Josse-Eklund Anna, Wilde-Larsson Bodil, Petzäll Kerstin, Sandin-Bojö Ann-Kristin
Department of Health Sciences, Karlstad University, Karlstad, Sweden.
Scand J Caring Sci. 2014 Sep;28(3):486-95. doi: 10.1111/scs.12073. Epub 2013 Aug 22.
The aim of this study was to describe and explore individual and organisational factors potentially influencing registered nurses' (RNs) attitudes towards patient advocacy.
In a quantitative cross-sectional study, data were collected from 226 RNs in community health care of elders. A questionnaire was used to measure a number of factors including attitudes towards patient advocacy, nursing competence, personality traits, individual preferences regarding the quality of health care and working climate. A multiple regression analysis was performed.
The results showed that individual factors of nursing competence and individual preferences of the quality of health care, as well as organisational factors of the working climate, explained 26.2% of the variance in the RNs' attitudes towards patient advocacy.
Although the mentioned individual factors may be intertwined, the conclusion is that both individual and organisational factors influenced RNs' attitudes towards patient advocacy. The results do not verify that nursing experience, workplace experience, educational level or personality traits influence the RNs' attitudes towards patient advocacy. The proportion of explained variance indicates that additional factors also influence attitudes towards patient advocacy, and more research is needed to shed further light on these factors.
本研究旨在描述和探讨可能影响注册护士（RN）对患者维权态度的个人和组织因素。
在一项定量横断面研究中，收集了226名社区老年保健注册护士的数据。使用问卷调查了多个因素，包括对患者维权的态度、护理能力、性格特征、对医疗保健质量的个人偏好以及工作氛围。进行了多元回归分析。
结果表明，护理能力的个人因素、对医疗保健质量的个人偏好以及工作氛围的组织因素，解释了注册护士对患者维权态度差异的26.2%。
尽管上述个人因素可能相互交织，但结论是个人和组织因素均影响注册护士对患者维权的态度。结果并未证实护理经验、工作场所经验、教育水平或性格特征会影响注册护士对患者维权的态度。可解释变异的比例表明，其他因素也会影响对患者维权的态度，需要更多研究来进一步阐明这些因素。
