University of Milwaukee.
Advocate Health.
Nurs Ethics. 2024 Aug;31(5):699-713. doi: 10.1177/09697330231200567. Epub 2023 Sep 22.
Professional values are important in promoting healthy work environments, patient satisfaction, and quality of care. Magnet® hospitals are recognized for excellence in nursing care and as such, understanding the relationship between nurses' values and Magnet status is essential as healthcare organizations seek to improve patient outcomes.
RESEARCH QUESTION/AIM/OBJECTIVES: The research question is: are there differences in individual values, professional values, and nursing care quality for nurses and nurse managers practicing in Magnet, Magnet journey, and non-Magnet direct patient care settings?
This descriptive cross-sectional study is guided and informed by the conceptual framework of the Professional Values Model including individual values, professional values, and nursing care quality.
Convenience sampling of registered nurses and nurse managers, responsible for direct patient care, was utilized in a non-profit healthcare system in the Midwest region of the United States.
Institutional review board approval was obtained. Participants were informed about the right to self-determine participation and assurance of anonymity.
827 (n = 827) nurses and nurse managers responded to the survey. Significant differences were identified in individual values sub-scale: self-enhancement ( = 0.38), professional values ( = 0.037), practice environment: participation in hospital affairs ( = 0.00), foundations for quality care ( = 0.016), and resources adequacy ( = 0.012) and in nurse sensitive HCAHPS questions: nurses explained things understandably ( = 0.00), got help as soon as wanted ( = 0.00), and treated with courtesy and respect ( = 0.00).
DISCUSSION/CONCLUSIONS: Findings indicate that fostering individual and professional values may impact nursing practice, regardless of Magnet designation. Promoting professional values may contribute to improved work environments, enhancing patient satisfaction. Study results offer valuable insights for organizations striving to enhance nursing values, impacting quality of care provided to patients.
Cross-Sectional Studies, Respect, Ethics Committees, Patient Satisfaction, Nurse Administrators, and Personal Satisfaction.
专业价值观对于促进健康的工作环境、患者满意度和护理质量至关重要。磁石®医院因其卓越的护理而备受认可,因此,了解护士的价值观与磁石地位之间的关系对于寻求改善患者预后的医疗机构至关重要。
研究问题/目的/目标:研究问题是:在磁石、磁石之旅和非磁石直接患者护理环境中执业的护士和护士长在个人价值观、职业价值观和护理质量方面是否存在差异?
本描述性横断面研究以专业价值观模型的概念框架为指导和依据,包括个人价值观、职业价值观和护理质量。
采用便利抽样法,在美国中西部地区的非营利性医疗机构中抽取注册护士和负责直接患者护理的护士长作为研究对象。
获得了机构审查委员会的批准。告知参与者参与的自主权和匿名权。
827 名(n=827)护士和护士长对调查做出了回应。在个人价值观子量表方面存在显著差异:自我提升(=0.38)、职业价值观(=0.037)、实践环境:参与医院事务(=0.00)、质量护理基础(=0.016)和资源充足性(=0.012)以及护士敏感 HCAHPS 问题:护士清楚地解释事情(=0.00)、尽快得到帮助(=0.00)和得到礼貌和尊重的对待(=0.00)。
讨论/结论:研究结果表明,培养个人和职业价值观可能会影响护理实践,无论磁石指定如何。促进职业价值观可能有助于改善工作环境,提高患者满意度。研究结果为努力增强护理价值观、影响为患者提供的护理质量的组织提供了有价值的见解。
横断面研究、尊重、伦理委员会、患者满意度、护士长、个人满意度。