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组织赋权与自信沟通行为:对约旦新获得资格护士的一项调查

Organisational empowerment and assertive communication behaviours: a survey of Jordanian newly qualified nurses.

作者信息

Darawad Muhammad W, Mansour Mansour, Al-Niarat Tahany

机构信息

Professor, School of Nursing, The University of Jordan, Amman, Jordan.

Associate Professor, Fundamentals of Nursing Department, College of Nursing, Imam Abdulrahman Bin Faisal University, Saudi Arabia.

出版信息

Br J Nurs. 2020 Apr 9;29(7):419-425. doi: 10.12968/bjon.2020.29.7.419.

Abstract

BACKGROUND

Newly qualified nurses (NQNs) face several challenges in their early years of practice. Being empowered and able to speak up against unsafe practice are two important pillars for practising nursing safely and competently. Little research has examined the potential correlation between those two dimensions in the context of NQNs in Jordan.

AIMS

To investigate the correlation between NQNs' perceived structural empowerment in their work setting and their willingness to challenge unsafe practice in some hypothetical clinical scenarios.

METHODS

A cross-sectional survey involved 233 NQNs, who completed a self-administered questionnaire between January and March 2016.

FINDINGS

Participants reported moderate levels of both perceived structural empowerment and willingness to speak up against unsafe practice. There was a statistically significant positive correlation between the total structural empowerment score and the mean score for speaking up against unsafe practice.

CONCLUSION

The findings highlight the impact of peer, managerial and overall organisational support on enabling NQNs to become more empowered and assertive. Concrete, collaborative and organisation-wide efforts must be considered to foster greater empowerment of NQNs, but also revisiting work priorities to include supporting and advocating assertive communication skills among the more vulnerable of the newly qualified cohort.

摘要

背景

新获得资格的护士(NQNs)在其执业初期面临若干挑战。获得授权并能够对不安全的执业行为发声是安全且胜任地开展护理工作的两个重要支柱。在约旦新获得资格护士的背景下,很少有研究探讨这两个维度之间的潜在关联。

目的

调查新获得资格护士在工作环境中感知到的结构赋权与其在一些假设临床场景中挑战不安全执业行为的意愿之间的相关性。

方法

一项横断面调查涉及233名新获得资格护士,他们于2016年1月至3月间完成了一份自填式问卷。

结果

参与者报告称,在感知到的结构赋权和对不安全执业行为发声的意愿方面均处于中等水平。结构赋权总分与对不安全执业行为发声的平均得分之间存在统计学上显著的正相关。

结论

研究结果凸显了同事、管理层面及整体组织支持对于使新获得资格护士更有权力和更自信的影响。必须考虑采取具体、协作且全组织范围的努力,以促进新获得资格护士获得更大赋权,同时还要重新审视工作重点,包括在新获得资格群体中较脆弱的人群中支持和倡导自信沟通技巧。

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