Kramer M, Hafner L P
College of Nursing, University of Nevada, Reno.
Nurs Res. 1989 May-Jun;38(3):172-7.
A nationwide study on the impact of shared values on staff nurse job satisfaction and perceived productivity was done in 24 hospitals under different auspices, some of which were also Magnet Hospitals. Data were obtained from a 25% random sample of the staff nurse population (N = 2,336), 58% of the head nurse group, 65% of the clinical experts, and 66% of the top management. Staff nurses and clinical experts had more value congruence than did staff nurses and head nurses. A significant inverse correlation was found between value congruence and nurse job satisfaction and quality care. Explanations of the finding center on recent role changes for both staff nurses and head nurses, power differential, and evolving clarity of the staff nurse role. A serendipitious finding was that staff nurses reported fewer factors as important to their job satisfaction and perceived environment conducive to quality patient care than did other members of the nursing department. However, factors important to staff nurses were very important.
一项关于共同价值观对注册护士工作满意度和感知生产力影响的全国性研究在24家不同主办机构的医院开展,其中一些还是磁石医院。数据来自注册护士群体25%的随机样本(N = 2336)、护士长群体的58%、临床专家的65%以及高层管理人员的66%。注册护士与临床专家之间的价值观一致性高于注册护士与护士长之间。研究发现价值观一致性与护士工作满意度及优质护理之间存在显著的负相关。对这一发现的解释集中在注册护士和护士长近期的角色变化、权力差异以及注册护士角色日益清晰的界定上。一个意外发现是,与护理部门的其他成员相比,注册护士认为对其工作满意度重要的因素较少,且认为环境有利于提供优质患者护理。然而,对注册护士重要的因素非常重要。