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引文資料
題名:
醫學中心護理人員工作環境之研究
書刊名:
榮總護理
作者:
尹祚芊
/
林小玲
作者(外文):
Yin, Teresa Jeo-chen
/
Lin, Shirling
出版日期:
2009
卷期:
26:2
頁次:
頁177-187
主題關鍵詞:
護理工作環境
;
護理工作環境量表
;
磁性醫院
;
Nursing practice environment
;
Practice environment scale of the nursing work index
;
PES-NWI
;
Magnet hospital
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
6
) 博士論文(
1
) 專書(0) 專書論文(0)
排除自我引用:
6
共同引用:
12
點閱:11
1981年始美國學者研究磁性醫院,是在人力短缺的職場中吸引並留任護理人員,評估護理工作環境是磁性醫院認證之重要指標之一。本研究以美國Lake博士發展之護理工作環境量表,探討台北某醫學中心各病房護理人員之工作環境。係描述性調查型研究,採立意取樣,以該醫學中心基層護理人員為母群體,採無記名網路填答方式。護理工作環境量表為31題四分量表之結構式問卷,統計分析採變異數分析、差異檢定、因素分析及集群分析等。本研究共收案1,367份,共計88個單位。主要結果:(1)護理工作環境量表各項得分以「行政主管期待高品質的護理照護水準」最高,「有足夠的護理人員以提供高品質病人照護」得分較低;(2)工作環境量表總分以「契約或約僱護理」最高,「護士」最低;(3)磁性病房單位其護理工作環境量表得分較非磁性病房單位者高,差異達顯著(p=.000)。本研究結果顯示護理人員對工作環境的感受,可以作為行政者建立注重病人安全優質工作環境及提供高品質醫療照護之參考。
以文找文
The practice environment scale of the nursing work index (PES-NWI) was derived from the Nursing Work Index (NWI) by Dr. Lake to measure how the practice environment influences nurse and patient outcomes. In 1981, the American Academy of Nursing began a national study to identify and evaluate "magnet" hospitals. They were so called due to being able to attract and retain staff nurses despite shortages in their market areas. The purpose of this study was to understand and measure the practice environment of hospital care in a medical center in Taiwan. A convenience sample of totally 88 units including 1367 staff nurses was invited from a medical center via intranet data collecting. Research instruments used the 31-item PES-NWI.ANOVA, t-test, factor analysis, and cluster analysis were performed for data analysis. The important findings were as the following: (1) The score of "high standards of nursing care expected by the administration" was the highest, and the score of "enough registered nurses to provide quality patient care" was the lowest; (2) The contract nurses had higher composite PES-NWI scores; (3) Staff nurses working at magnet units had higher PES-NWI scores (p=.000). These results might provide administrators with actionable recommendations that can be used to understand and improve the nurse work environment, to ensure patient care safety, and to determine the need for nursing staff.
以文找文
期刊論文
1.
Needleman, J.、Buerhaus, P.、Mattke, S.、Stewart, M.、Zelevinsky, K.(2002)。Nurse-staffing levels and the quality of care in hospitals。The New England Journal of Medicine,346(22),1715-1722。
2.
Aiken, L. H.、Smith, H. L.、Lake, E. T.(1994)。Lower Medicare mortality among a set of hospitals known for good nursing care。Medical Care,32(8),771-787。
3.
李選、白香菊、顏文娟(20080800)。臺灣地區護理人員執業環境之現況調查。護理雜誌,55(4),30-40。
延伸查詢
4.
Aiken, L. H.(1981)。Nursing priorities for the 1980s: Hospitals and nursing homes。AJN: The American Journal of Nursing,81(2),324-330。
5.
尹祚芊(2007)。正向護理執業環境的建構與發展。全聯護訊,60,7-9。
延伸查詢
6.
Aiken, L. H.、Clarke, S. P.、Sloane, D. M.、Sochalski, J. A.、Busse, R.、Clarke, H.、Giovannetti, P.、Hunt, J.、Rafferty, A. M.、Shamian, J.(2001)。Nurses' reports on hospital care in five countries。Health Affairs,20(3),43-53。
7.
Kramer, M.、Hafner, L. P.(1989)。Shared values: Impact on staff nurse job satisfaction and perceived productivity。Nursing Research,38(3),172-177。
8.
陳玉枝、簡淑芬、李偉強(20080600)。某醫學中心對護理人員職場安全態度之調查。榮總護理,25(2),179-187。
延伸查詢
9.
Aiken, L. H.、Patrician, P. A.(2000)。Measuring organizational traits of hospitals: The revised nursing work index。Nursing Research,49(3),146-153。
10.
Aiken, L. H.、Clarke, S. P.、Sloane, D. M.、Sochalski, J.、Silber, J. H.(2002)。Hospitals nurse staffing and patient mortality, nurse burnout, and job dissatisfaction。Journal of the American Medical Association,288(16),1987-1993。
11.
Anthony, M. K.、Standing, T. S.、Glick, J.、Duffy, M.、Paschall, F.、Sauer, M. R.(2005)。Leadership and nurse retention: The pivotal role of nurse managers。Journal of Nursing Administration,35(3),146-155。
12.
Brady-Schwartz, D. C.(2005)。Further Evidence on the Magnet Recognition Program: Implications for Nursing Leaders。Journal of Nursing Administration,35(9),397-403。
13.
Gershon, R. R. M.、Stone, P. W.、Zeltser, M.、Faucett, J.、MacDavitt, K.、Chou, S.-S.(2007)。Organizational climate and nurse health outcomes in the United States: A systematic review。Industrial Health,45(5),622-636。
14.
Lake, E. T.、Friese, C. R.(2006)。Variations in nursing practice environments: Relation to staffing and hospital characteristics。Nursing Research,55(1),1-9。
15.
Laschinger, H. K. S.、Wang, C.、McMabon, L.、Kaufmann, C.(1999)。Leader behavior impact on staff nurse empowerment, job tension, and work effectiveness。Journal of Nursing Administration,29(5),28-38。
16.
Li, Y. F.、Lake, E. T.、Sales, A. E.、Sharp, N. D.、Greiner, G. T.、Lowy, E.(2007)。Measuring nurses' practice environments with the revised nursing work index: Evidence from registered nurses in the veterans health administration。Research in Nursing and Health,30(1),31-44。
17.
McLennan, M.(2005)。Nurses' views on work enabling factors。Journal of Nursing Administration,35(6),311-318。
18.
Sochalski, J.、Estabrooks, C. A.、Humphrey, C. K.(1999)。Nurse staffing and patient outcome: Evolution of an international study。Canadian Journal of Nursing Research,31(3),69-88。
19.
傅玲(2007)。白衣天使「閃跳族」花費知多少--談護理人員職業異動成本之計算。全聯護訊,60,15-16。
延伸查詢
20.
Lake, E. T.(2002)。Development of the Practice Environment Scale of the Nursing Work Index。Research in Nursing & Health,25(3),176-188。
21.
Clarke, S. P.、Rockett, J. L.、Sloane, S. M.、Aiken, L. H.(2002)。Organizational climate, staffing, and safety equipment as predictors of needlestick injuries and near-misses in hospital nurses。American Journal of Infection Control,30(4),207-216。
研究報告
1.
National Quality Forum(2004)。National voluntary consensus standards for nursing-sensitive care: An initial performance measure set。Washington, DC:National Quality Forum。
圖書
1.
McClure, M.、Poulin, M.、Sovie, M.、Wandell, M.(1983)。Magnet hospitals: Attraction and retention of professional nurses. American Academy of Nursing Task Force on Nursing Practice in Hospitals。Kansas City, MO:American Nurses Association。
2.
Institute of Medicine(2004)。Keeping patients safe: Transforming the work environment of nurses。Washington, DC:National Academies Press。
其他
1.
Joint Commission on Accreditation of Healthcare Organizations(2008)。National Quality Forum (NQF) endorsed nursing-sensitive care performance measures,http://www.jointcommission.org/PerformanceMeasurement/PerformanceMeasurement/NQF Endorsed+Nursing+Sensitive+Care+Measures.htm。
圖書論文
1.
Hinshaw, A. S.(2002)。Building Magnetism into Health Organizations。Magnet hospitals revisited: Attraction and retention of professional nurses。Washington, DC:American Nurses Association。
2.
Urden, L. D.、Monarch, K.(2002)。The ANCC magnet recognition program: Converting research findings into action。Magnet hospitals revisited: Attraction and retention of professional nurses。Washington, DC:American Nurses Association。
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