Department of Nursing Science, University of Eastern Finland, Finland.
Int Nurs Rev. 2011 Jun;58(2):255-62. doi: 10.1111/j.1466-7657.2010.00851.x. Epub 2011 Feb 14.
In several European countries, the availability of qualified nurses is insufficient to meet current healthcare requirements. Nurses are highly dissatisfied with the rising demands of the healthcare environment and increasingly considering leaving their jobs.
The study aims to investigate the relationships between the characteristics of hospital nurses' work environment and the quality of care provided, and furthermore to examine Dutch nurses' career plans.
A cross-sectional, questionnaire survey of registered nurses (n = 334) working in the academic and district hospitals was conducted in 2005/2006. Previously validated questionnaires translated into the participants' language were used. Factor and regression analysis were used for data analysis.
Overall, nurses rated their work environment rather favourably. Five work environment characteristics were identified: support for professional development, adequate staffing, nursing competence, supportive management and teamwork. Significant relationships were found between nurses' perceptions of their work environment characteristics and quality of care provided and nurses' career plans. When work environment characteristics were evaluated to be better, nurse-assessed quality of care also increased and intentions to leave current job decreased linearly.
Study findings suggest that nurses' perceptions of their work environment are important for nurse outcomes in hospital settings. Further research is needed to explore the predictive ability of the work environment for nurse, patient and organizational outcomes in hospitals.
在一些欧洲国家，合格护士的数量不足以满足当前的医疗保健需求。护士对医疗环境不断提高的要求感到非常不满，越来越多的人考虑离职。
本研究旨在调查医院护士工作环境的特点与护理质量之间的关系，并进一步研究荷兰护士的职业规划。
2005/2006 年，对在学术和地区医院工作的注册护士（n=334）进行了横断面问卷调查。使用了先前经过验证并翻译成参与者语言的问卷。采用因子和回归分析进行数据分析。
总体而言，护士对工作环境的评价相当积极。确定了五个工作环境特征：支持专业发展、人员配备充足、护理能力、支持性管理和团队合作。护士对工作环境特征的看法与提供的护理质量和护士职业规划之间存在显著关系。当工作环境特征被评估为更好时，护士评估的护理质量也会线性增加，离开当前工作的意愿会降低。
研究结果表明，护士对工作环境的看法对医院环境中护士的结果很重要。需要进一步研究工作环境对医院护士、患者和组织结果的预测能力。
