将科室协作与护理领导力与护士工作成果及护理质量相联系。
Linking Unit Collaboration and Nursing Leadership to Nurse Outcomes and Quality of Care.
作者信息
Ma Chenjuan, Shang Jingjing, Bott Marjorie J
机构信息
Author Affiliations: Assistant Professor (Dr Ma), College of Nursing, New York University; Associate Professor (DrBott), School of Nursing, University of Kansas, Kansas City; and Assistant Professor (Dr Shang), School of Nursing, Columbia University, New York.
出版信息
J Nurs Adm. 2015 Sep;45(9):435-42. doi: 10.1097/NNA.0000000000000229.
OBJECTIVE
The objective of this study is to identify the effects of unit collaboration and nursing leadership on nurse outcomes and quality of care.
BACKGROUND
Along with the current healthcare reform, collaboration of care providers and nursing leadership has been underscored; however, empirical evidence of the impact on outcomes and quality of care has been limited.
METHODS
Data from 29742 nurses in 1228 units of 200 acute care hospitals in 41 states were analyzed using multilevel linear regressions. Collaboration (nurse-nurse collaboration and nurse-physician collaboration) and nursing leadership were measured at the unit level. Outcomes included nurse job satisfaction, intent to leave, and nurse-reported quality of care.
RESULTS
Nurses reported lower intent to leave, higher job satisfaction, and better quality of care in units with better collaboration and stronger nursing leadership.
CONCLUSION
Creating a care environment of strong collaboration among care providers and nursing leadership can help hospitals maintain a competitive nursing workforce supporting high quality of care.
目的
本研究的目的是确定科室协作和护理领导力对护士工作成果及护理质量的影响。
背景
随着当前医疗改革的推进，医疗服务提供者之间的协作以及护理领导力受到了重视；然而，关于其对工作成果和护理质量影响的实证证据有限。
方法
使用多层次线性回归分析了来自41个州200家急症护理医院1228个科室的29742名护士的数据。协作（护士与护士之间的协作以及护士与医生之间的协作）和护理领导力在科室层面进行测量。结果包括护士工作满意度、离职意向以及护士报告的护理质量。
结果
护士报告称，在协作更好、护理领导力更强的科室中，离职意向较低、工作满意度较高且护理质量更好。
结论
营造一个护理服务提供者之间紧密协作以及具备护理领导力的护理环境，有助于医院维持一支有竞争力的护理队伍，从而支持高质量护理。
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