Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, Seville, Spain.
Royal Devon and Exeter Hospital, Exeter, UK.
J Nurs Manag. 2018 Mar;26(2):94-107. doi: 10.1111/jonm.12538. Epub 2018 Jan 11.
To conduct a scoping review to examine and map the interventions proposed for the improvement of the working conditions of nursing staff in acute care hospitals.
The Registered Nurse Forecasting (RN4CAST) project and other studies have determined the impact that the nursing staff has on the quality of care. The nursing staff's higher levels of burnout, job dissatisfaction and negative perception of the quality of care provided caused worse health outcomes.
A scoping review was carried out. By searching in SCOPUS, PubMed, CINAHL, Cochrane, Dialnet and in the grey literature, 705 potentially relevant papers were identified. The final analysis included 21 papers and three grey documents.
The studies analysed proposed interventions at the macro-management, meso-management and micro-management levels, although the interventions at the macro- and meso-levels produce better staff outcomes.
The findings of this review can be applied to management at different levels: measures to improve the patient-nurse ratio at the macro-management level, the horizontal hierarchies at the meso-management level, the mind-body techniques at the micro-management level.
Nurse managers and leaders should implement interventions at different organisational levels to improve the working conditions of the nursing staff and other health outcomes.
进行范围综述，以考察和绘制改善急性护理医院护理人员工作条件的干预措施。
注册护士预测（RN4CAST）项目和其他研究已经确定了护理人员对护理质量的影响。护理人员更高水平的倦怠、工作不满和对提供的护理质量的负面看法导致了更糟糕的健康结果。
进行了范围综述。通过在 SCOPUS、PubMed、CINAHL、Cochrane、Dialnet 和灰色文献中搜索，确定了 705 篇潜在相关论文。最终分析包括 21 篇论文和 3 篇灰色文献。
研究分析了宏观管理、中观管理和微观管理层面的干预措施，尽管宏观和中观层面的干预措施会产生更好的员工结果。
本综述的研究结果可应用于不同层面的管理：在宏观管理层面上，采取措施改善护患比例；在中观管理层面上，改善横向等级制度；在微观管理层面上，采取身心技术。
护士管理人员和领导者应在不同的组织层面实施干预措施，以改善护理人员的工作条件和其他健康结果。
