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服务氛围与护士在住院护理过程中与老年患者家属的协作

Service Climate and Nurses' Collaboration with Families of Older Patients in the Care Process during Hospitalization.

作者信息

Vinarski-Peretz Hedva, Mashiach-Eizenberg Michal, Idilbi Nasra, Halperin Dafna

机构信息

M.A. Program in Public Administration and Public Policy, Department of Political Science, Yezreel Valley Academic College, Yezreel Valley 1930600, Israel.

Department of Health Systems Management, Yezreel Valley Academic College, Yezreel Valley 1930600, Israel.

出版信息

Healthcare (Basel). 2023 Sep 7;11(18):2485. doi: 10.3390/healthcare11182485.

Abstract

This study focuses on the concrete role of the presence of a ward's service climate in cultivating nurses' collaboration with family members. Accordingly, this study examined the moderating role of the service climate in the link between nurses' attitudes toward the family and their collaboration with family members in the care process. This is the second article of a series of studies we conducted among health staff in Israeli public hospitals. Relying on the patient- and family-centered care approach and using a cross-sectional study of 179 nurses from 13 internal medicine, surgical and geriatric wards at a large public hospital in Israel, we conducted a multiple regression analysis to test the contribution of all relationship variables to predicting nurses' collaborative behavior with the family in the care process during elderly hospitalization. The findings indicate that service climate had a conditional moderating effect on the relationship between nurses' perception of the family as a burden and their collaboration with the family in nursing care. Namely, in the absence of a targeted service climate, nurses form perceptions about the families as a burden, which in turn affects their distinct non-collaboration, and vice versa.

摘要

本研究聚焦于病房服务氛围在培养护士与家属协作方面的具体作用。据此,本研究考察了服务氛围在护士对家属的态度与其在护理过程中与家属协作之间的联系中所起的调节作用。这是我们在以色列公立医院医护人员中开展的一系列研究中的第二篇文章。依托以患者和家属为中心的护理方法,并对来自以色列一家大型公立医院13个内科、外科和老年病房的179名护士进行横断面研究,我们进行了多元回归分析,以检验所有关系变量对预测老年住院期间护理过程中护士与家属协作行为的贡献。研究结果表明,服务氛围对护士将家属视为负担的认知与其在护理中与家属协作之间的关系具有条件性调节作用。也就是说,在缺乏针对性服务氛围的情况下,护士会将家属视为负担,这反过来又会影响他们明显的不协作行为,反之亦然。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/264a/10531144/af5a2f40001e/healthcare-11-02485-g001.jpg

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