学生的反馈、文献综述以及与一家教学医院的26名护士组成的小组进行磋商而制定的。就该方案对医疗保健环境的全面性和适用性向护士们进行了询问。在制定和修订阶段考虑了护士们对该方案的建议。
结果与结论
制定了一项基于科室的方案，通过支持自主性过程和工作环境的活动来增强护士的自主决策能力。该方案将对患者、护士和机构产生积极的短期、中期和长期效果。
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