改善工作环境和减少流动意图:一项多中心纵向队列研究,研究荷兰医院的差异化护理实践
Julia van Kraaij1, Neeltje de Vries2,3, Hanna Wessel4
1Radboud University Medical Center, IQ Health Science Department, P.O. Box 9101, Nijmegen, 6525 EP, The Netherlands. julia.vankraaij@radboudumc.nl.
BMC nursing
|January 10, 2025
概括
差异化的护理实践改善了工作环境的某些方面,但并没有减少护士的流动性意图. 需要一个系统的方法来持续改善护士的保留.
科学领域:
- 护理实践和医疗保健管理
- 组织心理学 组织心理学
背景情况:
- 保留护士是一个全球性挑战,需要改善工作环境.
- 护理工作环境显著影响护士离开工作的决定.
- 差异化的护理实践根据护士的专业知识来定制角色,以影响工作环境和营业额的意图.
研究的目的:
- 调查差异化护理实践对护理工作环境的影响.
- 检查差异化的护理实践对护士的营业额意向的影响.
- 探索护理工作环境在这种关系中的调解作用.
主要方法:
- 在19个荷兰医院 (2019-2023) 进行的多中心纵向队列研究.
- 在 (T0) 和 (T1) 实践差异化之前向护理专业人员进行的数字调查.
- 多层次分析评估了差异化做法对工作环境和营业额意向的影响.
主要成果:
- 总体而言,护理工作环境有所改善,特别是人员,资源,护士与医生的关系和参与.
- 在护理质量基础或护士经理支持方面没有观察到显著的改善.
- 差异化的护理实践没有显著影响营业额的意图,工作环境也没有调解这种关系.
结论:
- 差异化的护理实践可以增强特定的工作环境方面,但不仅仅是减少营业额的意图.
- 系统和综合的方法是必要的,以实质性和持续改善护士的保留.
- 需要进一步的长期研究,以了解差异化实践,工作环境和营业额意图之间的复杂相互作用.
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