问责的重点和护士的表现:通过使用实验设计模拟的调节调解模型.
Ira Sharon1, Anat Drach-Zahavy1, Einav Srulovici1
1The Cheryl Spencer Department of Nursing, University of Haifa, Haifa, Israel.
Journal of advanced nursing
|September 11, 2023
概括
在护理中实施问责重点减少了压力,提高了绩效. 根据任务的复杂性 (简单的结果,复杂的过程) 调整问责类型是护士福祉和效率的关键.
科学领域:
- 护理 护理 护理
- 组织心理学 组织心理学
- 人类因素工程 人类因素工程
背景情况:
- 在医疗保健中,对绩效和安全的问责度重点至关重要.
- 之前的研究产生了关于过程或结果问责制是否更好地激励护士的模两可的发现.
- 了解问责制,任务复杂性和护士压力之间的相互作用至关重要.
研究的目的:
- 测试一个调节调解模型,以了解问责重点如何影响护士的表现.
- 确定在哪些情况下,流程或结果问责的重点是最有效的.
- 调查护士在问责制和绩效关系中的介导作用.
主要方法:
- 一个随机对照试验,使用基于屏幕的药物管理模拟.
- 参与者是随机分配给六个实验条件的护士.
- 收集的数据包括关于菌株和性能检查清单的验证问卷.
主要成果:
- 任务复杂性缓和了问责重点和压力之间的关系.
- 流程问责制在高复杂性的任务中减少了压力;结果问责制在低复杂性的任务中减少了压力.
- 任何问责焦点都会提高绩效,减少压力,而没有焦点,压力则会调解效果.
结论:
- 过程和结果问责的重点都提高了护士的表现,并减少了与没有问责相比的压力.
- 最佳的问责重点取决于任务的复杂性.
- 护士经理可以战略性地使用问责制来平衡压力和绩效.
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