护理实践环境与医院社会技术复杂性：一项混合方法研究。
The nursing practice environment and hospital sociotechnical complexity: a mixed-methods study.
作者信息
Riboldi Caren de Oliveira, Gasparino Renata Cristina, Wegner Wiliam, Henriqson Eder, Saurin Tarcísio Abreu, Magalhães Ana Maria Müller de
机构信息
Hospital de Clínicas de Porto Alegre. Porto Alegre, Rio Grande do Sul, Brazil.
Universidade Estadual de Campinas. Campinas, São Paulo, Brazil.
出版信息
Rev Bras Enferm. 2024 Dec 16;77(6):e20230315. doi: 10.1590/0034-7167-2023-0315. eCollection 2024.
OBJECTIVES
to analyze the relationship between the nursing practice environment and hospital sociotechnical complexity as perceived by nurses.
METHODS
a sequential explanatory mixed-methods study was conducted in a hospital in southern Brazil. The Brazilian version of the Practice Environment Scale-Nursing Work Index and the Complexity Characterization Questionnaire were administered to 132 nurses. Subsequently, semi-structured interviews were conducted with 18 participants, and the data were subjected to thematic analysis. Data integration was achieved through a connection approach.
RESULTS
the nursing practice environment was found to be favorable, except in the subscale concerning Staffing and Resource Adequacy, where complexity was present in the activities. The three emerging categories explained human and technical aspects related to complexity in the practice environment, quality of care, and patient safety. Unexpected variability was inversely correlated with the practice environment.
CONCLUSIONS
the study results indicate a relationship between these constructs, with implications for the quality and the safety of care.
目的
分析护士所感知的护理实践环境与医院社会技术复杂性之间的关系。
方法
在巴西南部的一家医院进行了一项序列解释性混合方法研究。向132名护士发放了巴西版的《护理工作指数实践环境量表》和《复杂性特征问卷》。随后，对18名参与者进行了半结构化访谈，并对数据进行了主题分析。通过关联方法实现数据整合。
结果
发现护理实践环境是有利的，但在人员配备和资源充足性子量表方面除外，该子量表中的活动存在复杂性。三个新出现的类别解释了与实践环境复杂性、护理质量和患者安全相关的人力和技术方面。意外变异性与实践环境呈负相关。
结论
研究结果表明这些结构之间存在关联，对护理质量和安全具有影响。
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