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长期护理护士的韧性和组织赋权:对患者护理和缺勤的影响。

Resilience and organisational empowerment among long-term care nurses: effects on patient care and absenteeism.

机构信息

Centre on Aging and Health, University of Regina, Regina, SK, Canada.

Department of Psychology, University of Regina, Regina, SK, Canada.

出版信息

J Nurs Manag. 2016 Apr;24(3):300-8. doi: 10.1111/jonm.12311. Epub 2015 Jun 3.

DOI:10.1111/jonm.12311
PMID:26044745
Abstract

AIM

To study resilience among long-term care (LTC) nurses and its relationship to organisational empowerment, self-reported quality of care, perceptions of resident personhood (i.e. viewing another person as a person, implying respect) and absenteeism.

BACKGROUND

Although resilience has been examined among nurses, it has not been studied in LTC nurses where resident rates of dementia are high, and nurses may experience stress affecting care and the way residents are perceived.

METHOD

A sample of one hundred and thirty LTC nurses from across North America completed a series of questionnaires.

RESULTS

Resilient nurses were more likely to report higher quality of care and to view residents as having higher personhood status (despite deteriorating cognitive function). Resilience was not predictive of absenteeism. Organisational empowerment did not add to the predictive power of resilience.

CONCLUSIONS

Resilience is of importance in LTC nursing research and future studies could examine this construct in relation to objectively measured resident outcomes.

IMPLICATIONS FOR NURSING MANAGEMENT

Our findings suggest that interventions to improve LTC staff resilience would be important to pursue and that consideration should be given to resilience in optimizing the match between potential staff members and LTC positions.

摘要

目的

研究长期护理(LTC)护士的适应力及其与组织赋权、自我报告的护理质量、对居民人格的看法(即视他人为人,意味着尊重)和缺勤之间的关系。

背景

尽管已经在护士中研究了适应力,但尚未在长期护理护士中进行研究,因为这些护士所在的机构中痴呆症患者的比例较高,并且护士可能会经历影响护理和居民看法的压力。

方法

来自北美的 130 名 LTC 护士参加了一系列问卷调查。

结果

有适应力的护士更有可能报告更高的护理质量,并认为居民具有更高的人格地位(尽管认知功能恶化)。适应力并不能预测缺勤率。组织赋权并不能增加适应力的预测能力。

结论

适应力在 LTC 护理研究中很重要,未来的研究可以在与客观测量的居民结果相关的情况下研究这一结构。

对护理管理的影响

我们的发现表明,改善 LTC 工作人员适应力的干预措施将是重要的,并且应该在优化潜在员工与 LTC 职位之间的匹配时考虑适应力。

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