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跨专业合作作为护士工作环境、患者安全结果和护士工作满意度之间关系的中介。

Interprofessional collaboration as a mediator in the relationship between nurse work environment, patient safety outcomes and job satisfaction among nurses.

机构信息

Fundamentals and Administration Department, College of Nursing, Sultan Qaboos University, Muscat, Oman.

Adjunct Faculty, Graduate School, St. Paul University Philippines, Tuguegarao, Philippines.

出版信息

J Nurs Manag. 2022 Jan;30(1):268-278. doi: 10.1111/jonm.13491. Epub 2021 Oct 19.

DOI:10.1111/jonm.13491
PMID:34601772
Abstract

BACKGROUND

As an important organisational feature, the nurse work environment has been associated with increased work effectiveness, reduced patient safety issues and improved care quality. However, the mechanism underlying this association remains unexplored.

AIM

This study aims to assess the mediating role of interprofessional collaboration in the relationships between nurse work environment, select patient safety outcomes and job satisfaction.

METHODS

This cross-sectional, descriptive study used five standardized scales and included 881 clinical nurses employed in select teaching hospitals in Oman.

RESULTS

Nurses who worked in teaching hospitals in Oman perceived their work environment as highly favourable. Nurse work environment was directly and indirectly associated with nurse-assessed quality of care, adverse patient events and job satisfaction, through interprofessional collaborations.

CONCLUSION

Findings of the study suggest that enhancing nurse work environments can be a potential strategy to foster interprofessional collaboration and improve job satisfaction and patient safety outcomes.

IMPLICATIONS FOR NURSING MANAGEMENT

Organisational strategies to improve patient safety outcomes and job satisfaction in nurses can be facilitated by improving nurses' work conditions and enhancing interprofessional collaboration through supportive leadership, theory-driven approaches, obtaining hospital accreditation/certification and relevant workplace policies.

摘要

背景

护士工作环境作为一个重要的组织特征,与提高工作效率、减少患者安全问题和提高护理质量有关。然而,这种关联的机制仍未得到探索。

目的

本研究旨在评估专业间协作在护士工作环境、选择患者安全结果和工作满意度之间关系中的中介作用。

方法

这是一项横断面描述性研究,使用了五个标准化量表,包括在阿曼的一些教学医院工作的 881 名临床护士。

结果

在阿曼教学医院工作的护士认为他们的工作环境非常有利。通过专业间协作,护士工作环境与护士评估的护理质量、不良患者事件和工作满意度直接和间接相关。

结论

研究结果表明,加强护士工作环境可以成为促进专业间协作、提高工作满意度和患者安全结果的潜在策略。

护理管理的意义

通过支持性领导、理论驱动的方法、获得医院认证/认证和相关工作场所政策,改善护士的工作条件并加强专业间协作,可以促进组织策略,以改善护士的患者安全结果和工作满意度。

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