Health correlates of autonomy, control and professional relationships in the nursing work environment
Health correlates of autonomy, control and professional relationships in the nursing work environment
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DOI：
10.1046/j.1365-2648.2003.02615.x
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发表时间：
2003-05-01
影响因子：
3.8
通讯作者：
Wood, S
中科院分区：
文献类型：
--
作者：
Budge, C;Carryer, J;Wood, S
背景在国际上，护理正面临着各种挑战，包括卫生系统的变化，劳动力老龄化和注册护士短缺加剧。新西兰也不例外。与其他地方一样，这些挑战正在对医院环境的资源和需求、护士本身的健康和福祉以及他们所照顾的人造成损害。在美国，护理工作环境的三个方面-自主性，控制和护士-医生关系-已被确定为与员工保留，员工倦怠和针刺伤的水平，以及一系列的病人outcomes. Aim。检查新西兰的护理状况，并了解工作环境的各个方面是否与健康状况相关。方法。采用修订的护理工作指数量表（NWI-R）和健康状况调查问卷（MOS）对某综合医院225名注册护士进行调查。评级表明，新西兰的医院环境的特点是较少的自主权和控制和更好的护士-医生的关系比美国医院。相关性的结果表明，更积极的评级的三个工作场所的属性与更好的健康状况之间的护士。回归分析的结果表明，护士与医生、行政部门和其他部门的关系是自主性、控制性和健康状况之间的中介关系。这项研究提供了一个深入了解新西兰的医院环境，并建议与医生和其他部门的护士的健康良好的关系的重要性。
Background. Internationally, nursing is facing a variety of challenges including changes in health systems, an ageing workforce and escalating shortages of Registered Nurses. New Zealand is no exception. Here as elsewhere these challenges are taking their toll on the resources and demands of hospital environments, on the health and well-being of nurses themselves and most certainly on the people for whom they care. In the United States of America (USA), three aspects of the nursing work environment - autonomy, control and nurse-physician relations - have been identified as linked to staff retention, levels of staff burnout and needlestick injury, as well as to a range of patient outcomes.Aim. To examine the New Zealand nursing situation and to see whether aspects of the work environment are associated with health status.Methods. A total of 225 Registered Nurses in a general hospital completed the Revised Nursing Work Index (NWI-R) and Medical Outcomes Study (MOS) 36-Item Short-Form Health Survey (SF-36).Results. Ratings indicated that the New Zealand hospital environment was characterized by less autonomy and control and better nurse-physician relations than in USA hospitals. Results of correlations demonstrated that more positive ratings of the three workplace attributes were associated with better health status amongst the nurses. The results of regression analyses were indicative either of a confounding relationship or of a mediating relationship such that nurses' relations with physicians, administration and other departments mediate the associations between autonomy, control and health status.Conclusions. The study offers an insight into a New Zealand hospital environment and suggests the importance of good relationships with physicians and other departments for the health of nurses.