Nurse practice environments and outcomes: Implications for oncology nursing
Nurse practice environments and outcomes: Implications for oncology nursing
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DOI：
10.1188/05.onf.765-772
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发表时间：
2005-07-01
影响因子：
1.9
通讯作者：
Friese, CR
中科院分区：
文献类型：
--
作者：
Friese, CR
目的/目标：检查在肿瘤科或 Magnet 医院工作的护士的实践环境和结果，并了解两者之间的关联。设计：对 1998 年收集的调查数据进行二次分析。设置：22 家医院的医疗和外科单位，其中 7 家获得美国护士资格认证中心 Magnet 计划认可。样本：1,956 名注册护士，其中 305 名在肿瘤科工作 方法：卡方检验按工作环境比较护士报告的结果，分析按环境测试的实践环境差异的方差，逻辑回归估计实践环境、专业和磁力状态对结果的影响。主要研究变量：实践环境、情绪耗竭、工作满意度和护理质量。结果：与非肿瘤科护士相比，肿瘤科护士的结果更好。在 Magnet 医院工作的肿瘤科护士的情绪疲惫程度明显较低。肿瘤科护士在护士-医生关系子量表中的得分最高。结果与护理工作指数得分的实践环境量表和磁铁状态相关。具有良好的医患合作关系的肿瘤科护士报告高质量护理的可能性是其两倍。结论：肿瘤科护士从在美国护士资格认证中心 Magnet 医院工作中受益。要实现最佳结果，需要充足的人员配备和资源。学院护士与医生的关系似乎对于优化肿瘤学实践环境至关重要。对护理的启示：除了追求美国护士资格认证中心磁力认可外，护士管理者还应该评估实践环境并采取针对性的相关干预措施，以提高工作满意度和保留率。干预措施的高度优先领域包括确保充足的人员和资源、促进护士与医生的合作以及加强单位领导。
Purpose/Objectives: To examine practice environments and outcomes of nurses working in oncology units or Magnet hospitals and to understand the association between the two.Design: Secondary analysis of survey data collected in 1998.Setting: Medical and surgical units of 22 hospitals, of which 7 were recognized by the American Nurses Credentialing Center Magnet program.Sample: 1,956 RNs, of whom 305 worked in oncology units.Methods: Chi-square tests compared nurse-reported outcomes by work setting, analysis of variance tested practice environment differences by setting, and logistic regression estimated the effects of practice environment, specialty, and Magnet status on outcomes.Main Research Variables: Practice environments, emotional exhaustion, job satisfaction, and quality of care.Findings: Oncology nurses had superior outcomes compared with nononcology nurses. Emotional exhaustion was significantly lower among oncology nurses working in Magnet hospitals. Scores on the Collegial Nurse-Physician Relations subscale were highest among oncology nurses. Outcomes were associated with Practice Environment Scale of the Nursing Work Index scores and Magnet status. Oncology nurses with favorable collegial nurse-physician relations were twice as likely to report high-quality care.Conclusions: Oncology nurses benefit from working in American Nurses Credentialing Center Magnet hospitals. Adequate staffing and resources are necessary to achieve optimal outcomes. Collegial nurse-physician relations appear to be vital to optimal oncology practice settings.Implications for Nursing: In addition to pursuing American Nurses Credentialing Center Magnet recognition, nurse managers should assess practice environments and target related interventions to improve job satisfaction and retention. High-priority areas for interventions include ensuring adequate staff and resources, promoting nurse-physician collaboration, and strengthening unit-based leadership.