Middleton Sandy, Griffiths Rhonda, Fernandez Ritin, Smith Bronwyn
Nursing Research Unit, St Vincents & Mater Health, and Professor of Nursing, School of Nursing (NSW & ACT), ACU National, North Sydney, NSW, Australia.
Int J Nurs Pract. 2008 Oct;14(5):366-72. doi: 10.1111/j.1440-172X.2008.00708.x.
Magnet hospitals are recognized institutions of nursing excellence that provide an environment for the promotion of nursing and high-quality patient care. The Magnet Recognition Program, developed by the American Nurses Credentialing Centre, acknowledges health-care institutions that not only attract and retain nursing staff but also recognize nursing excellence in the delivery of quality patient care. Our study aimed to adapt the existing Practice Environment Scale to the Australian context and to pilot its use in measuring the nursing practice environment at a metropolitan hospital in Sydney, Australia. Nursing staff from four wards at a 400 bed major metropolitan acute general hospital in Sydney, Australia completed a self-administered questionnaire about their practice environment. Data were compared with the published norms from magnet and non-magnet hospitals in the USA, and means of two subscales were not significantly different from magnet hospital means. Hospitals could benefit from undertaking a similar practice environment baseline measure prior to applying for accreditation, thus enabling targeting of pre-identified service gaps and areas for improvement.
磁石医院是公认的卓越护理机构,为促进护理工作和提供高质量患者护理营造了良好环境。美国护士认证中心制定的磁石认可计划,表彰那些不仅能吸引和留住护理人员,还能在提供优质患者护理方面认可卓越护理水平的医疗机构。我们的研究旨在使现有的实践环境量表适用于澳大利亚的情况,并在澳大利亚悉尼的一家大都市医院试点使用该量表来衡量护理实践环境。澳大利亚悉尼一家拥有400张床位的大型都市急症综合医院四个病房的护理人员完成了一份关于其实践环境的自填式问卷。将数据与美国磁石医院和非磁石医院公布的标准进行比较,两个子量表的均值与磁石医院的均值无显著差异。医院在申请认证之前进行类似的实践环境基线测量可能会有所裨益,这样能够针对预先确定的服务差距和改进领域。