The effects of job characteristics, organizational justice and work engagement on nursing care quality in China: A mediated effects analysis
The effects of job characteristics, organizational justice and work engagement on nursing care quality in China: A mediated effects analysis
复制标题
工作特征、组织公平性和工作投入对中国护理质量的影响：中介效应分析
DOI：
10.1111/jonm.12957
复制
发表时间：
2020-04-01
影响因子：
5.5
通讯作者：
Shang, Shaomei
中科院分区：
文献类型：
--
作者：
Dong, Xu;Lu, Han;Shang, Shaomei
目的分析护士工作特征、组织公平感、工作投入与护理质量的关系。从管理的角度来看，研究的变量之间的显着关系，可以帮助医院管理者实施有效的策略，以提高护理质量。结果工作特征、组织公平感、工作投入度和护理质量的得分分别为3.55 +/- 0.41、3.84 +/- 0.77、4.67 +/- 1.30和3.42 +/- 0.70。工作特征和组织公平感对护理质量有直接影响。工作投入在工作特性与组织公平感对护理服务品质的关系中扮演中介角色。最终模型解释了24%的护理质量。结论研究结果提供了一个更好的理解研究的变量之间的关联。工作特性知觉与组织公平感可透过工作投入提升护理品质。护理管理的意涵重新设计工作设计，强化护士对工作特性与组织公平感的正面知觉，可提升护理品质。
Aim To analyse the structural associations among job characteristics, organizational justice, work engagement and nursing care quality in Chinese nurses.Background Nursing care quality helps ensure patient safety, which are core concerns. The explicit relationships among the study's variables from a management perspective can help hospital managers to implement effective strategies to improve nursing care quality.Methods This cross-sectional study was conducted to investigate the relationships among the variables in 1,615 nurses in eight Chinese tertiary hospitals. Structural equation modelling was used to test a proposed model of these relationships.Results The scores of job characteristics, organizational justice, work engagement and nursing care quality were 3.55 +/- 0.41, 3.84 +/- 0.77, 4.67 +/- 1.30 and 3.42 +/- 0.70. Job characteristics and organizational justice had direct effects on nursing care quality. Work engagement mediated the relationship of nursing care quality with job characteristics and organizational justice. The final model explained 24% of nursing care quality.Conclusion The results provide a better understanding of the associations between the study's variables. Perceived job characteristics and organizational justice can improve nursing care quality through work engagement.Implications for Nursing Management Reconfiguring work design to strengthen nurses' positive perceptions of job characteristics and organizational justice can enhance nursing care quality.