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孟加拉国三级医院护士工作生活质量的预测因素。

Factors predicting quality of work life among nurses in tertiary-level hospitals, Bangladesh.

机构信息

Lecturer Fouzderhat Nursing College, Chittagong, Bangladesh.

Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand.

出版信息

Int Nurs Rev. 2018 Jun;65(2):182-189. doi: 10.1111/inr.12401. Epub 2017 Nov 3.

DOI:10.1111/inr.12401
PMID:29105085
Abstract

AIM

This study examined the level of quality of work life and predictability of years of education, monthly income, years of experience, job stress, organizational commitment and work environment on quality of work life among nurses in tertiary-level hospitals in the People's Republic of Bangladesh.

BACKGROUND

There is an acute shortage of nurses worldwide including Bangladesh. Quality of work life is important for quality of patient care and nurse retention. Nurses in Bangladesh are fighting to provide quality care for emerging health problems for the achievement of sustainable development goals.

METHODS

We collected data from 288 randomly selected registered nurses, from six tertiary-level hospitals. All nurses were requested to fill questionnaire consisted of Demographic Data Sheet, Quality of Nursing Work Life Survey, Expanded Nursing Stress Scale, Questionnaire of Organizational Commitment and Practice Environment Scale of the Nursing Work Index. Data were analysed by descriptive statistics and multiple regression.

RESULTS

The quality of work life as perceived by nurses in Bangladesh was at moderate level. Monthly income was found as the best predictor followed by work environment, organizational commitment and job stress.

DISCUSSION

A higher monthly income helps nurses to fulfil their personal needs; positive work environment helps to provide quality care to the patients.

LIMITATION

Quality of work life and predictors measured by self-report only may not reflect the original picture of the quality of work life among nurses.

CONCLUSION AND POLICY IMPLICATIONS

Findings provide information for nursing and health policymakers to develop policies to improve quality of work life among nurses that can contribute to quality of nursing care. This includes the working environment, commitment to the organization and measures to reduce job stress.

摘要

目的

本研究旨在考察孟加拉国三级医院护士的工作生活质量水平以及受教育年限、月收入、工作年限、工作压力、组织承诺和工作环境对工作生活质量的可预测性。

背景

全球范围内都存在护士短缺的问题,孟加拉国也不例外。工作生活质量对于患者护理质量和护士留用率都很重要。孟加拉国的护士正在努力为新出现的卫生问题提供优质护理,以实现可持续发展目标。

方法

我们从孟加拉国六所三级医院的 288 名随机抽取的注册护士那里收集了数据。所有护士都被要求填写一份问卷,包括人口统计学数据表、护理工作生活质量调查、扩展护理压力量表、组织承诺问卷和护理工作指数实践环境量表。采用描述性统计和多元回归进行数据分析。

结果

孟加拉国护士的工作生活质量处于中等水平。月收入被认为是最佳预测指标,其次是工作环境、组织承诺和工作压力。

讨论

较高的月收入有助于护士满足个人需求;积极的工作环境有助于为患者提供优质护理。

局限性

仅通过自我报告来衡量工作生活质量和预测因素可能无法反映护士工作生活质量的真实情况。

结论和政策意义

研究结果为护理和卫生政策制定者提供了信息,以便制定改善护士工作生活质量的政策,这有助于提高护理质量。这包括工作环境、对组织的承诺以及减轻工作压力的措施。

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