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护士对组织公正的感知及其与工作场所偏差行为的关系。

Nurses' perception of organizational justice and its relationship to their workplace deviance.

机构信息

Faculty of Nursing, Alexandria University, Egypt; King Saud bin Abdul-Aziz University for Health Sciences, Jeddah, Saudi Arabia.

出版信息

Nurs Ethics. 2020 Feb;27(1):273-288. doi: 10.1177/0969733019834978. Epub 2019 Apr 14.

Abstract

BACKGROUND

Today, healthcare organizations are challenged to retain nurses' generation and to maintain justice that is a predictor of nurses' behaviors in their work environment. Acquiring knowledge about the level of organizational justice and workplace deviance could help in identifying factors amenable for change that can make a difference in enhancing nurses' dedication and loyalty to their organizations.

AIM

The aim of this study was to investigate nurses' perception of organisational justice and workplace deviance in their hospital, and to determine the relationship between perceived organisational justice and workplace deviance.

METHODS

A cross-sectional design was used with a convenient sample of all nurses (N = 400) who were working in inpatient care units at two Egyptian hospitals affiliated to the university and private health sectors in Alexandria governorate, Egypt. Organisational justice and workplace deviance questionnaires proved valid and reliable to measure studied variables. Descriptive analysis, Student's t-test, Pearson correlation (r), and regression analysis (R) were used for statistical analysis.

ETHICAL CONSIDERATIONS

This study was approved by the Ethics Committee at the Faculty of Nursing, Alexandria University. Informed consent, information confidentiality, and voluntary participation were guaranteed.

RESULTS

This study showed that overall nurses' perceptions of organisational justice and workplace deviance are lower than the average. Organisational justice significantly related negatively to workplace deviance (r = -0.152, p = 0.002) and organisational justice as an independent variable contributed a significant predictive power of workplace deviance (R = 0.023).

CONCLUSIONS

This study highlighted important implications for hospital and nurse managers to create and maintain a healthy and supportive work environment that promotes organisational justice and decreases workplace deviance. To achieve this, a culture of respectful communication, justice in policies, and a proper procedure for allocating resources, workload, and rewards systems is a must. Educational interventions to increase nurses' awareness of workplace deviance and its potential consequences and coping strategies are imperative for the health of the nursing profession.

摘要

背景

如今,医疗机构面临着留住护士这一代人的挑战,并需要维护公正,因为公正可以预测护士在工作环境中的行为。了解组织公正和工作场所偏差的程度,可以帮助识别可改变的因素,这些因素可以对增强护士对组织的奉献精神和忠诚度产生影响。

目的

本研究旨在调查护士对其所在医院组织公正和工作场所偏差的看法,并确定感知组织公正与工作场所偏差之间的关系。

方法

采用横断面设计,对埃及亚历山大省两所大学附属医院和私立卫生部门住院护理单元的所有护士(N=400)进行了方便抽样。组织公正和工作场所偏差问卷被证明是有效和可靠的,可以衡量所研究的变量。采用描述性分析、学生 t 检验、皮尔逊相关系数(r)和回归分析(R)进行统计分析。

伦理考虑

本研究得到了亚历山大大学护理学院伦理委员会的批准。保证了知情同意、信息保密和自愿参与。

结果

本研究表明,护士对组织公正和工作场所偏差的总体看法低于平均水平。组织公正在统计学上与工作场所偏差呈显著负相关(r=-0.152,p=0.002),组织公正作为一个独立变量对工作场所偏差有显著的预测能力(R=0.023)。

结论

本研究强调了医院和护士管理者的重要意义,他们需要创造和维持一个健康和支持性的工作环境,促进组织公正,减少工作场所偏差。要做到这一点,必须建立一种尊重沟通、政策公正以及资源、工作量和奖励系统分配的适当程序的文化。提高护士对工作场所偏差及其潜在后果的认识,并提供应对策略的教育干预措施,对于护理行业的健康至关重要。

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