组织动态如何影响决策度,社会支持,通过工作自我认同以及护士从业人员的职业不安全性
Isabella Wright1, Anja Vorster2, Eamon Merrick3,4
1School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand.
Journal of advanced nursing
|February 24, 2025
概括
新西兰的执业护士 (NPs) 在获得协会支持时拥有更多的决策自主权. 这一发现凸显了对NP实践和患者护理的同行支持的重要性.
科学领域:
- 护理实践和医疗保健管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 执业护士 (NP) 在提供医疗保健方面发挥着至关重要的作用.
- 了解影响NP自主性的因素对于优化其实践范围至关重要.
研究的目的:
- 确定新西兰 (NZ) 的执业护士 (NPs) 是否拥有与角色相关的决策的组织机会.
- 调查社会支持,工作需求和NP决策自主性之间的关系.
主要方法:
- 一项横截面研究调查了新西兰各个实践环境中的169个NP.
- 职位内容问卷评估了自我报告的决策,社会支持和心理社会需求.
- 线性回归分析检查了这些变量之间的关联.
主要成果:
- 与监督者相比,NP报告说,在同事的支持下,他们拥有更大的决策控制权.
- 同学支持积极影响了NP与医疗保健消费者的关系,通过决策自由进行调解.
- 农村地区的NP在感觉有价值时经历了更大的就业保障.
结论:
- 在新西兰,集体支持是NP决策自由和自主性的重要决定因素.
- 劳动力政策,实践组织和职业培训可以增强NP的自主性和医疗保健准入.
- 调查结果为新西兰的NP自主性决定因素提供了新的见解,为全球护理劳动力政策提供了信息.
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