The University of Alabama at Birmingham, Birmingham, AL.
Betty Irene Moore School of Nursing, University of California, Sacramento, CA.
Nurs Outlook. 2022 Jul-Aug;70(4):639-650. doi: 10.1016/j.outlook.2022.03.014. Epub 2022 Jul 5.
An understanding of nurse well-being remains elusive, particularly in the current toxic health care environment. Therefore, a conceptual definition of nurse well-being is needed.
The purpose of this paper is to report results of a concept analysis of nurse well-being.
Rodgers' Evolutionary Method of concept analysis was used to examine the attributes, antecedents, consequences, and related concepts of nurse well-being.
Findings revealed varying levels of nurse well-being: individual, organizational and community. Individual attributes included happiness, satisfaction, optimism, compassion, gratitude, forgiveness, and sound body/spirit. Organizational/community attributes included teamwork, sense of mission, pride in work, and social integration. Antecedents reflected commonalities with Maslow's hierarchy of needs, ranging from basic human needs to self-actualization. Consequences included resilience, collegial relationships, continued growth and development, empowerment, purposeful work, and physical/mental health.
Standardized definitions of individual and organizational/community nurse well-being should guide future research and policy development. Organizations must build capacity for nurses' well-being and explore its connection to patient safety and quality outcomes.
尽管人们对护士幸福感的理解仍难以捉摸,尤其是在当前充满毒性的医疗保健环境中,但我们仍需要对护士幸福感进行概念定义。
本文旨在报告护士幸福感的概念分析结果。
采用罗德斯的进化法概念分析,对护士幸福感的属性、前因、后果和相关概念进行了研究。
研究结果揭示了不同层次的护士幸福感:个体、组织和社区。个体属性包括幸福、满意、乐观、同情、感激、原谅和身心健全。组织/社区属性包括团队合作、使命感、对工作的自豪感和社会融合。前因反映了与马斯洛需求层次的共同点,从基本的人类需求到自我实现。后果包括适应力、同事关系、持续的成长和发展、赋权、有意义的工作以及身心健康。
个体和组织/社区护士幸福感的标准化定义应指导未来的研究和政策制定。组织必须为护士的幸福感建立能力,并探索其与患者安全和质量结果的联系。