Tervo-Heikkinen Tarja, Partanen Pirjo, Aalto Pirjo, Vehviläinen-Julkunen Katri
Department of Research, Kuopio University Hospital, Department of Nursing Science, University of Kuopio, Finland.
Int J Nurs Pract. 2008 Oct;14(5):357-65. doi: 10.1111/j.1440-172X.2008.00707.x.
The aim was to assess the interrelationships between nurses' work environment and nursing outcomes. A cross-sectional survey of 664 registered nurses (RN) on 34 acute care inpatient hospital wards was used to measure nurses' perceptions. Patient data (n = 4045) consisting of a total patient satisfaction indicator were collected simultaneously with the nurse data during year 2005. RN's assessments of staffing adequacy, respect and relationships were the most important factors of work environment having an influence on job-related stress, job satisfaction, patient satisfaction and adverse events to patients and nurses. Some 77% of the RN reported adverse nurse events and 96% reported adverse patient events during a 3 month retrospective period. Ensuring sufficient and suitably qualified nurses' availability in delivering nursing care is an important management issue. Nurses are concerned about the quality of care, and the concerns perceived by nurses can influence their clinical work.
目的是评估护士的工作环境与护理结果之间的相互关系。对34个急性护理住院病房的664名注册护士（RN）进行横断面调查，以衡量护士的看法。2005年，在收集护士数据的同时，收集了包含患者总体满意度指标的患者数据（n = 4045）。注册护士对人员配备充足程度、尊重和人际关系的评估是工作环境中影响与工作相关的压力、工作满意度、患者满意度以及对患者和护士的不良事件的最重要因素。在3个月的回顾期内，约77%的注册护士报告了不良护理事件，96%报告了不良患者事件。确保在提供护理服务时有足够且资质合适的护士是一个重要的管理问题。护士关注护理质量，而护士所感受到的这些担忧会影响他们的临床工作。
