A dimensional analysis of nursing unit culture.
A dimensional analysis of nursing unit culture.
复制标题
护理单位文化的维度分析
DOI：
10.1111/jan.15985
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发表时间：
2023
影响因子：
3.8
通讯作者：
Stimpfel,AmyWitkoski
中科院分区：
文献类型：
--
作者：
Leep-Lazar,Kathryn;Stimpfel,AmyWitkoski
目标 四十多年来，人们对跨国家、跨环境的护士进行了组织文化研究。然而，概念的定义方式以及在组织的哪个级别进行衡量方面存在很大差异。本研究的目的是利用维度分析从护理角度对单位文化进行概念综合。设计植根于扎根理论方法的维度分析用于从护理角度描述单位文化。方法于2022年4月进行文献检索。纳入标准为(1)同行评审出版物，(2)使用术语“单位文化”或“病房文化”，(3)参考护士在单位文化中的作用，(4)发表于上一期20 年和 (5) 用英文写成。 115篇文章符合纳入标准，但在编码24篇文章后对维度饱和度进行了研究。结果结果综合为4个核心维度和10个子维度。单位文化的维度包括习俗（实践规范、沟通和优先顺序）、共同信念（假设、价值观和态度）、等级制度（社会和信息）和氛围（情绪氛围和协作）。塑造单位文化的条件包括护士个人特征、工作条件、单位政策/程序和领导力。单位文化影响护士的工作经验和决策过程，从而影响包括护士福祉、实践行为和对单位政策的遵守等结果。结论确定单位文化的维度有助于澄清现有文献中未明确定义的概念。影响单位文化的这种模型可用于指导开发衡量单位文化的新工具或指导研究人员利用现有措施。有必要制定针对单位文化的措施，以增强研究人员评估单位条件变化（例如领导力、工作量）如何改变单位文化及其相关结果的能力。患者或公众贡献没有患者或公众贡献。
Aim(s)Organizational culture has been studied for over four decades among nurses, across countries and contexts. However, wide variation exists in how the concept has been defined and at what level of the organization it is measured. The aim of this study was to use a dimensional analysis to conduct a conceptual synthesis of unit culture from a nursing perspective.DesignDimensional analysis, rooted in grounded theory methodology, was used to describe unit culture from a nursing perspective.MethodsA literature search was conducted in April 2022. Inclusion criteria were (1) peer review publications, (2) used the term ‘unit culture’ or ‘ward culture’, (3) references nurses' role in unit culture, (4) published in the last 20 years and (5) written in English. One hundred fifteen articles met inclusion criteria, but dimensional saturation was researched after coding 24 articles.ResultsFindings were synthesized into four core dimensions and 10 subdimensions. Dimensions of unit culture included customs (practice norms, communication and prioritization), shared beliefs (assumptions, values and attitudes), hierarchy (social and informational) and atmosphere (emotional climate and collaboration). Conditions that shape unit culture include individual nurse characteristics, working conditions, unit policies/procedures and leadership. Unit culture impacts nurse work experiences and decision‐making processes, which can affect outcomes including nurse wellbeing, practice behaviours and adherence to unit policies.ConclusionsIdentifying the dimensions of unit culture helps to bring clarity to a concept that is not well defined in existing literature.ImpactThis model of unit culture can be used to guide development of new instruments to measure unit culture or guide researchers in utilizing existing measures. Developing measures specific to unit culture are warranted to strengthen researchers' ability to assess how changing conditions of a unit (e.g. leadership, workload) changes unit culture and its related outcomes.Patient or Public ContributionNo Patient or Public Contribution.