Rivaz Mozhgan, Momennasab Marzieh, Yektatalab Shahrzad, Ebadi Abbas
PhD Candidate of Nursing Education, Student Research Committee, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Assistant Professor, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
J Clin Diagn Res. 2017 Jun;11(6):IC01-IC04. doi: 10.7860/JCDR/2017/25349.9986. Epub 2017 Jun 1.
Attracting and retaining well qualified nurses to develop healthcare systems and ensure patient safety is a global concern. In this regard, the quality of the practice environment plays a crucial role.
To explore Iranian nurses perception on the key constituents of the nursing practice environment.
This study was conducted using a qualitative approach. Twelve participants were purposively selected from five teaching hospitals in Shiraz, Iran. Data was collected through semi structured interviews, and analysed using qualitative content analysis.
Data analysis led to the extraction of two categories of 'adequate staff', with two subcategories of balanced workload and well qualified nurses, and 'adequacy of physical resources', with subcategories of equipment adequacy and appropriate physical structure as key elements of the nursing practice environment.
Imbalanced workloads, inappropriate nurse-patient ratios, and inadequate physical resources negatively affected nurse's perceptions of the quality of the nursing practice environment. The findings provide baseline data for health policymakers in different national and global areas to remodel the practice environment. The improvement of the practice environment, with adequate staffing levels and appropriate allocation of physical resources, is achievable to resolve this challenge and thus improve outcomes.
吸引并留住高素质护士以发展医疗保健系统并确保患者安全是一个全球性问题。在这方面,执业环境的质量起着至关重要的作用。
探讨伊朗护士对护理执业环境关键要素的看法。
本研究采用定性研究方法。从伊朗设拉子的五家教学医院中有意选取了12名参与者。通过半结构化访谈收集数据,并采用定性内容分析法进行分析。
数据分析得出两类关键要素,一类是“充足的人员配备”,其下有“工作量均衡”和“高素质护士”两个子类别;另一类是“物质资源充足”,其下有“设备充足”和“适宜的物理结构”两个子类别,这些是护理执业环境的关键要素。
工作量不均衡、护士与患者比例不当以及物质资源不足会对护士对护理执业环境质量的认知产生负面影响。这些研究结果为不同国家和全球地区的卫生政策制定者重塑执业环境提供了基线数据。通过配备充足的人员并合理分配物质资源来改善执业环境,有望解决这一挑战并改善结果。