Anzai Eriko, Douglas Clint, Bonner Ann
School of Nursing, Queensland University of Technology, Brisbane, Queensland, Australia.
Nurs Health Sci. 2014 Jun;16(2):171-8. doi: 10.1111/nhs.12081. Epub 2013 Jul 16.
The purpose of this study was to describe Japanese hospital nurses' perceptions of the nursing practice environment and examine its association with nurse-reported ability to provide quality nursing care, quality of patient care, and ward morale. A cross-sectional survey design was used including 223 nurses working in 12 acute inpatient wards in a large Japanese teaching hospital. Nurses rated their work environment favorably overall using the Japanese version of the Practice Environment Scale of the Nursing Work Index. Subscale scores indicated high perceptions of physician relations and quality of nursing management, but lower scores for staffing and resources. Ward nurse managers generally rated the practice environment more positively than staff nurses except for staffing and resources. Regression analyses found the practice environment was a significant predictor of quality of patient care and ward morale, whereas perceived ability to provide quality nursing care was most strongly associated with years of clinical experience. These findings support interventions to improve the nursing practice environment, particularly staffing and resource adequacy, to enhance quality of care and ward morale in Japan.
本研究的目的是描述日本医院护士对护理实践环境的看法，并检验其与护士报告的提供优质护理的能力、患者护理质量和病房士气之间的关联。采用横断面调查设计，纳入了一家大型日本教学医院12个急性住院病房的223名护士。护士们使用护理工作指数实践环境量表的日文版对其工作环境总体评价良好。分量表得分表明对医生关系和护理管理质量的认知较高，但人员配备和资源方面的得分较低。除人员配备和资源外，病房护士长对实践环境的评价总体上比护士更积极。回归分析发现，实践环境是患者护理质量和病房士气的重要预测因素，而提供优质护理的感知能力与临床经验年限关联最为密切。这些发现支持采取干预措施来改善护理实践环境，特别是人员配备和资源充足性，以提高日本的护理质量和病房士气。
