在磁铁医院,护士的幸福感推动了患者的满意度
Hyunmin Yu1, Linda H Aiken, Polly Willis
1Author Affiliations: Postdoctoral Research Fellow (Dr Yu), Professor of Nursing and Sociology (Dr Aiken), Associate Professor of Nursing (Dr Lasater), Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, PA, Former Director of Nursing Clinical Excellence and the Magnet Program (Willis), Chief Nurse Executive (Dr Pappas), Clinical Nurse Specialist (Dr Kaplow), Emory Healthcare, Atlanta, GA, Executive Director, Nursing & Patient Care Operations & Magnet Recognition (Dr Ditomassi), Senior Vice President for Patient Care and Chief Nurse (Dr Burke), Massachusetts General Hospital, Boston, MA.
磁铁指标通过减少护士工作不满和工作与生活不平衡来提高护理质量和患者满意度. 护士的幸福是这种关系的关键.
科学领域:
- 医疗保健管理的管理
- 护理研究 护理研究
- 患者的治疗结果.
背景情况:
- 磁铁指标与改善护理质量和患者满意度有关.
- 连接磁铁指定与这些积极结果的具体机制尚未完全理解.
研究的目的:
- 调查护士工作负面结果是否调解了磁铁指标和护理质量/患者满意度之间的关系.
- 探索护士福利在磁铁指定-护理质量途径中的作用.
主要方法:
- 横截面研究将四个数据集连接起来:美国临床医生福祉研究,RN4CAST-NY/IL调查,HCAHPS和AHA年度调查.
- 包括132家医院 (60家磁铁,72家非磁铁).
- 分析护士报告的护理质量,推可能性,患者安全文化和患者满意度,使用调解分析.
主要成果:
- 磁铁状态与更好的质量和患者满意度直接相关.
- 通过减少护士工作不满和工作与生活不平衡,磁铁地位间接改善了结果.
- 护士燃烧并没有显著调解这种关系.
结论:
- 护士的幸福感是磁铁指标和患者满意度之间的积极关联的一个关键因素.
- 解决护士工作结果可能会增强磁铁指定对患者护理的好处.
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