陆军军医部注册护士的工作成果和优质护理评分的组织决定因素。
Organizational determinants of work outcomes and quality care ratings among Army Medical Department registered nurses.
机构信息
University of Alabama at Birmingham School of Nursing, NB324, 1530 3rd Ave. S., Birmingham, AL 35294-1210, USA.
出版信息
Res Nurs Health. 2010 Apr;33(2):99-110. doi: 10.1002/nur.20370.
Abstract
The Practice Environment Scale of the Nursing Work Index, the Maslach Burnout Inventory, and several single-item measures were administered to registered nurses (RNs) working within 23 U.S.-based Army Medical Department (AMEDD) hospitals. Data were analyzed with logistic regression for nested data. Unfavorable nursing practice environments had a substantial association with job dissatisfaction (OR 13.75, p < .01), emotional exhaustion (OR 12.70, p < .01), intent to leave (OR 3.03, p < .01), and fair to poor quality of care (OR 10.66, p < .01). This study provides the first system-wide analyses of nursing practice environments in AMEDD hospitals in the U.S. Similar to findings in civilian samples, poor quality work environments are associated with less favorable RN work outcomes and quality of care ratings.
摘要
该研究对美国陆军医疗部（AMEDD）23 家医院内工作的注册护士（RN）进行了护理工作指数实践环境量表、马斯拉赫倦怠量表和几项单项措施的评估。采用逻辑回归对嵌套数据进行了分析。不良的护理实践环境与工作不满（OR13.75，p<.01）、情绪耗竭（OR12.70，p<.01）、离职意向（OR3.03，p<.01）和护理质量一般或较差（OR10.66，p<.01）有很大关联。本研究首次对美国陆军医疗部医院的护理实践环境进行了系统分析。与在平民样本中的发现类似，较差的工作环境与 RN 工作结果和护理质量评分较差相关。
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