School of Health Sciences, Wuhan University, China.
National School of Nursing, Midwifery & Paramedicine, Australian Catholic University, North Sydney, NSW, Australia.
J Nurs Manag. 2018 Apr;26(3):288-294. doi: 10.1111/jonm.12544. Epub 2017 Nov 22.
To investigate regarding workplace health and safety factors, and to identify strategies to preserve and promote a healthy nursing workplace.
Data collected using the Delphi technique with input from 41 key informants across four participant categories drawn from a Chinese university and four hospitals were thematically analysed.
Most respondents agreed on the importance of nurses' health and safety, and that nurse managers should act to protect nurses, but not enough on workplace safety. Hospital policies, staff disempowerment, workload and workplace conflicts are major obstacles.
The reality of Chinese nurses' workplaces is that health and safety risks abound and relate to socio-cultural expectations of women. Self-management of risks is neccessary, gaps exist in understanding of workplace risks among different nursing groups and their perceptions of the professional status, and the value of nurses' contribution to ongoing risks in the hospital workplace. The Chinese hospital system must make these changes to produce a safer working environment for nurses.
This research, based in China, presents an instructive tale for all countries that need support on the types and amounts of management for nurses working at the clinical interface, and on the consequences of management neglect of relevant policies and procedures.
探讨工作场所健康和安全因素,并确定保护和促进健康护理工作场所的策略。
采用德尔菲技术收集数据,来自中国一所大学和四家医院的四个参与者类别中的 41 名主要信息提供者提供了意见,对数据进行了主题分析。
大多数受访者都同意护士健康和安全的重要性,以及护士管理者应该采取行动保护护士,但对工作场所安全的重视程度还不够。医院政策、员工无权、工作量和工作场所冲突是主要障碍。
中国护士工作场所的现实是存在健康和安全风险,这与对女性的社会文化期望有关。有必要进行自我风险管理,不同护理群体对工作场所风险的理解以及对专业地位和护士对医院工作场所持续风险贡献的看法存在差距。中国医院系统必须做出这些改变,为护士创造一个更安全的工作环境。
这项在中国开展的研究为所有需要支持在临床界面工作的护士提供了一个有益的经验,包括对护士管理的类型和数量的支持,以及管理忽视相关政策和程序的后果。