路径分析:护士经理能力,实践环境感知和前线护士留在前线护士的意图之间的相互关系
Christine Pabico1, Shin Hye Park, Ellen Swartwout
1Author Affiliations: Sr. Director (Dr Pabico), Pathway to Excellence Program, and Independent Nurse Research Consultant (Dr Swartwout), American Nurses Credentialing Center (ANCC), Silver Spring, Maryland; Associate Professor (Dr Park), University of Kansas School of Nursing; and Nurse Scientist (Dr Warshawsky), Clinical Research, Press Ganey Associates, Chicago, Illinois.
The Journal of nursing administration
|September 12, 2024
概括
投资于护士经理 (NM) 能力对护理工作环境和前线护士留在职场的意图产生积极影响. 通过改善实践环境,增强的NM技能间接地提高了护士的保留率.
科学领域:
- 护理管理 护理管理
- 组织心理学 组织心理学
- 医疗保健劳动力研究 劳动力研究
背景情况:
- 护士经理 (NM) 的能力和通过护理工作指数 (PES-NWI) 的实践环境尺度 (Practice Environment Scale of the Nursing Work Index) 衡量的实践环境是影响最前线护士留下来的关键因素.
- 了解这些关系对于改善护士保留和解决劳动力挑战至关重要.
研究的目的:
- 调查NM能力,PES-NWI和前线护士的留下意图之间的相关性.
- 为了确定NM能力对护士留下来的意图的直接影响.
- 通过PES-NWI的调解,检查NM能力对居留意向的间接影响.
主要方法:
- 一项采用国家护理质量指标数据库 (NDNQI) RN调查数据的横截面研究的二次分析.
- 使用路径分析来建模NM能力和PES-NWI对前线护士留在职场的意图的直接和间接影响.
主要成果:
- 在NM能力和护理实践环境 (PES-NWI) 之间观察到较弱的正相关性.
- 医疗护士能力与前线护士的留守意图没有直接关联.
- 发现了一个间接效应,即NM能力对实践环境产生了积极的影响 (PES-NWI),这反过来又显著预测了护士的留守意图 (β = 0.11,P = 0.002).
结论:
- 培养护士经理能力是培养支持性实践环境的关键策略.
- 提高NM能力可以通过积极塑造工作环境来间接改善前线护士的留守意图.
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