Giesbers Adriana P M, Schouteten Roel L J, Poutsma Erik, van der Heijden Beatrice I J M, van Achterberg Theo
Canisius-Wilhelmina Hospital, Nijmegen, the Netherlands.
Radboud University Nijmegen, Institute for Management Research, Nijmegen, the Netherlands.
J Nurs Manag. 2015 Jul;23(5):682-91. doi: 10.1111/jonm.12196. Epub 2013 Dec 30.
This contribution develops a conceptual framework that illustrates how feedback on quality measurements to nursing teams can be related to nurses' well-being and quality improvement.
It is assumed that providing nursing teams with feedback on quality measurements will lead to quality improvement. Research does not fully support this assumption. Additionally, previous empirical work shows that feedback on quality measurements may have alienating and demotivating effects on nurses.
This article uniquely integrates scholarly literature on feedback provision and strategic human resource management.
The relationship between feedback provision, nurses' well-being and quality improvement remains unclear from research until now.
Three perspectives are discussed that illustrate that feedback provision can result in quality improvement at the expense of or for the benefit of nurses' well-being. To better understand these contradictory effects, research should examine nurses' perceptions of feedback as mediating variables, while incorporating context factors as moderating variables.
Nursing management can use feedback on quality measurements to nursing teams, as a tool for enhanced quality and as a motivating tool. However, nurses' perceptions and contextual variables are important for the actual success of feedback.
本论文构建了一个概念框架，用以阐述向护理团队反馈质量测量结果如何与护士的福祉及质量改进相关联。
假定向护理团队反馈质量测量结果会带来质量改进。但研究并未完全支持这一假设。此外，以往的实证研究表明，质量测量反馈可能会对护士产生疏离和消极的影响。
本文独特地整合了关于反馈提供和战略人力资源管理的学术文献。
迄今为止，研究中反馈提供、护士福祉与质量改进之间的关系仍不明确。
讨论了三种观点，表明反馈提供可能以牺牲护士福祉为代价或为了护士福祉而带来质量改进。为了更好地理解这些矛盾的影响，研究应将护士对反馈的认知作为中介变量进行考察，同时将情境因素作为调节变量纳入研究。
护理管理者可将质量测量反馈作为提升质量的工具和激励工具提供给护理团队。然而，护士的认知和情境变量对反馈的实际成效至关重要。
