Institute of Nursing and Midwifery, Faculty of Health Sciences, Medical College, Jagiellonian University, 31-501 Krakow, Poland.
Institute of Public Health, Faculty of Health Sciences, Medical College, Jagiellonian University, 31-066 Krakow, Poland.
Int J Environ Res Public Health. 2021 Nov 17;18(22):12057. doi: 10.3390/ijerph182212057.
Numerous studies have found that organizational features connected with the work environment of nurses have a significant influence on patients' safety. The aim of this research was to capture nurses' opinions about patients' safety and discern relationships with work environment characteristics. This cross-sectional study surveyed 1825 nurses. The research used questionnaire consisting of four parts: (1) covered The Practice Environment Scale of the Nursing Work Index (PES-NWI); (2) assessed the quality of nursing care and care safety; (3) contained information on the most recent duty served by the nurses and (4) captured social and demographic data of participants. The research identified strong association between patient safety assessment and work environment of nurses in the aspect of employment adequacy, cooperation between nurses and doctors, support for nurses from the managing staff, the possibility to participate in the management as well as professional promotion of nurses employed in the hospital ( < 0.001). Nurses rated patient safety higher when responsible for a smaller number of patients. Work environment factors such as proper staffing, good cooperation with doctors, support from the management, as well as professional independence are significantly related to nurses' assessment of patients' safety.
许多研究发现,与护士工作环境相关的组织特征对患者安全有重大影响。本研究旨在了解护士对患者安全的看法,并发现与工作环境特征的关系。这是一项横断面研究,调查了 1825 名护士。研究使用了一个包含四个部分的问卷:(1)涵盖护理工作指数的实践环境量表(PES-NWI);(2)评估护理质量和护理安全;(3)包含护士最近一次值班的信息;(4)收集参与者的社会和人口统计学数据。研究发现,护士对患者安全的评估与护士工作环境在雇佣充足性、护士与医生之间的合作、管理层对护士的支持、护士参与管理以及医院雇用的护士的专业晋升方面存在很强的关联(<0.001)。当护士负责的患者人数较少时,他们对患者安全的评价更高。适当的人员配置、与医生的良好合作、管理层的支持以及专业独立性等工作环境因素与护士对患者安全的评估显著相关。