School of Public Health, La Trobe University, Victoria, Australia.
Health Care Manage Rev. 2010 Oct-Dec;35(4):355-64. doi: 10.1097/HMR.0b013e3181e4ec55.
This aim of this study was to investigate the interactive effects of psychological empowerment and job satisfaction on the relationship between high-performance work systems (HPWS) and nurses' perceptions of the quality of patient care they provide.
Studies of high-performing organizations in a variety of industries have consistently reported a positive relationship between HPWS and performance outcomes. Although many of these studies have been conducted in manufacturing, similar findings of a positive correlation between aspects of HPWS and improved patient outcomes have been reported in international health care studies.
We used regression analysis with tests of mediation and moderation to analyze survey responses collected in March 2008 of 201 nurses in a large regional Australian health service.
Psychological empowerment fully mediated the relationship between HPWS and perceptions of quality of patient care. Job satisfaction moderated the relationship between HPWS and perceptions of quality of patient care.
Hospital managers should focus on promoting HPWS and ensuring that nurse unit managers have the competencies to empower and to enhance the job satisfaction of their staff.
本研究旨在探讨心理授权和工作满意度对高绩效工作系统（HPWS）与护士对提供的患者护理质量的感知之间关系的交互作用。
在各种行业中对高绩效组织的研究一致报告了 HPWS 与绩效结果之间的积极关系。尽管这些研究中的许多都是在制造业中进行的，但在国际医疗保健研究中也报告了 HPWS 的某些方面与改善患者结果之间存在正相关关系的类似发现。
我们使用回归分析以及中介和调节测试，分析了 2008 年 3 月在澳大利亚一个大型地区卫生服务机构中 201 名护士的调查答复。
心理授权完全中介了 HPWS 与对患者护理质量的感知之间的关系。工作满意度调节了 HPWS 与对患者护理质量的感知之间的关系。
医院管理者应注重促进 HPWS，并确保护士单位管理者具备授权和提高员工工作满意度的能力。
