Skela-Savič Brigita, Sermeus Walter, Dello Simon, Squires Allison, Bahun Mateja, Lobe Bojana
Angela Boškin Faculty of Health Care, Spodnji Plavž 3, Jesenice, 4270, Slovenia.
Leuven Institute for Healthcare Policy, Department of Public Health & Primary Care, Katholieke Universiteit Leuven, Kapucijnenvoer 35/4, Leuven, 3000, Belgium.
BMC Nurs. 2023 Apr 6;22(1):100. doi: 10.1186/s12912-023-01261-5.
Nurses' work environment influences nursing practice. Inappropriate working conditions are the result of underdeveloped workplace infrastructure, poor work organisation, inadequate education, and inappropriate staffing norms. The aim of this study was to describe and examine the predictors that affect nurses' work environment using the Practice Environment Scale of the Nursing Work Index (PES-NWI).
The validation of the PES-NWI was made. Nurse-reported job characteristics were used as independent variables. The sample included 1,010 nurses from adult surgical and medical units at 10 Slovenian hospitals. The Nurse Forecasting (RN4CAST) protocol was used. Permission to conduct the study was obtained from the National Medical Ethics Committee.
The PES-NWI mean (2.64) was low, as were job and career satisfaction at 2.96 and 2.89, respectively. The PES-NWI can be explained in 48% with 'Opportunities for advancement', 'Educational opportunities', 'Satisfaction with current job', 'Professional status', 'Study leave', and 'Level of education'. A three-factor solution of PES-NWI yielded eight distinct variables.
The obtained average on the Nursing Work Index was one of the lowest among previously conducted surveys. Nurses should be recognized as equals in the healthcare workforce who need to be empowered to develop the profession and have career development opportunities. Inter-professional relations and equal involvement of nurses in hospital affairs are also very important.
This is a non-intervention study - retrospectively registered.
护士的工作环境会影响护理实践。不适当的工作条件是工作场所基础设施不完善、工作组织不佳、教育不足以及人员配备规范不当的结果。本研究的目的是使用护理工作指数实践环境量表（PES-NWI）描述和检验影响护士工作环境的预测因素。
对PES-NWI进行了验证。护士报告的工作特征用作自变量。样本包括来自斯洛文尼亚10家医院成人外科和内科病房的1010名护士。采用了护士预测（RN4CAST）方案。获得了国家医学伦理委员会进行该研究的许可。
PES-NWI的均值（2.64）较低，工作满意度和职业满意度分别为2.96和2.89，也较低。PES-NWI的48%可以用“晋升机会”“教育机会”“对当前工作的满意度”“专业地位”“学习假”和“教育水平”来解释。PES-NWI的三因素解决方案产生了八个不同的变量。
在之前进行的调查中，所获得的护理工作指数平均值是最低的之一。护士应被视为医疗保健 workforce 中的平等成员，需要被赋予权力以发展该职业并获得职业发展机会。跨专业关系以及护士平等参与医院事务也非常重要。
这是一项非干预性研究——回顾性注册。
