Teaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South University, Changsha, China.
J Nurs Manag. 2022 Oct;30(7):2897-2905. doi: 10.1111/jonm.13616. Epub 2022 Apr 19.
The objective of this study is to investigate the status and associations of nursing practice environments in intensive care units of tertiary hospitals and provide suggestions for improvement.
Nursing shortage is an urgent global problem and a concern in China. Intensive care unit nurses have been reported to have one of the highest rates of burnout; however, their comprehensive perceptions of nursing practice environments have not yet been examined.
The Nursing Practice Environment Scale was used to conduct a questionnaire-based survey of 1,523 intensive care unit nurses from 22 tertiary hospitals in China. The data collection was conducted in 2020.
The overall score for the nursing practice environment was 77.042 ± 19.682 (where 100 was the highest possible score). The three highest scoring dimensions were quality management, clinical nursing professionalism and professional improvement, whereas the three lowest-scoring dimensions were hospital management participation, remuneration package and social status. Educational background, position, gender and hospital type were significantly associated with nurses' satisfaction with the working environment.
Chinese nurses in the intensive care units of tertiary hospitals reported relatively satisfactory nursing practice environments, but the scale scores in dimensions such as hospital management participation, remuneration package and social status remained low.
Understanding the status and associations of the nursing practice environment in intensive care units provides evidence that new policies are needed. Furthermore, managers are responsible for supervising and ensuring that nursing practice environments meet the criteria necessary to improve job satisfaction.
本研究旨在调查三级医院重症监护病房护理实践环境的现状及其相关性，为改进提供建议。
护理人员短缺是一个全球性的紧迫问题，也是中国关注的问题。据报道，重症监护病房护士的倦怠率最高；然而，他们对护理实践环境的综合看法尚未得到检验。
采用护理实践环境量表对中国 22 家三级医院的 1523 名重症监护病房护士进行问卷调查。数据收集于 2020 年进行。
护理实践环境的总分为 77.042±19.682（满分为 100）。得分最高的三个维度是质量管理、临床护理专业性和专业提升，得分最低的三个维度是医院管理参与度、薪酬和社会地位。教育背景、职位、性别和医院类型与护士对工作环境的满意度显著相关。
中国三级医院重症监护病房的护士报告了相对满意的护理实践环境，但在医院管理参与度、薪酬和社会地位等方面的评分仍然较低。
了解重症监护病房护理实践环境的现状和相关性提供了需要制定新政策的证据。此外，管理者有责任监督和确保护理实践环境符合提高工作满意度的标准。
