Bacon Cynthia Thornton, Hughes Linda C, Mark Barbara A
School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Res Nurs Health. 2009 Jun;32(3):321-34. doi: 10.1002/nur.20319.
We tested a theoretical model of the relationships of hospital context, nursing unit structure, and patient characteristics to patients' perceptions of the extent to which nurses met their expectations for management of troubling symptoms. In our sample of 2,720 patients randomly selected from 278 nursing units in 143 hospitals, we found that patient age was positively associated with patients' perceptions of symptom management. The proportion of registered nurses as caregivers on the unit was not a significant predictor of symptom management, but better work conditions on the unit (nurses' autonomy, participation in decision-making, and collaboration with other disciplines [relational coordination]) significantly contributed to patients' perceptions of better symptom management.
我们测试了一个理论模型，该模型涉及医院环境、护理单元结构以及患者特征与患者对护士在处理困扰症状方面满足其期望程度的认知之间的关系。在我们从143家医院的278个护理单元中随机抽取的2720名患者样本中，我们发现患者年龄与患者对症状管理的认知呈正相关。护理单元中注册护士作为护理人员的比例并非症状管理的显著预测因素，但护理单元更好的工作条件（护士的自主权、参与决策以及与其他学科的协作[关系协调]）显著有助于患者对更好症状管理的认知。
