Netherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands.
Department of Sociology and Department of Human Geography, Utrecht University, Utrecht, The Netherlands.
J Adv Nurs. 2017 Oct;73(10):2430-2440. doi: 10.1111/jan.13298. Epub 2017 Apr 10.
The aims of this study were: (1) To examine whether working in a self-directed team is related to home-care nursing staff's job satisfaction; (2) To assess the mediating effect of self-perceived autonomy over patient care; (3) To investigate the moderating effect of educational level on the association between autonomy over patient care and job satisfaction.
Self-directed teams are being introduced in home care in several countries. It is unknown whether working in a self-directed team is related to nursing staff's job satisfaction. It is important to gain insight into this association since self-directed teams may help in retaining nursing staff.
A cross-sectional study based on two questionnaire surveys in 2014 and 2015.
The study involved 191 certified nursing assistants and registered nurses employed in Dutch home-care organizations (mean age of 50). These were members of the Dutch Nursing Staff Panel, a nationwide panel of nursing staff working in various healthcare settings.
Self-direction is positively related to nursing staff's job satisfaction. This relationship is partly mediated by autonomy over patient care. For certified nursing assistants and registered nurses with a bachelor's degree, a greater sense of autonomy over patient care in self-directed teams is positively related to job satisfaction. No significant association was found between autonomy over patient care and job satisfaction for registered nurses with an associate degree.
This study suggests that home-care organizations should consider the use of self-directed teams as this increases nursing staff's job satisfaction and may therefore help to retain nursing staff in home care.
本研究旨在：(1) 检验自我管理团队的工作模式是否与家庭护理人员的工作满意度相关；(2) 评估自我感知的患者护理自主权在其中的中介作用；(3) 调查教育水平对患者护理自主权与工作满意度之间关系的调节作用。
自我管理团队正在一些国家的家庭护理中引入。目前尚不清楚在自我管理团队中工作是否与护理人员的工作满意度相关。了解这种关联很重要，因为自我管理团队可能有助于留住护理人员。
基于 2014 年和 2015 年两次问卷调查的横断面研究。
研究对象为荷兰家庭护理组织中 191 名注册护士助理和注册护士（平均年龄 50 岁）。他们是荷兰护理人员小组的成员，这是一个在各种医疗保健环境中工作的护理人员的全国性小组。
自我导向与护理人员的工作满意度呈正相关。这种关系部分是通过对患者护理的自主权来中介的。对于具有学士学位的注册护士助理和注册护士来说，自我管理团队中更大的患者护理自主权与工作满意度呈正相关。对于具有副学士学位的注册护士来说，在自我管理团队中对患者护理的自主权与工作满意度之间没有显著关联。
本研究表明，家庭护理组织应该考虑使用自我管理团队，因为这可以提高护理人员的工作满意度，从而有助于留住家庭护理中的护理人员。
