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护理工作环境、价值一致性及其与护士工作成果的关系。

Nursing work environment, value congruence and their relationships with nurses' work outcomes.

机构信息

School of Nursing, Zhejiang University School of Medicine, Hangzhou, China.

Affiliated Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.

出版信息

J Nurs Manag. 2018 Nov;26(8):1091-1099. doi: 10.1111/jonm.12641. Epub 2018 Sep 16.

Abstract

AIMS

To explore the relationships between work environment, value congruence and nurses' work outcomes; as well as to test the moderating effects of value congruence.

BACKGROUND

A poor nursing work environment in most of mainland China has negatively influenced nurses' job satisfaction, burnout and turnover intention. New insights such as improving nurses' value congruence should be proposed to better foster nurses.

METHODS

Cross-sectional data were selected from the Chinese Nurses' Environment of Work Status study. In total, 19149 valid samples were collected. Hierarchical regression analyses and simple slope analyses were performed.

RESULTS

The correlation coefficients of the variables were all significant (p < .01) and in the expected direction. Value congruence moderated the relationship between nursing work environment and burnout (emotional exhaustion: β = 0.106, p < .01; depersonalization: β = 0.111, p < .01).

CONCLUSIONS

Nursing work environment and value congruence were positively related to job satisfaction, and negatively related to burnout and turnover intention. The adverse impact of poor work environment on nurses' burnout can be buffered if nurses' value congruence is compatible with that of the organisation.

IMPLICATIONS FOR NURSING MANAGEMENT

Except for improving the organisational characteristics, value congruence is a useful concept that managers can leverage to improve positive outcomes for both the organisation and its nurses.

摘要

目的

探讨工作环境、价值观一致性与护士工作成果之间的关系,并检验价值观一致性的调节作用。

背景

中国大陆大部分地区的护理工作环境较差,对护士的工作满意度、倦怠和离职意向产生了负面影响。应该提出新的见解,如提高护士的价值观一致性,以更好地培养护士。

方法

从中国护士工作环境状况研究中选取横断面数据。共收集了 19149 个有效样本。采用层次回归分析和简单斜率分析。

结果

变量的相关系数均显著(p<.01)且与预期方向一致。价值观一致性调节了护理工作环境与倦怠之间的关系(情绪耗竭:β=0.106,p<.01;去人格化:β=0.111,p<.01)。

结论

护理工作环境和价值观一致性与工作满意度呈正相关,与倦怠和离职意向呈负相关。如果护士的价值观与组织的价值观相吻合,那么较差的工作环境对护士倦怠的不利影响可以得到缓冲。

对护理管理的意义

除了改善组织特征外,价值观一致性是一个有用的概念,管理者可以利用它来提高组织和护士的积极成果。

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