The relationship between hospital work environment and nurse outcomes in Guangdong, China: a nurse questionnaire survey.
The relationship between hospital work environment and nurse outcomes in Guangdong, China: a nurse questionnaire survey.
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DOI：
10.1111/j.1365-2702.2011.03991.x
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发表时间：
2012-05
影响因子：
4.2
通讯作者：
Aiken LH
中科院分区：
文献类型：
--
作者：
Liu K;You LM;Chen SX;Hao YT;Zhu XW;Zhang LF;Aiken LH
本研究探讨了中国广东省护士的医院工作环境与工作满意度、工作倦怠和离职意愿之间的关系。护理人员短缺是一个紧迫的全球性问题，也是中国所关注的问题。西方国家的研究表明，更好的工作环境与更高的护士满意度和更低的职业倦怠有关，从而提高保留率并降低流动率。然而，我国关于护士工作环境与护士成果之间关系的研究还很少。这是一项横断面研究。调查数据收集自中国广东省 21 家医院 89 个内科、外科和重症监护病房的 1104 名床边护士。采用分层方便抽样方法选择医院，采用系统抽样方法选择单位。对参与单位的所有护士进行了调查。采用中国医院护士调查，包括护理工作指数实践环境量表和Maslach倦怠量表来收集护士数据。统计显着性水平设定为0·05。 37%的护士经历过高度倦怠，54%的护士对自己的工作不满意。将护士的工作环境从恶劣改善到更好，可以使护士的工作满意度降低 50%，与工作相关的倦怠降低 33%。中国广东省医院护士的职业倦怠和工作满意度很高。护士更好的工作环境与工作满意度和工作倦怠的减少有关，这可能会成功解决中国护士短缺的问题。这项研究的结果表明，改善工作环境对于解决护理人员短缺问题至关重要；研究结果为护士管理者和政策制定者改善中国医院护士的工作环境提供了动力。
This study examines the relationship between hospital work environments and job satisfaction, job-related burnout and intention to leave among nurses in Guangdong province, China. The nursing shortage is an urgent global problem and also of concern in China. Studies in Western countries have shown that better work environments are associated with higher nurse satisfaction and lower burnout, thereby improving retention and lowering turnover rates. However, there is little research on the relationship between nurse work environments and nurse outcomes in China. This is a cross-sectional study. Survey data were collected from 1104 bedside nurses in 89 medical, surgical and intensive care units in 21 hospitals across the Guangdong province in China. Stratified convenience sampling was used to select hospitals, and systematic sampling was used to select units. All staff nurses working on participating units were surveyed. The China Hospital Nurse Survey, including the Practice Environment Scale of the Nursing Work Index and Maslach Burnout Inventory, was employed to collect data from nurses. Statistical significance level was set at 0·05. Thirty-seven per cent of the nurses experienced high burnout, and 54% were dissatisfied with their jobs. Improving nurses’ work environments from poor to better was associated with a 50% decrease in job dissatisfaction and a 33% decrease in job-related burnout among nurses. Burnout and job dissatisfaction are high among hospital nurses in Guangdong province, China. Better work environments for nurses were associated with decreased job dissatisfaction and job-related burnout, which may successfully address the nursing shortage in China. The findings of this study indicate that improving work environments is essential to deal with the nursing shortage; the findings provide motivation for nurse managers and policy makers to improve work environments of hospital nurses in China.
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