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员工和领导力作为护士保留的驱动力:工作环境分析
Lyn Stankiewicz Losty1, Angela Pascale, Nora E Warshawsky
1Lyn Stankiewicz Losty is Contributing Faculty at Walden University in Corolla, SC. At Press Ganey Associates LLC in South Bend, IN, Angela Pascale is a Research Analyst and Nora E. Warshawsky is a Nurse Scientist.
足够的人员和强大的护士领导力显著影响护士的留守和工作满意度. 在护士工作环境中改善这些领域可以提高员工稳定性和患者护理质量.
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:
- 护士工作环境 (NWE) 对护士和患者的结果至关重要.
- 有限的研究量化了特定的NWE领域对护士成果的影响.
研究的目的:
- 确定哪些实践环境量表 (PES) 的子量表对护士的留守,工作享受,尊重,认可和遗漏的护理护理影响最大.
- 量化NWE领域对关键护士成果的直接影响.
主要方法:
- 2024年护理质量指标国家数据库® RN调查数据的横截面分析.
- 来自221家医院的1789个住院病房的数据.
- 结构方程建模以评估 PES 领域对护士成果的直接影响.
主要成果:
- 所有的PES子尺度与护士结果有显著的相关性 (P < .05).
- 人员/资源充足度最强烈地影响了员工的留守 (β = 0.44),工作愉悦度 (β = 0.61),以及减少错过护理 (β = -0.87).
- 护士经理的领导和支持也预测了保留和尊重/认可.
结论:
- 足够的人员和支持性的护士管理对于护士的保留和满意度至关重要.
- 针对人员和领导层的有针对性的干预措施可以改善劳动力稳定性.
- 加强这些NWE领域可能会对整体护理质量产生积极影响.
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