Division of Nursing and Midwifery Science, Antwerp University, Wilrijk, Belgium.
J Psychiatr Ment Health Nurs. 2013 Oct;20(8):679-86. doi: 10.1111/jpm.12004. Epub 2012 Sep 11.
Research in healthcare settings reveals important links between work environment factors, burnout and organizational outcomes. Recently, research focuses on work engagement, the opposite (positive) pole from burnout. The current study investigated the relationship of nurse practice environment aspects and work engagement (vigour, dedication and absorption) to job outcomes and nurse-reported quality of care variables within teams using a multilevel design in psychiatric inpatient settings. Validated survey instruments were used in a cross-sectional design. Team-level analyses were performed with staff members (n = 357) from 32 clinical units in two psychiatric hospitals in Belgium. Favourable nurse practice environment aspects were associated with work engagement dimensions, and in turn work engagement was associated with job satisfaction, intention to stay in the profession and favourable nurse-reported quality of care variables. The strongest multivariate models suggested that dedication predicted positive job outcomes whereas nurse management predicted perceptions of quality of care. In addition, reports of quality of care by the interdisciplinary team were predicted by dedication, absorption, nurse-physician relations and nurse management. The study findings suggest that differences in vigour, dedication and absorption across teams associated with practice environment characteristics impact nurse job satisfaction, intention to stay and perceptions of quality of care.
医疗环境中的研究揭示了工作环境因素、倦怠和组织结果之间的重要联系。最近，研究的重点是工作投入，这是与倦怠相反（积极）的一个方面。本研究采用多水平设计，在精神科住院环境中，调查了护士实践环境方面和工作投入（活力、奉献和专注）与团队中工作结果和护士报告的护理质量变量之间的关系。使用验证后的调查工具进行横断面设计。在比利时的两家精神病医院的 32 个临床科室中，对 357 名工作人员进行了团队层面的分析。有利的护士实践环境方面与工作投入维度相关，而工作投入又与工作满意度、留在该职业的意愿以及护士报告的有利护理质量变量相关。最有力的多元模型表明，奉献精神预测积极的工作结果，而护士管理则预测护理质量的感知。此外，跨团队的敬业精神、专注度和吸收度的报告，与实践环境特征相关，影响着护士的工作满意度、留职意愿和对护理质量的看法。研究结果表明，团队之间活力、敬业精神和专注度的差异与实践环境特征相关，影响着护士的工作满意度、留职意愿和对护理质量的看法。
