The Impact of Nursing Work Environments on Patient Safety Outcomes: The Mediating Role of Burnout Engagement
The Impact of Nursing Work Environments on Patient Safety Outcomes: The Mediating Role of Burnout Engagement
复制标题
护理工作环境对患者安全结果的影响：倦怠参与的中介作用
DOI：
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发表时间：
2006
影响因子：
2
通讯作者：
M. Leiter
中科院分区：
文献类型：
--
作者：
H. S. Spence Laschinger;M. Leiter
目的：为了测试专业护士工作环境的理论模型，将专业护理实践的条件与职业倦怠联系起来，并随后与患者安全结果联系起来。背景资料：2004年医学研究所的报告提出了严重关切的影响，医院重组的护理工作环境和病人的安全结果。很少有研究使用理论框架来研究护理工作环境和患者安全结果之间的关系的性质。研究方法：加拿大的医院护士（N = 8，597）完成了工作生活（护理工作指数的实践环境量表）、职业倦怠（Maslach职业倦怠量表-人类服务量表）和不良患者事件频率报告的测量。结果：结构方程模型分析支持Leiter和Laschinger的护理工作生活模式的扩展。护理领导在工作生活质量方面发挥了重要作用，包括政策参与、人员配备水平、护理模式（与医疗）的支持以及护士/医生关系。人员配备的充足性直接影响情绪耗竭，护理模式的使用对护士的个人成就感有直接影响。两者都直接影响患者的安全结果。结论：结果表明，病人的安全结果与护理实践的工作环境和护理领导的作用，改变工作环境，以减少护士倦怠的质量。
Objective: To test a theoretical model of professional nurse work environments linking conditions for professional nursing practice to burnout and, subsequently, patient safety outcomes. Background: The 2004 Institute of Medicine report raised serious concerns about the impact of hospital restructuring on nursing work environments and patient safety outcomes. Few studies have used a theoretical framework to study the nature of the relationships between nursing work environments and patient safety outcomes. Methods: Hospital-based nurses in Canada (N = 8,597) completed measures of worklife (Practice Environment Scale of the Nursing Work Index), burnout (Maslach Burnout Inventory-Human Service Scale), and their report of frequency of adverse patient events. Results: Structural equation modeling analysis supported an extension of Leiter and Laschinger's Nursing Worklife Model. Nursing leadership played a fundamental role in the quality of worklife regarding policy involvement, staffing levels, support for a nursing model of care (vs medical), and nurse/physician relationships. Staffing adequacy directly affected emotional exhaustion, and use of a nursing model of care had a direct effect on nurses' personal accomplishment. Both directly affected patient safety outcomes. Conclusions: The results suggest that patient safety outcomes are related to the quality of the nursing practice work environment and nursing leadership's role in changing the work environment to decrease nurse burnout.
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影响因子：
120.7
作者：
Aiken, LH;Clarke, SP;Silber, JH
通讯作者：
Silber, JH
影响因子：
158.5
作者：
Needleman, J;Buerhaus, P;Zelevinsky, K
通讯作者：
Zelevinsky, K
DOI：
--
发表时间：
2011-10
期刊：
The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres
影响因子：
--
作者：
A. Tourangeau;Phyllis Giovannetti;Jack V. Tu;Marilyn Wood
通讯作者：
A. Tourangeau;Phyllis Giovannetti;Jack V. Tu;Marilyn Wood
影响因子：
2
作者：
Lake, ET
通讯作者：
Lake, ET