Spence Laschinger Heather K, Zhu Junhong, Read Emily
Human Resource Optimization, Arthur Labatt Family School of Nursing, University of Western Ontario, London, Ontario, Canada.
Arthur Labatt Family School of Nursing, University of Western Ontario, London, Ontario, Canada.
J Nurs Manag. 2016 Jul;24(5):656-65. doi: 10.1111/jonm.12370. Epub 2016 Mar 2.
To test a model examining the effects of structural empowerment and support for professional practice on new graduate nurses' perceived professional practice behaviours, perceptions of care quality and subsequent job satisfaction and career turnover intentions.
The nursing worklife model describes relationships between supportive nursing work environments and nurse and patient outcomes. The influence of support for professional practice on new nurses' perceptions of professional nursing behaviours within this model has not been tested.
Structural equation modelling in Mplus was used to analyse data from a national survey of new nurses across Canada (n = 393).
The hypothesised model was supported: χ²(122) = 346.726, P = 0.000; CFI = 0.917; TLI = 0.896; RMSEA = 0.069. Professional practice behaviour was an important mechanism through which empowerment and supportive professional practice environments influenced nurse-assessed quality of care, which was related to job satisfaction and lower intentions to leave nursing.
Job satisfaction and career retention of new nurses are related to perceptions of work environment factors that support their professional practice behaviours and high-quality patient care.
Nurse managers can support new graduate nurses' professional practice behaviour by providing empowering supportive professional practice environments.
检验一个模型，该模型考察结构赋权和对专业实践的支持对新毕业护士的感知专业实践行为、护理质量感知以及随后的工作满意度和职业离职意向的影响。
护理工作生活模型描述了支持性护理工作环境与护士及患者结果之间的关系。在该模型中，对专业实践的支持对新护士对专业护理行为的认知的影响尚未得到检验。
使用Mplus中的结构方程模型分析来自加拿大全国新护士调查的数据（n = 393）。
假设模型得到支持：χ²(122) = 346.726，P = 0.000；CFI = 0.917；TLI = 0.896；RMSEA = 0.069。专业实践行为是赋权和支持性专业实践环境影响护士评估的护理质量的重要机制，而护理质量与工作满意度和较低的离职意向相关。
新护士的工作满意度和职业留存与对支持其专业实践行为和高质量患者护理的工作环境因素的认知有关。
护士管理者可以通过提供赋权的支持性专业实践环境来支持新毕业护士的专业实践行为。
