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改善医院护理工作环境的干预措施效果

Outcomes of interventions to improve hospital nursing work environments.

作者信息

Hall Linda McGillis, Doran Diane, Pink Leah

机构信息

Research and External Relations, Lawrence S Bloomberg Faculty of Nursing, University of Toronto, Ontario, Canada.

出版信息

J Nurs Adm. 2008 Jan;38(1):40-6. doi: 10.1097/01.NNA.0000295631.72721.17.

Abstract

OBJECTIVE

The impact of interventions designed to improve the nursing work environment on patient and nurse outcomes was examined.

BACKGROUND

Nursing work environments have been characterized as contributing to patient outcomes as a result of organizational management practices, workforce deployment, work design, and organizational culture.

METHODS

This quasi-experimental study involved 16 unit managers, 1,137 patients, and 296 observations from registered nurses over time.

RESULTS

After participation in the intervention, study nurses reported higher perceptions of their work and work environment. Demographic nurse, unit, and hospital characteristics also had an impact on the work environment and outcomes.

CONCLUSIONS

Findings in this study highlight the importance of understanding factors in the work environment that influence patient and nurse outcomes.

摘要

目的

研究旨在改善护理工作环境的干预措施对患者和护士结局的影响。

背景

护理工作环境的特点是,由于组织管理实践、劳动力部署、工作设计和组织文化等因素,会对患者结局产生影响。

方法

这项准实验研究涉及16名科室经理、1137名患者以及随时间推移收集的来自注册护士的296份观察数据。

结果

参与干预后,参与研究的护士对其工作和工作环境的认知更高。护士的人口统计学特征、科室及医院特征也对工作环境和结局产生影响。

结论

本研究结果凸显了了解工作环境中影响患者和护士结局的因素的重要性。

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