变革型领导、工作环境和患者安全文化在以患者为中心的护理中扮演着怎样的角色？一项针对挪威养老院和家庭护理服务的横断面研究。
What is the role of transformational leadership, work environment and patient safety culture for person-centred care? A cross-sectional study in Norwegian nursing homes and home care services.
作者信息
Ree Eline
机构信息
SHARE - Centre for Resilience in Healthcare Faculty of Health Sciences University of Stavanger Stavanger Norway.
出版信息
Nurs Open. 2020 Aug 13;7(6):1988-1996. doi: 10.1002/nop2.592. eCollection 2020 Nov.
Abstract
AIM
To examine how transformational leadership, job demands, job resources and patient safety culture contribute in explaining person-centred care in nursing homes and home care services.
DESIGN
Cross-sectional study.
METHODS
Healthcare professionals in four Norwegian nursing homes ( = 165) and four home care services ( = 139) participated in 2018. Multiple regression analyses were used to examine to what degree transformational leadership, job demands, job resources and patient safety culture dimensions predicted person-centred care.
RESULTS
Transformational leadership, job demands and job resources explained 41% of the variance in person-centred care, with work pace as the strongest predictor ( = 0.39 < .001). The patient safety culture dimensions explained 57.5% of the variance in person-centred care, with staffing being the strongest predictor ( = 0.31 < .001). There were small differences between nursing homes and home care. In total, transformational leadership, pace of work, staffing and factors related to communication were the strongest predictors for person-centred care.
摘要
目的
探讨变革型领导、工作需求、工作资源和患者安全文化如何有助于解释养老院和家庭护理服务中的以人为本的护理。
设计
横断面研究。
方法
2018年，挪威四家养老院（n = 165）和四家家庭护理服务机构（n = 139）的医护人员参与了研究。采用多元回归分析来检验变革型领导、工作需求、工作资源和患者安全文化维度在多大程度上预测了以人为本的护理。
结果
变革型领导、工作需求和工作资源解释了以人为本护理中41%的方差变异，工作节奏是最强的预测因素（β = 0.39，p <.001）。患者安全文化维度解释了以人为本护理中57.5%的方差变异，人员配备是最强的预测因素（β = 0.31，p <.001）。养老院和家庭护理之间存在微小差异。总体而言，变革型领导、工作节奏、人员配备和与沟通相关的因素是以人为本护理的最强预测因素。
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