Nursing department, Department of Thyroid Breast Surgery, The third Xiangya hospital of Central South University, 138 Tong Zi Po Road, Changsha, Hunan, China, 410013.
Xiangya Nursing School, Central South University, 172 Tong Zi Po Road, Changsha, Hunan, China, 410013.
Geriatr Nurs. 2021 Mar-Apr;42(2):427-432. doi: 10.1016/j.gerinurse.2021.02.011. Epub 2021 Mar 5.
Our objective was to examine the quality of care perceived by nursing staff and its relationship with the staffing and organizational climate in nursing homes. The participants in this cross-sectional study included 358 nursing staff from 26 nursing homes in Hunan Province, China. This study found that the interaction effect between nursing staff to resident ratio and physician to resident ratio exerted a significant effect on quality of care (p < 0.05). Higher scores on the relationships and communication scale (OR = 4.771, p = 0.002) and lower scores on the work stress scale (OR = 0.980, p = 0.050) were also associated with better quality of care. More work experience was related to lower quality of care (OR = 0.944, p = 0.048), and work experience was associated with relationships and communication (Beta = 0.172, p = 0.002) and work stress (Beta= = 0.259, p = 0.000). Staffing level, work experience, work stress, relationships and communication are key factors in providing higher quality of care in nursing homes.
本研究旨在探讨养老院护理人员感知的护理质量及其与护理人员配备和组织氛围的关系。本横断面研究的参与者包括来自中国湖南省 26 家养老院的 358 名护理人员。研究发现，护理人员与居民比例和医生与居民比例的相互作用效应对护理质量有显著影响（p<0.05）。人际关系和沟通量表得分较高（OR=4.771，p=0.002）和工作压力量表得分较低（OR=0.980，p=0.050）与更好的护理质量相关。更多的工作经验与较低的护理质量相关（OR=0.944，p=0.048），工作经验与人际关系和沟通（Beta=0.172，p=0.002）和工作压力（Beta=0.259，p=0.000）有关。人员配备水平、工作经验、工作压力、人际关系和沟通是养老院提供更高质量护理的关键因素。
