综合医院病房结构特征对专业管理与护理质量关系的调节作用。

The moderating effects of structural characteristics of wards in general hospitals on the relationship between professional management and quality of care.

作者信息

Hendel T, Bar-Tal Y

出版信息

J Nurs Manag. 1994 Mar;2(2):71-5. doi: 10.1111/j.1365-2834.1994.tb00132.x.

DOI:10.1111/j.1365-2834.1994.tb00132.x

Abstract

The present research examined the moderating effects of three structural characteristics of wards: ward type (surgical vs medical), size, and hospital size on the relationship between professional management and quality of nursing care (QNC) on the ward. The sample consisted of 119 wards situated in general hospitals in Israel. The results of the three regression analyses show that only hospital size, had a moderating effect. Further analysis of the interaction showed that the effect of professional ward management on QNC was greater in large than in small or medium-sized hospitals. In addition, ward size was found to have a great effect, i.e. larger wards had lower QNC. Finally, in all three analyses professional management achieved significance, that is, better management is associated with higher QNC.

摘要

本研究考察了病房的三个结构特征（病房类型（外科与内科）、规模以及医院规模）对病房专业管理与护理质量（QNC）之间关系的调节作用。样本包括以色列综合医院的119个病房。三项回归分析结果表明，只有医院规模具有调节作用。对交互作用的进一步分析表明，专业病房管理对QNC的影响在大型医院中比在中小型医院中更大。此外，发现病房规模有很大影响，即病房规模越大，QNC越低。最后，在所有三项分析中，专业管理都具有显著性，也就是说，更好的管理与更高的QNC相关。