Faculty of Nursing, University of Calgary, Calgary, Alberta, Canada.
Faculty of Education and Professional Studies-School of Nursing, Nipissing University, North Bay, Ontario, Canada.
Appl Nurs Res. 2022 Aug;66:151608. doi: 10.1016/j.apnr.2022.151608. Epub 2022 Jun 26.
Intensive hospital work environments can affect staff, patient, and organizational outcomes.
(1) To assess quantitatively the relationship between critical care registered nurses' perceptions of their workplace, their absenteeism, and their turnover intent; and (2) to analyze nurses' recommendations for improvements for critical patient care.
Following STROBE guidelines, a cross-sectional survey sampled registered nurses (n = 302), across the Canadian province of Alberta, in October 2018. We assessed nurses' perceptions of their work environment relative to their absenteeism and turnover intent utilizing regression modelling and the Practice Environment Scale of the Nursing Work Index.
A negative binomial analysis indicated that RNs' positive perceptions about their workplace had significant associations with lower rates of absenteeism. Additionally, participants who scored their work environment higher were found to have decreased intentions of leaving the workplace. RNs ranked their "participation in hospital affairs" lowest when comparing practice environment domains and recommended optimizing staffing as the most important improvement for their work environment and patient care.
Considering the demands associated with critical care patient settings, stakeholders can consider these findings that significant associations exist between nursing staffs' perceptions of the workplace relative to their absenteeism and their turnover intent.
Value-based solutions are needed in optimizing these key factors, and staffs' participation in hospital affairs appears vital for organizational success.
紧张的医院工作环境会影响员工、患者和组织的结果。
（1）定量评估重症监护注册护士对工作场所的看法与其缺勤和离职意向之间的关系；（2）分析护士对改善危重症患者护理的建议。
根据 STROBE 指南，我们于 2018 年 10 月在加拿大艾伯塔省进行了一项横断面调查，对注册护士（n=302）进行抽样。我们利用回归模型和护理工作指数的实践环境量表评估护士对工作环境的看法与其缺勤和离职意向之间的关系。
负二项式分析表明，护士对工作场所的积极看法与较低的缺勤率有显著关联。此外，环境得分较高的参与者离职的意愿较低。与其他实践环境领域相比，护士将“参与医院事务”的排名最低，并建议优化人员配置是改善工作环境和患者护理的最重要措施。
考虑到危重症患者护理环境的要求，利益相关者可以考虑这些发现，即护理人员对工作场所的看法与其缺勤和离职意向之间存在显著关联。
需要优化这些关键因素的基于价值的解决方案，而员工参与医院事务对于组织的成功至关重要。
