教学医院专业护理实践环境的分类与评估
Classification and evaluation of the environment of the professional nursing practice in a teaching hospital.
作者信息
Yanarico Dilzabeth Margot Imata, Balsanelli Alexandre Pazetto, Gasparino Renata Cristina, Bohomol Elena
机构信息
Universidade Federal de São Paulo, Escola Paulista de Enfermagem, São Paulo, SP, Brazil.
Scholarship holder at the Programa de Alianças para a Educação e a Capacitação (PAEC OEA-GCUB)/UNIFESP, Brazil.
出版信息
Rev Lat Am Enfermagem. 2020 Oct 19;28:e3376. doi: 10.1590/1518-8345.4339.3376. eCollection 2020.
OBJECTIVE
to classify and evaluate the environment of the professional nursing practice in a teaching hospital.
METHOD
a cross-sectional study conducted with 188 nurses from a teaching hospital in the state of São Paulo, SP, Brazil. A questionnaire with sociodemographic and professional data and the Brazilian version of the Practice Environment Scale were used to classify and evaluate the environment of the professional nursing practice. Data was analyzed using Student's t-test, analysis of variance, Mann-Whitney, and Kruskal-Wallis tests with a significance level of 5% (p<0.05). The internal consistency of the instrument was evaluated using Cronbach's alpha.
RESULTS
the score's mean for the Brazilian version of the Practice Environment Scale was 2.54, and the participants considered two of the five subscales as unfavorable for the practice, namely: subscale 1, "Nurse Participation in Hospital Affairs" (2.37), and subscale 4, "Staffing and Resource Adequacy" (2.23).
CONCLUSION
the environment of the professional nursing practice has been classified as mixed, being evaluated with favorable conditions for the nursing practice, but the participation and involvement of nurses in hospital matters and the adequacy of resources to provide quality care need improvements.
目的
对一家教学医院的专业护理实践环境进行分类和评估。
方法
对巴西圣保罗州一家教学医院的188名护士进行横断面研究。使用一份包含社会人口学和专业数据的问卷以及巴西版的实践环境量表来对专业护理实践环境进行分类和评估。数据采用学生t检验、方差分析、曼-惠特尼检验和克鲁斯卡尔-沃利斯检验进行分析，显著性水平为5%（p<0.05）。使用克朗巴哈系数评估该工具的内部一致性。
结果
巴西版实践环境量表的平均得分是2.54，参与者认为五个子量表中的两个对实践不利，即：子量表1“护士参与医院事务”（2.37）和子量表4“人员配备和资源充足性”（2.23）。
结论
专业护理实践环境被分类为混合型，评估显示护理实践有有利条件，但护士在医院事务中的参与度以及提供优质护理的资源充足性需要改进。
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