接受过培训的护士是否感到更有心理安全感？——一种多层次建模方法的结果。

Do trained nurses feel more psychologically safe?-Results from a multi-level modelling approach.

机构信息

Department for Business Administration and Health Care Management, Faculty of Management, Economics and Social Sciences, University of Cologne, Germany.

Institute of Medical Sociology, Health Services Research, and Rehabilitation Science, Faculty of Human Sciences and Faculty of Medicine, University of Cologne, Germany.

出版信息

Nurs Open. 2021 Nov;8(6):3024-3035. doi: 10.1002/nop2.1015. Epub 2021 Aug 1.

DOI:10.1002/nop2.1015

PMID:34337904

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8510784/

Abstract

AIM

To analyse the associations between a nurse's psychological safety and her/his additional training.

DESIGN

A cross-sectional survey conducted between September 2015 and August 2016.

METHODS

A multi-level modelling approach was used considering unit membership. We used data from 1,239 questionnaires completed by nurses on 75 different German neonatal intensive care units, and 75 questionnaires completed by the corresponding leading nurse.

RESULTS

We found the additional managerial training as a charge nurse to be a positive predictor for psychological safety (β = .346, p ≤ .05). Surprisingly, the additional clinical training in paediatric intensive care is negatively associated with psychological safety (β = -.192, p ≤ .01). Our model estimates that this negative association can be inhibited if the team's share of nurses with an additional clinical training increases (β = .313, p ≤ .05).

摘要

目的

分析护士心理安全感与其额外培训之间的关系。

设计

2015 年 9 月至 2016 年 8 月期间进行的横断面调查。

方法

采用考虑单位隶属关系的多层次建模方法。我们使用了来自德国 75 个新生儿重症监护病房的 1239 份由护士填写的问卷和 75 份由相应的护士长填写的问卷的数据。

结果

我们发现担任护士长的额外管理培训是心理安全感的一个积极预测因素（β=0.346，p≤0.05）。令人惊讶的是，儿科重症监护的额外临床培训与心理安全感呈负相关（β=-0.192，p≤0.01）。我们的模型估计，如果团队中具有额外临床培训的护士比例增加，这种负相关关系可以被抑制（β=0.313，p≤0.05）。