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高级实践护士处方者对气候类型的感知:一种仪器验证
1Author Affiliation: Professor, Master of Public Administration Program, School of Public Affairs and Global Engagement, University of Wisconsin-Oshkosh.
The Journal of nursing administration
|October 13, 2025
概括
这项研究验证了农村高级实践护士处方人员 (APNP) 的12项护士执业人员初级护理组织气候问卷 (NP-PCOCQ). NP-医生关系显著影响护理质量.
科学领域:
- 护理科学 护理科学
- 医疗保健管理的管理
- 组织心理学 组织心理学
背景情况:
- 在此之前,对于评估农村环境中高级实践护士处方 (APNP) 气候的29项护士实践者初级护理组织气候问卷 (NP-PCOCQ) 的适用性是未知的.
- 组织气候是影响医疗保健提供的一个关键因素,特别是在初级保健机构.
研究的目的:
- 检查NP-PCOCQ的多维性.
- 测试组织气候与APNPs提供的护理质量之间的关系.
- 根据农村环境中的组织定义的群体,确定是否出现不同的气候.
主要方法:
- 采用了横截面,相关联调查设计.
- 从农村地区的942个APNP中采用混合模式方法收集数据.
- 用确认因素分析,MANOVA/ANOVA和等级回归来分析179个返回的问卷 (19%的响应率).
主要成果:
- 确认了NP-PCOCQ的12项,3因素结构,包括NP-行政关系,NP-医生关系以及独立的实践和支持.
- 在NP-医生气候证明了与护理质量最强的关联.
- 根据工作角色,设施类型和任期,组织气候类型的统计学显著差异被确定.
结论:
- 一个缩短的12项NP-PCOCQ被验证用于评估与农村初级保健中的APNP相关的组织气候.
- 这些发现表明,促进积极的NP-医生关系对于提高护理质量至关重要.
- 这项经过验证的,较短的调查使护士领导者能够有效地跟踪和改善APNP组织气候.
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