Horner Diane Kostrey
Diane Kostrey Horner, MSN, FNP-C, DNP (C), CPSN, CNOR, is a family nurse practitioner in Indianapolis, IN. With more than 26 years of nursing experience in a variety of roles, the knowledge base to improve quality care, patient safety, evidence based practice, and information technology from an interprofessional perspective is present.
Plast Surg Nurs. 2017 Jan/Mar;37(1):7-22. doi: 10.1097/PSN.0000000000000169.
The purpose of study was to determine whether mentoring based on Watson's Caring Model positively influences nurse practitioner (NP) job satisfaction. This nonexperimental mixed-methods study utilized an online survey, administered through Qualtrics containing demographic and mentoring variables. Job satisfaction results were obtained from the Misener Nurse Practitioner Job Satisfaction Scale (MNPJSS). Also, open-ended questions regarding mentoring were reported. There was a 54% response rate in which 37 of the 69 participants responded (n = 37), with statistical significance set at p < .05. All or 100% of participants reported that the mentor experience/relationship positively influenced job satisfaction. Scores from the MNPJSS ranged from 141 to 246, with a mean of 195.26 (SD = 28.29) corresponding to "minimally satisfied" or a mean of 4.44 on the 6-point scale. These results are similar to the MNPJSS score with a mean of 4.39. A mentoring experience can provide a positive environment, which can lead to increased job satisfaction. In turn, a higher level of satisfaction in the work environment can be associated with reduced turnover and improved retention and patient outcomes. Ultimately, a safer health care system will evolve and improve patient care and outcomes. Through Watson's Caring Model, a reciprocal relationship between the mentor and the mentee can provide a new NP hire a sense of community and direct availability. By experiencing a mentor relationship, job satisfaction can improve, which is a key factor in retaining NPs. As E-mentoring is a newer topic in nursing literature, further research is needed. Further studies could also review and develop one-on-one mentoring programs.
本研究的目的是确定基于沃森关怀模式的指导是否会对执业护士(NP)的工作满意度产生积极影响。这项非实验性混合方法研究采用了通过Qualtrics进行管理的在线调查,其中包含人口统计学和指导变量。工作满意度结果来自米塞纳执业护士工作满意度量表(MNPJSS)。此外,还报告了有关指导的开放式问题。回复率为54%,69名参与者中有37人回复(n = 37),设定的统计学显著性为p < 0.05。所有(即100%)参与者都报告称,指导经历/关系对工作满意度产生了积极影响。MNPJSS的分数范围为141至246,平均分为195.26(标准差 = 28.29),对应于“最低满意度”,即在6分制量表上平均分为4.44。这些结果与MNPJSS平均分为4.39的分数相似。指导经历可以提供一个积极的环境,这可能会导致工作满意度提高。反过来,工作环境中更高的满意度可能与更低的人员流动率、更好的留用率和患者治疗效果相关。最终,一个更安全的医疗保健系统将得到发展并改善患者护理和治疗效果。通过沃森关怀模式,导师与学员之间的互惠关系可以为新入职的执业护士提供一种社区感和直接的可获得性。通过体验导师关系,工作满意度可以提高,这是留住执业护士的一个关键因素。由于电子指导是护理文献中的一个较新主题,因此需要进一步研究。进一步的研究还可以审查和制定一对一的指导计划。