Havens Donna Sullivan, Gittell Jody Hoffer, Vasey Joseph
Author Affiliations: Professor (Dr Havens), School of Nursing, The University of North Carolina at Chapel Hill; Professor (Dr Gittell), Heller School for Social Policy & Management, Brandeis University, Waltham, Massachusetts; Principal (Dr Vasey), Tosti-Vasey & Vasey, Bellefonte, Pennsylvania.
J Nurs Adm. 2018 Mar;48(3):132-140. doi: 10.1097/NNA.0000000000000587.
To explore how relational coordination, known to enhance quality and efficiency outcomes for patients and hospitals, impacts direct care nurse outcomes such as burnout, work engagement, and job satisfaction, addressing the "Quadruple Aim," to improve the experience of providing care.
Hospitals are complex organizations in which multiple providers work interdependently, under conditions of uncertainty and time constraints, to deliver safe quality care despite differences in specialization, training, and status. Relational coordination-communicating and relating for the purpose of task integration-is known to improve quality, safety, and efficiency under these conditions, but less is known about its impact on the well-being of direct care providers themselves.
Surveys measuring relational coordination among nurses and other types of providers as well as job-related outcomes in 5 acute care community hospitals were completed by direct care RNs.
Relational coordination was significantly related to increased job satisfaction, increased work engagement, and reduced burnout.
Relational coordination contributes to the well-being of direct care nurses, addressing the Quadruple Aim by improving the experience of providing care.
探讨关系协调如何影响直接护理护士的工作倦怠、工作投入和工作满意度等结果，以实现“四重目标”，即改善护理体验。关系协调已知可提高患者和医院的质量与效率。
医院是复杂的组织，在不确定性和时间限制的条件下，多个医疗服务提供者相互依存地工作，尽管专业、培训和地位存在差异，但仍要提供安全优质的护理。关系协调——为了任务整合而进行沟通和联系——已知在这些条件下可提高质量、安全性和效率，但对其对直接护理提供者自身幸福感的影响了解较少。
直接护理注册护士完成了对5家急性护理社区医院中护士与其他类型医疗服务提供者之间关系协调以及工作相关结果的调查。
关系协调与工作满意度提高、工作投入增加和倦怠减少显著相关。
关系协调有助于直接护理护士的幸福感，通过改善护理体验实现“四重目标”。
