探讨主导护士的工作价值观及其与团队安全氛围的关系：新生儿重症监护病房问卷调查的结果。
Exploring leading nurses' work values and their association with team safety climate: Results from a questionnaire survey in neonatal intensive care units.
机构信息
Department for Business Administration and Health Care Management, Faculty of Management, Economics and Social Sciences, University of Cologne, Cologne, Germany.
Institute of Medical Sociology, Health Services Research, and Rehabilitation Science (IMVR), Faculty of Human Sciences and Faculty of Medicine, University of Cologne, Cologne, Germany.
出版信息
J Nurs Manag. 2020 Jan;28(1):112-119. doi: 10.1111/jonm.12903. Epub 2019 Dec 6.
AIM
To explore leading nurses' work values and their effect on the safety climate in neonatal intensive care units (NICUs).
BACKGROUND
Despite their significance for behaviour, the work values of leading nurses are still insufficiently studied. We explore the impact of work value dimensions (self-transcendence, self-enhancement, conservation, and openness to change) on the safety climate.
METHODS
A cross-sectional study was conducted in 86 German NICUs between September 2015 and August 2016. Our analyses relate questionnaire data from 75 leading nurses to the shared perceptions regarding safety among their team members (n = 1,277). We used fractional response modelling to identify important work values.
RESULTS
The analysis showed differences between the dimensions of work values and their association with the safety climate. A significant positive association was found between the work value dimension self-transcendence (including the work values relationships with others and altruism) and safety climate (β = 0.255, p = .001). A large team size has a negative impact on the safety climate.
CONCLUSION
The findings indicate that the leading nurse's score on self-transcendence is positively related to the safety climate.
IMPLICATIONS FOR NURSING MANAGEMENT
The results demonstrate that it might be useful to consider work values in the selection of nurse leaders.
目的
探讨新生儿重症监护病房（NICU）护士长的工作价值观及其对安全氛围的影响。
背景
尽管护士长的工作价值观对行为有重要影响，但对其的研究仍不够充分。本研究旨在探讨工作价值观维度（自我超越、自我增强、保守和开放变革）对安全氛围的影响。
方法
本研究于 2015 年 9 月至 2016 年 8 月在德国 86 家 NICU 进行了一项横断面研究。我们对 75 名护士长的问卷调查数据与团队成员对安全的共同看法（n=1277）进行了分析。我们使用分数响应模型来确定重要的工作价值观。
结果
分析结果显示工作价值观维度之间存在差异，且与安全氛围相关。工作价值观维度自我超越（包括与他人的关系和利他主义）与安全氛围呈显著正相关（β=0.255，p=0.001）。团队规模较大对安全氛围有负面影响。
结论
研究结果表明，护士长的自我超越得分与安全氛围呈正相关。
对护理管理的意义
研究结果表明，在选择护士长时考虑工作价值观可能是有用的。
Zotero 插件