Faculty of Health Disciplines, Athabasca University, 1 University Drive, Athabasca, Alberta T9S 3A3, Canada.
Int Emerg Nurs. 2020 Mar;49:100814. doi: 10.1016/j.ienj.2019.100814. Epub 2020 Feb 8.
Increasing emergency department (ED) visits per capita, combined with an aging population and ongoing budgetary constraints in Canada's health care system necessitate continuous improvements to ensure that patients remain safe and continue to receive high quality care. Addressing ED nursing job satisfaction is a cost-effective way of improving safety and quality of hospital care.
A scoping literature review was conducted to examine the breadth of job satisfaction literature and identify the factors that specifically influence the job satisfaction of ED nurses.
A review of 161 journal articles revealed 34 articles fitting the inclusion criteria, which were included in the final analysis. There were ten predominant factors that allowed for workplace interventions, including six that did not achieve consensus. The ten factors are presented in the form of a practical model for implementation based on the Herzberg two-factor theory and the Maslow hierarchy of needs theory.
The model informs healthcare leaders how to pragmatically understand job satisfaction specific to ED nurses. This information in turn can be used to design interventions that increase job satisfaction while maintaining safety and quality of care.
加拿大医疗保健系统中，人均急诊部（ED）就诊量不断增加，人口老龄化以及持续的预算限制，都需要持续改进，以确保患者的安全并继续提供高质量的护理。提高急诊护士的工作满意度是一种具有成本效益的改善医院护理安全和质量的方法。
进行了一次范围广泛的文献综述，以考察工作满意度文献的广度，并确定具体影响急诊护士工作满意度的因素。
对 161 篇期刊文章的审查显示，有 34 篇文章符合纳入标准，并纳入最终分析。有十个主要因素可以进行工作场所干预，其中包括六个没有达成共识的因素。这十个因素以基于赫兹伯格双因素理论和马斯洛需求层次理论的实用模型呈现，以便实施。
该模型告知医疗保健领导者如何针对急诊护士的工作满意度进行务实的理解。反过来，这些信息可用于设计干预措施，在提高工作满意度的同时保持护理的安全性和质量。
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