Nursing practice environment, job outcomes and safety climate: a structural equationmodelling analysis
Nursing practice environment, job outcomes and safety climate: a structural equationmodelling analysis
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DOI：
10.1111/jonm.12427
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发表时间：
2017-01-01
影响因子：
5.5
通讯作者：
Guirardello, Edineis de Brito
中科院分区：
文献类型：
--
作者：
dos Santos Alves, Daniela Fernanda;da Silva, Dirceu;Guirardello, Edineis de Brito
目的评估护理实践环境特征、工作结果和安全氛围之间的相关性。背景正如国内和国际研究强调的那样，护理实践环境对专业人员的福祉和患者的安全至关重要；然而，在儿科病房缺乏关于这一主题的证据。方法2013年12月至2014年2月，在巴西两家儿科医院进行了一项横断面研究。数据收集采用《2006年护理工作指数修订版安全态度问卷简表》和《Maslach职业倦怠量表》，采用Spearman相关系数和结构方程模型进行分析。结果267名专业护士参与研究。自主性、对工作环境的控制性、护理人员与医护人员之间的关系是影响工作结果和安全氛围的因素，可作为其预测因素。结论自主性较强、工作关系良好、对工作环境有控制力的专业护士情绪衰竭程度较低，工作满意度较高，离职意向较少，安全氛围较好。护理管理的实施主动改善专业执业环境，可提高儿科患者的安全和专业护士的幸福感。
AimTo assess correlations between the characteristics of the nursing practice environment, job outcomes and safety climate.BackgroundThe nursing practice environment is critical to the well-being of professionals and to patient safety, as highlighted by national and international studies; however, there is a lack of evidence regarding this theme in paediatric units.MethodsA cross-sectional study, in two paediatric hospitals in Brazil, was conducted from December 2013 to February 2014. For data collection, we used the Nursing Work Index - Revised, Safety Attitudes Questionnaire - Short Form 2006 and the Maslach Burnout Inventory, and for analysis Spearman's correlation coefficient and structural equationmodelling were used.ResultsTwo hundred and sixty-seven professional nurses participated in the study. Autonomy, control over the work environment and the relationship between nursing and medical staff are factors associated with job outcomes and safety climate and can be considered their predictors.ConclusionsProfessional nurses with greater autonomy, good working relationships and control over their work environment have lower levels of emotional exhaustion, higher job satisfaction, less intention of leaving the job and the safety climate is positive.Implications for nursing managementInitiatives to improve the professional practice environment can improve the safety of paediatric patients and the well-being of professional nurses.