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护士对医疗无菌操作的自我效能评估及其与结构授权、工作投入和与工作相关的压力的关系。

Nurses' assessed self-efficacy levels to medical asepsis and their relation to structural empowerment, work engagement and work-related stress.

机构信息

Department of Caring Sciences, Faculty of Health and Occupational Studies, University of Gävle, Gävle, Sweden.

Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.

出版信息

Work. 2023;74(2):501-513. doi: 10.3233/WOR-211305.

Abstract

BACKGROUND

Nurses' working conditions are important for their well-being at work and for their ability to provide patients with safe care. Self-efficacy can influence employees' behaviour at work. Therefore, it is valuable to study self-efficacy levels to medical asepsis in relation to working conditions.

OBJECTIVE

To investigate the relationship between nurses' assessed self-efficacy levels to medical asepsis in care situations and structural empowerment, work engagement and work-related stress.

METHODS

A cross-sectional study with a correlational design was conducted. A total of 417 registered nurses and licensed practical nurses at surgical and orthopaedic units responded to a questionnaire containing: the Infection Prevention Appraisal Scale, the Conditions of Work Effectiveness Questionnaire-II, the Utrecht Work Engagement Scale-9 and the Health & Safety Executive Management Standards Indicator Tool. Correlational analyses and group comparisons were performed.

RESULTS

The nurses rated high levels of self-efficacy to medical asepsis in care situations. The correlational analyses revealed that correlation coefficients between structural empowerment, work engagement, work-related stress and self-efficacy to medical asepsis were 0.254-0.268. Significant differences in self-efficacy were found in the grouped working conditions.

CONCLUSIONS

This study revealed that nurses rated high self-efficacy levels to medical asepsis and, to some extent, this seemed related to structural empowerment, work engagement and work-related stress. This valuable knowledge could enable improvements at the managerial and organisational levels, benefiting both nurses and patients in the long run.

摘要

背景

护士的工作条件对其工作幸福感以及为患者提供安全护理的能力至关重要。自我效能感可以影响员工的工作行为。因此,研究与工作条件相关的医疗无菌自我效能水平具有重要价值。

目的

调查护理情境中护士对医疗无菌的自我效能评估水平与结构授权、工作投入和与工作相关的应激之间的关系。

方法

采用横断面相关性研究设计,共 417 名外科和矫形单位的注册护士和执业护士对包含以下内容的问卷做出了回应:感染预防评估量表、工作条件有效性问卷- II、乌得勒支工作投入量表-9 和健康与安全执行管理标准指标工具。进行了相关分析和组间比较。

结果

护士对护理情境中的医疗无菌自我效能评价较高。相关分析显示,结构授权、工作投入、与工作相关的应激与医疗无菌自我效能之间的相关系数为 0.254-0.268。在分组的工作条件中发现自我效能存在显著差异。

结论

本研究表明,护士对医疗无菌自我效能评价较高,在某种程度上,这似乎与结构授权、工作投入和与工作相关的应激有关。这些有价值的知识可以在管理和组织层面上进行改进,从长远来看,使护士和患者受益。

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