Predictors of Professional Nursing Practice Behaviors in Hospital Settings
Predictors of Professional Nursing Practice Behaviors in Hospital Settings
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医院环境中专业护理实践行为的预测因素
DOI：
10.1097/00006199-200501000-00006
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发表时间：
2005
期刊：
影响因子：
2.5
通讯作者：
Milisa Manojlovich
中科院分区：
文献类型：
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作者：
Milisa Manojlovich
背景许多医院护士执行孤立的常规任务，而不是使用他们的专业培训，因为他们受到组织和医疗分工的控制。环境可能会干扰护士按照专业标准自主执业的能力。本研究的目的是探讨环境中的某些因素和个人特征如何交互作用来影响医院护理实践行为。方法本研究采用非实验比较设计。调查问卷随机抽取了密歇根州的500名护士。包括三个工具，测量结构赋权、护理实践自我效能感和专业实践行为。统计分析采用通径分析。结果364名护士回答(73%)，其中251名护士为最终分析提供了可用方案。环境因素(结构性赋权)既直接影响专业实践行为，也通过自我效能感间接影响职业实践行为。自我效能感在环境因素与实践行为之间的关系中主要发挥中介作用。虽然建议的理论模型与数据吻合良好(χ2=11.02[(5，N=251)，p<；0.05，CFI=.999，NNFI=.991，RMSEA=.069])，但对建议的理论模型的支持程度参差不齐。从数据分析中出现了另一个模型。讨论当环境通过资源、支持和信息提供机会和力量时，护士可以更专业地执业。自我效能感可能有助于职业实践行为，特别是在具有提供授权的必要因素的环境中。
BackgroundMany hospital nurses perform isolated, routine tasks, rather than use their professional training, because they are subject to control by organizational and medical divisions of labor. The environment may interfere with a nurse's ability to practice autonomously and according to professional standards. ObjectivesThe purpose of the study was to explore how certain factors in the environment and personal characteristics interact to affect hospital nursing practice behaviors. MethodsThe study used a nonexperimental, comparative design. Surveys were sent to a random sample of 500 nurses throughout the state of Michigan. Three instruments, measuring structural empowerment, self-efficacy for nursing practice, and professional practice behaviors, were included. Path analysis was used for statistical analysis. ResultsThree hundred sixty-four nurses responded (73%), of whom 251 provided usable protocols for the final analysis. Environmental factors (structural empowerment) contributed both directly to professional practice behaviors as well as indirectly through self-efficacy. Self-efficacy mainly exerted its effect as a mediator in the relationship between environmental factors and practice behaviors. Support for the proposed theoretical model was mixed, although the proposed model fit the data well (χ2 = 11.02 [(5, N = 251), p < .05, CFI = .999, NNFI = .991, RMSEA = .069]). An alternative model emerged from the data analysis. DiscussionNurses may practice more professionally when the environment provides opportunities and power through resources, support, and information. Self-efficacy may contribute to professional practice behaviors, especially in an environment that has the requisite factors that provide empowerment.