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一项关于护士以患者为中心的护理、共同创造护理、幸福感和工作满意度的横断面研究。

A cross-sectional study investigating patient-centred care, co-creation of care, well-being and job satisfaction among nurses.

作者信息

den Boer Judith, Nieboer Anna P, Cramm Jane M

机构信息

Institute of Health Policy and Management, Erasmus University Rotterdam, Burgemeester Oudlaan 50, 3000DR, Rotterdam, The Netherlands.

出版信息

J Nurs Manag. 2017 Oct;25(7):577-584. doi: 10.1111/jonm.12496. Epub 2017 Jul 11.

DOI:10.1111/jonm.12496
PMID:28695703
Abstract

BACKGROUND

Developments in the community health nursing sector have resulted in many changes in the activities of these nurses. The concepts of patient-centred care and co-creation of care are gaining importance in the work of community health nurses. Whether patient-centred care also contributes positively to nurses' well-being and job satisfaction is not known.

METHOD

In 2015, a cross-sectional survey was conducted among 153 community health nurses employed by 11 health care organisations in the southern part of the Netherlands. Correlation and regression analyses were performed to identify relationships among patient-centred care, co-creation of care, background characteristics, job satisfaction and well-being of community health nurses.

RESULTS

Patient-centred care and co-creation of care were correlated positively with community health nurses' well-being and job satisfaction. Both variables were predictors of well-being, and patient-centred care was a predictor of job satisfaction. The length of time in the present position was related negatively to community health nurses' job satisfaction and well-being.

CONCLUSIONS

Investment in patient-centred care and co-creation of care is important for the well-being and job satisfaction of community health nurses.

IMPLICATIONS FOR NURSING MANAGEMENT

To safeguard or improve job satisfaction and well-being of community health nurses, organisations should pay attention to the co-creation of care and patient-centred care.

摘要

背景

社区健康护理领域的发展给这些护士的工作带来了诸多变化。以患者为中心的护理理念以及共同创造护理模式在社区健康护士的工作中愈发重要。以患者为中心的护理是否也能对护士的幸福感和工作满意度产生积极影响尚不清楚。

方法

2015年,对荷兰南部11家医疗机构雇佣的153名社区健康护士进行了横断面调查。进行了相关性和回归分析,以确定以患者为中心的护理、共同创造护理、背景特征、社区健康护士的工作满意度和幸福感之间的关系。

结果

以患者为中心的护理和共同创造护理与社区健康护士的幸福感和工作满意度呈正相关。这两个变量都是幸福感的预测因素,以患者为中心的护理是工作满意度的预测因素。目前职位的工作时长与社区健康护士的工作满意度和幸福感呈负相关。

结论

对以患者为中心的护理和共同创造护理进行投入,对社区健康护士的幸福感和工作满意度很重要。

对护理管理的启示

为保障或提高社区健康护士的工作满意度和幸福感,组织应关注共同创造护理和以患者为中心的护理。

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