护士经理实践环境及其影响因素:一个多中心的跨部门研究
Yushuang Chen1, Xifei He1, Qinghua Liu1
1Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Journal of nursing management
|April 14, 2025
概括
中国护士经理报告说,实践环境有利,尽管工作量和医生关系需要改进. 影响这种环境的关键因素包括医院的位置,培训,压力和职业发展.
科学领域:
- 护理管理 护理管理
- 医疗保健管理部门的管理.
- 组织心理学 组织心理学
背景情况:
- 护士经理对医疗保健结果至关重要,但他们的实践环境未得到充分研究.
- 糟糕的工作条件和人员短缺导致护士经理的倦怠和流动.
研究的目的:
- 评估中国护士经理实践环境的现状.
- 确定影响这些环境的因素.
主要方法:
- 一项横截面研究调查了中国三个省份10家医院的405名护士经理.
- 采用人口统计,实践环境,感知压力和职业发展的问卷收集的数据.
- 统计分析包括描述性统计,单变量分析和多步线性回归.
主要成果:
- 整体护士经理实践环境得分为236.71±27.635 (共270分),表明一般水平较高.
- 需要改进的领域包括充足的预算资源,可管理的工作量以及护士经理和医生关系.
- 实践环境的预测因素是医院的地理位置,先前在高级医院接受培训,感知压力和职业发展.
结论:
- 中国护士经理经历了一个相对积极的实践环境,但存在差异,特别是在较小的城市.
- 建议包括针对小型医院的有针对性的政策关注,定期监测环境决定因素,以及医院一级的干预措施.
- 干预措施应侧重于多样性培训,压力减轻和职业发展计划,以支持护士经理并提高护理质量.
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