了解专业实践环境对 Magnet® 和非 Magnet 医院护理质量的影响。
Understanding the role of the professional practice environment on quality of care in Magnet® and non-Magnet hospitals.
机构信息
Author Affiliations: Assistant Professor (Dr Witkoski Stimpfel), College of Nursing, New York University; Graduate Student (Ms Rosen) and The Rosemarie Greco Term Endowed Associate Professorship in Advocacy, Center for Health Outcomes and Policy Research (Dr McHugh), School of Nursing, University of Pennsylvania, Philadelphia.
出版信息
J Nurs Adm. 2014 Jan;44(1):10-6. doi: 10.1097/NNA.0000000000000015.
OBJECTIVE
The aim of this study was to explore the relationship between Magnet Recognition® and nurse-reported quality of care.
BACKGROUND
Magnet® hospitals are recognized for nursing excellence and quality patient outcomes; however, few studies have explored contributing factors for these superior outcomes.
METHODS
This was a secondary analysis of linked nurse survey data, hospital administrative data, and a listing of American Nurses Credentialing Center Magnet hospitals. Multivariate regressions were modeled before and after propensity score matching to assess the relationship between Magnet status and quality of care. A mediation model assessed the indirect effect of the professional practice environment on quality of care.
RESULTS
Nurse-reported quality of care was significantly associated with Magnet Recognition after matching. The professional practice environment mediates the relationship between Magnet status and quality of care.
CONCLUSION
A prominent feature of Magnet hospitals, a professional practice environment that is supportive of nursing, plays a role in explaining why Magnet hospitals have better nurse-reported quality of care.
目的
本研究旨在探讨 Magnet Recognition®与护士报告的护理质量之间的关系。
背景
Magnet®医院以卓越的护理和优质的患者结局而闻名；然而，很少有研究探讨促成这些卓越成果的因素。
方法
这是对护士调查数据、医院管理数据以及美国护士资格认证中心 Magnet 医院清单进行的二次分析。在进行倾向评分匹配之前和之后建立多元回归模型，以评估 Magnet 状态与护理质量之间的关系。中介模型评估了专业实践环境对护理质量的间接影响。
结果
匹配后，护士报告的护理质量与 Magnet 认可显著相关。专业实践环境中介了 Magnet 状态与护理质量之间的关系。
结论
Magnet 医院的一个显著特点是支持护理的专业实践环境，这在解释为什么 Magnet 医院的护士报告的护理质量更好方面发挥了作用。
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