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Artificial Intelligence and Peer Review 人工智能与同行评议。
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-03-16 DOI: 10.1111/jnu.70004
Susan Gennaro
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引用次数: 0
Detection of Acute Deterioration in Care Home Residents: A Multicenter Qualitative Exploration of Barriers and Enablers 护理院居民急性恶化的检测:一项多中心的障碍和促进因素的定性探索。
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-03-16 DOI: 10.1111/jnu.70005
Margaret MacAndrew, Deepa Sriram, Shirley Chambers, Amy Spooner, Linda Schnitker, Leanne Jack, Patsy Yates, Elizabeth Beattie, Christina Parker
<div> <section> <h3> Introduction</h3> <p>Delay in detecting acute deterioration in older adults in care homes is associated with avoidable hospitalizations and adverse outcomes, including premature death.</p> </section> <section> <h3> Objective</h3> <p>Underpinned by the Knowledge to Action Framework, this study aimed to understand the barriers and enablers to direct care staff detecting and responding to the early signs of acute deterioration in care home residents.</p> </section> <section> <h3> Study Design</h3> <p>Online focus groups or interviews with regulated (registered and enrolled nurses) and unregulated (assistants in nursing and personal care workers) direct care staff from participating care homes were conducted. Homes were recruited using disproportionate stratified random sampling to include metropolitan, inner regional, and outer regional care homes. Interview and focus group recordings were transcribed verbatim and analyzed using inductive thematic analysis.</p> </section> <section> <h3> Results</h3> <p>Eighty direct care staff (<i>n</i> = 48 regulated; <i>n</i> = 32 unregulated) from eight care homes participated. Fifteen focus groups (<i>n</i> = 7 unregulated staff, <i>n</i> = 8 regulated staff) and two interviews (<i>n</i> = 1 regulated staff, <i>n</i> = 1 unregulated staff) were conducted between July 2021 and October 2022. Four themes related to the barriers and enablers of detecting and responding to acute deterioration were generated: decision-making within the scope of practice; resource availability; streamlined communication; and teamwork.</p> </section> <section> <h3> Conclusion</h3> <p>Findings highlight the challenges direct care staff encounter in being able to detect early signs of acute deterioration and implement appropriate care pathways. Perceived barriers and enablers highlighted in this study need to be considered when developing and implementing programs to optimize the timely detection of, and response to, acute deterioration in care homes.</p> </section> <section> <h3> Clinical Relevance</h3> <p>Workforce knowledge, experience, and confidence deficits are significant barriers to detecting acute deterioration, while the unique workforce mix in care homes poses additional challenges for the accurate detection of early signs of acute deterioration. Knowing the resident, working as a team, and valuing the contri
导读:在养老院中发现老年人急性恶化的延迟与可避免的住院治疗和不良后果(包括过早死亡)有关。目的:在“从知识到行动”框架的基础上,本研究旨在了解指导护理人员发现和应对养老院居民急性恶化早期迹象的障碍和促进因素。研究设计:对参与养老院的受监管(注册和注册护士)和不受监管(护理助理和个人护理工作者)直接护理人员进行在线焦点小组或访谈。家庭被招募使用不成比例的分层随机抽样,包括大都市,内部区域和外部区域养老院。访谈和焦点小组记录逐字转录,并使用归纳主题分析进行分析。结果:80名直接护理人员(n = 48)被规范;N = 32(未规范),来自8家养老院。在2021年7月至2022年10月期间进行了15个焦点小组(n = 7名非管制工作人员,n = 8名管制工作人员)和两次访谈(n = 1名管制工作人员,n = 1名非管制工作人员)。产生了与发现和应对急性恶化的障碍和促进因素有关的四个主题:在实践范围内的决策;资源可用性;流线型的沟通;和团队合作。结论:研究结果突出了直接护理人员在能够发现急性恶化的早期迹象并实施适当的护理途径方面遇到的挑战。在制定和实施方案以优化养老院急性恶化的及时检测和响应时,需要考虑本研究中强调的感知障碍和促进因素。临床相关性:工作人员的知识、经验和信心不足是检测急性恶化的重大障碍,而护理院独特的工作人员组合为准确检测急性恶化的早期迹象带来了额外的挑战。了解住院医生,作为一个团队工作,重视老年护理人员和家庭在管理急性恶化方面的贡献,有助于为经历急性恶化的住院医生取得更好的结果。
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引用次数: 0
Cultural Competence of European Nursing Faculty. An International Cross-Sectional Study 欧洲护理学院的文化竞争力。一项国际横断面研究。
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-03-16 DOI: 10.1111/jnu.70000
Laura Visiers-Jiménez, María Isabel Baeza-Monedero, José Ríos-Díaz, Sylvain Marcel Lybrecht Llinares, Maria Lara Martínez-Gimeno

Introduction

The diverse cultural landscape of Europe underscores the importance of culturally safe healthcare. There is a necessity to assess cultural competence among European nursing faculty to provide an international perspective on cultural competence.

Design

A descriptive, cross-sectional study.

Methods

An assessment of cultural competencies was conducted using the Cultural Competence Assessment scale, either in its original language (English) or in its translated and validated versions in Spanish, Italian, Portuguese, and Turkish. An online questionnaire was used to collect data.

The study was conducted in 71 higher institutions, distributed across 17 countries through a consecutive sample of 1364 nursing faculty.

The ethical principles of biomedical research were respected during the study, and the confidentiality of the data was guaranteed.

Results

The mean level of cultural competence of the European nursing faculty was at the level of ‘good’. They showed greater cultural awareness and sensitivity than cultural competence behaviors. Significant associations were found between cultural competence level and the language of the questionnaire, level of education, having a nursing degree, leisure stays abroad, having friends from other countries or cultures, and international experiences abroad and at home. The better levels of cultural competence were found in profiles with the categories of: women with a Nursing Degree, a higher level of education, and with an ERASMUS+ stay experience.

Conclusions

This study offers an international overview of the cultural competence of nursing faculty. While the overall level of cultural competence was good, there is a need to reinforce the behaviors and factors that influence it.

简介:欧洲多样的文化景观强调了文化安全医疗保健的重要性。有必要评估欧洲护理教师的文化能力,以提供文化能力的国际视角。设计:描述性横断面研究。方法:使用文化能力评估量表(cultural Competence assessment scale)进行文化能力评估,既可以使用其原始语言(英语),也可以使用其西班牙语、意大利语、葡萄牙语和土耳其语的翻译和验证版本。使用在线问卷收集数据。这项研究在分布在17个国家的71所高等院校进行,连续抽样了1364名护理教师。研究过程中尊重生物医学研究的伦理原则,保证数据的机密性。结果:欧洲护理教师文化能力的平均水平为“良好”水平。他们表现出比文化能力行为更强的文化意识和敏感性。文化能力水平与问卷语言、受教育程度、是否拥有护理学位、在国外的休闲时间、有来自其他国家或文化的朋友以及国内外的国际经历之间存在显著关联。文化能力水平较高的人的档案类别如下:拥有护理学位的女性,教育水平较高的女性,以及拥有ERASMUS+住宿经历的女性。结论:本研究提供了护理教师文化能力的国际概况。虽然文化能力的总体水平是好的,但有必要加强影响文化能力的行为和因素。
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引用次数: 0
An Exploration of Safety Culture, Second Victim Phenomenon and Negative Work Outcomes in Health Care Settings 安全文化的探索,第二受害者现象和消极的工作结果在卫生保健设置。
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-03-13 DOI: 10.1111/jnu.13048
Hanseulgi Lee, Nam-Ju Lee

Purpose

The aim of the study was to explore the impact of patient safety culture on nurses' negative work outcomes resulting from patient safety incidents, as well as the mediating roles of second victim support and distress.

Design

A cross-sectional survey was conducted. The participants included 208 nurses, each with over a year of clinical experience, working in hospitals across South Korea.

Methods

Data were collected through self-reported questionnaires on general characteristics, patient safety culture, second victim support and distress, and negative work outcomes. The collected data were analyzed using descriptive statistics, the t-test, ANOVA, the Scheffé test, and Pearson correlation coefficients. Additionally, model 6 of Hayes' PROCESS macro and the Sobel test were employed to determine the mediating effect.

Results

Mediation analysis revealed significant indirect effects of patient safety culture on the work outcomes experienced by nurses following patient safety incidents, mediated by second victim distress, after controlling for participants' marital status, position, and the severity of patient safety incidents.

Conclusions

This study demonstrates that in healthcare settings, patient safety culture that supports the second victim and alleviates second victim distress mitigates the negative work outcomes resulting from patient safety incidents. The findings highlight the significance of culturally sensitive support systems, particularly considering the diverse impacts on Korean nurses. Based on this study, healthcare leaders are recommended to develop strategies to support nurses and reduce their second victim distress, which can ultimately improve patient safety and the quality of nursing care.

Clinical Relevance

The findings of this study can be used to develop strategies to support second victims in addressing their distress. Taking steps to alleviate the distress of second victims will help prevent negative work outcomes in nurses.

目的:本研究旨在探讨患者安全文化对患者安全事件中护士消极工作结果的影响,以及第二受害者支持和痛苦的中介作用。设计:采用横断面调查。参与者包括208名护士,每位护士都有一年以上的临床经验,在韩国各地的医院工作。方法:采用自述问卷收集一般特征、患者安全文化、第二受害者支持和痛苦、消极工作结果等方面的数据。收集的资料采用描述性统计、t检验、方差分析、scheff检验和Pearson相关系数进行分析。此外,采用Hayes’s PROCESS宏观模型6和Sobel检验来确定中介效应。结果:在控制了被试的婚姻状况、职位和患者安全事件严重程度后,患者安全文化对护士在患者安全事件后的工作结果有显著的间接影响,并以第二受害者痛苦为中介。结论:本研究表明,在医疗环境中,支持第二受害者并减轻第二受害者痛苦的患者安全文化可以减轻患者安全事件带来的负面工作结果。研究结果强调了文化敏感性支持系统的重要性,特别是考虑到对韩国护士的不同影响。基于本研究,建议医疗保健领导者制定策略来支持护士,减少他们的第二受害者痛苦,从而最终提高患者安全和护理质量。临床相关性:本研究的发现可用于制定策略,以支持第二受害者解决他们的痛苦。采取措施减轻第二受害者的痛苦将有助于防止护士的消极工作结果。
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引用次数: 0
Mindfulness for Menopausal Women: Enhancing Quality of Life and Psychological Well-Being Through a Randomized Controlled Intervention 更年期妇女的正念:通过随机对照干预提高生活质量和心理健康。
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-02-24 DOI: 10.1111/jnu.70003
Shaimaa Mohamed Amin, Heba Emad El-Gazar, Mohamed Ali Zoromba, Mona Metwally El-Sayed, Amal Gamal Elsayed Awad, Mohamed Hussein Ramadan Atta
<div> <section> <h3> Background</h3> <p>Menopause is associated with significant physical, psychosocial, and emotional changes that can negatively affect women's quality of life (QoL). In response to this, psychological interventions like mindfulness-based interventions have shown promise in alleviating menopausal symptoms and improving psychological well-being.</p> </section> <section> <h3> Methods</h3> <p>A comprehensive randomized controlled trial was conducted from May to August 2024 at Damanhour University, Egypt. One hundred and twenty menopausal women were randomly assigned to either the intervention group (<i>n</i> = 60), which participated in seven mindfulness sessions, or the control group (<i>n</i> = 60), which received general health education. Pre and postintervention data were collected using the Menopause-Specific QoL questionnaire, the Depression Anxiety Stress Scale-21, and the Mindful Attention Awareness Scale. Independent samples <i>t</i>-tests were performed to compare groups, while paired <i>t</i>-tests assessed within-group changes post-intervention. Effect sizes were calculated using Cohen's <i>d</i>, ensuring a robust and reliable data analysis.</p> </section> <section> <h3> Results</h3> <p>The intervention group showed significant improvements across all domains of menopause-specific QoL, including vasomotor (<i>d</i> = 0.788, <i>p</i> < 0.01), psychosocial (<i>d</i> = 1.042, <i>p</i> < 0.01), physical (<i>d</i> = 0.809, <i>p</i> < 0.01), and sexual (<i>d</i> = 0.794, <i>p</i> < 0.01). Additionally, significant reductions were observed in anxiety (<i>d</i> = 1.221, <i>p</i> < 0.01), stress (<i>d</i> = 1.030, <i>p</i> < 0.01), and depression (<i>d</i> = 0.880, <i>p</i> < 0.01), along with a significant increase in mindfulness (<i>d</i> = 1.335, <i>p</i> < 0.01) postintervention.</p> </section> <section> <h3> Conclusion</h3> <p>The MBIS significantly improved menopause-specific QoL and reduced anxiety, stress, and depression while enhancing mindfulness in menopausal women. These findings suggest that mindfulness-based interventions could be game changers in managing menopausal symptoms and improving overall psychological well-being, offering hope for a better QoL for menopausal women.</p> </section> <section> <h3> Clinical Relevance</h3> <p>The research will primarily impact healthcare providers working with menopausal women, particularly those offering psychological support or nonpharmacological treatments. It also impacts menopausal women themselves by providing evidence-based intervention options that
背景:绝经与显著的身体、社会心理和情绪变化相关,这些变化会对女性的生活质量(QoL)产生负面影响。针对这一点,心理干预,如基于正念的干预,在缓解更年期症状和改善心理健康方面显示出了希望。方法:2024年5 - 8月在埃及达曼诺尔大学进行一项综合随机对照试验。120名绝经期妇女被随机分配到干预组(n = 60)和对照组(n = 60),干预组参加了七次正念课程,对照组接受了一般健康教育。采用绝经期生活质量问卷、抑郁焦虑压力量表-21和正念注意意识量表收集干预前后的数据。采用独立样本t检验比较各组,配对t检验评估干预后组内变化。效应量采用Cohen's d计算,确保数据分析稳健可靠。结果:干预组在绝经期特异性生活质量的所有领域均有显著改善,包括血管舒缩(d = 0.788, p)。结论:MBIS显著改善了绝经期妇女的绝经期特异性生活质量,减少了焦虑、压力和抑郁,同时增强了正念。这些发现表明,以正念为基础的干预措施可能会改变管理更年期症状和改善整体心理健康的游戏规则,为更年期妇女提供更好的生活质量。临床意义:该研究将主要影响与更年期妇女工作的医疗保健提供者,特别是那些提供心理支持或非药物治疗。它还通过提供基于证据的干预选择来减轻更年期症状,从而影响更年期妇女本身。此外,关注妇女健康和心理健康的研究人员和政策制定者可以利用这些发现为未来的研究和保健战略提供信息。患者或公众贡献:来自达曼胡尔大学的女性。试验注册:该试验在ClinicalTrials.gov数据库注册,注册号为NCT06421909。
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引用次数: 0
Regarding the Role of Integrated Care Models in Patients With Stroke 关于卒中患者综合护理模式的作用。
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-02-21 DOI: 10.1111/jnu.13046
Xiangting Lu, Lan Shen, Huan Zhao, Zhicong Zhou, Lei Tan, Junfeng Bai
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引用次数: 0
Application of Artificial Intelligence Software to Identify Emotions of Lung Cancer Patients in Preoperative Health Education: A Cross-Sectional Study 应用人工智能软件识别肺癌患者术前健康教育中的情绪:一项横断面研究。
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-02-17 DOI: 10.1111/jnu.70001
Xiaoxue Chen, Ziya Xin, Dong Yang, Xinyuan Song, Jiudi Zhong, Jiahuan Weng, Yongxue Zhang, Dandan Liu, Wang Min, Kang Lu, Yuan Juan

Aim(s)

To determine the correlation between preoperative health education and the emotions of lung cancer patients, artificial intelligence software was used.

Design

This was a cross-sectional study.

Methods

This study included 210 lung cancer patients from Sun Yat-sen University Cancer Center and examined the impact of health education on patient emotions using an AI-based emotion analysis tool.

Results

This study indicated a significant relationship between the tone and emotional content of health education materials and patient emotions. Specifically, educational materials with an explanatory tone and negative sentiment appeared to impact patients' emotional states.

Conclusion

Quality improvements in health education can potentially benefit lung cancer patients' emotional well-being by minimizing the use of both explanatory tone and negative sentiment in educational content.

Implications for the Profession and/or Patient Care

This research suggests that the careful crafting of health education materials, taking into consideration tone and emotional expressions, can have a tangible positive effect on the emotional state of lung cancer patients.

Reporting Method

The study was reported in accordance with the STROBE guidelines.

Patient or Public Contribution

No patients, service users, caregivers, or members of the public were involved in the design, conduct, collection, analysis, or interpretation of the data for this study, nor were they involved in writing the manuscript.

目的:应用人工智能软件探讨术前健康教育与肺癌患者情绪的相关性。设计:这是一项横断面研究。方法:采用基于人工智能的情绪分析工具,对中山大学肿瘤中心210例肺癌患者进行健康教育对患者情绪的影响进行研究。结果:本研究发现健康教育材料的语气、情绪内容与患者情绪有显著关系。具体而言,带有解释性基调和负面情绪的教材似乎会影响患者的情绪状态。结论:通过在教育内容中尽量减少解释性语气和负面情绪的使用,提高健康教育的质量可能有利于肺癌患者的情绪健康。对专业和/或患者护理的影响:本研究表明,仔细制作健康教育材料,考虑语气和情绪表达,可以对肺癌患者的情绪状态产生切实的积极影响。报告方法:本研究按照STROBE指南进行报告。患者或公众贡献:没有患者、服务使用者、护理人员或公众成员参与本研究数据的设计、实施、收集、分析或解释,他们也没有参与撰写稿件。
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引用次数: 0
Response to the Letter to the Editor Regarding Our Published Article (JNU-05-24-410.R1) 关于我们发表的文章(JNU-05-24-410.R1)致编辑的信的回复。
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-02-10 DOI: 10.1111/jnu.13049
Beixue Liu, Jingyi Cai, Lanshu Zhou
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引用次数: 0
The Effect of Toolbox Trainings on Nursing Sensitive Quality Indicators: A Randomized Controlled Trial 工具箱培训对护理敏感质量指标的影响:随机对照试验
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-01-31 DOI: 10.1111/jnu.13051
Bircan Kara, Betül Sönmez
<div> <section> <h3> Introduction</h3> <p>Toolbox training or toolbox talks is short-term training to improve occupational health and safety practices in various sectors. These on-the-job trainings provide employees with opportunities to ask questions and share experiences, facilitating the enhancement of workplace safety practices. The aim of this study is to determine the impact of toolbox trainings provided to nurses on nursing-sensitive quality indicators (pain management, pressure ulcer, patient falls, peripheral venous catheter complications, and adverse event reporting) in the workplace.</p> </section> <section> <h3> Design</h3> <p>Randomized controlled, pre-test, post-test, and control group design.</p> </section> <section> <h3> Methods</h3> <p>Before the toolbox training, pretest measurement instruments were used for the nurses in both the experimental and control groups, and the nursing-sensitive quality indicators were monitored by two independent observers. Toolbox training was provided to nurses in the intervention group on their shift in the respective units. Both groups were followed up at the 8th and 12th weeks after the training. Descriptive tests, independent sample <i>t</i>-tests for intergroup comparisons, and repeated and mixed ANOVA for intragroup comparisons were utilized in data analysis.</p> </section> <section> <h3> Results</h3> <p>Significant differences were found between pre-test and post-test scores of the nurses in the group who received toolbox training in terms of falls, pressure ulcers, pain management, peripheral venous catheter, and adverse event reporting (<i>p</i> < 0.01). It was observed that the application scores significantly differed among all nurses who received toolbox training according to the findings of both observers, generally increasing in the second follow-up compared to the first, but decreasing in the third follow-up (<i>p</i> < 0.05). Evaluated according to unit quality indicators, it was determined that the number of patient falls (mean 4.04, 2.32, and 1.95 respectively), pressure ulcer occurrences (mean 4.48, 2.69, and 2.45 respectively), and the number of patients experiencing peripheral venous catheter complications decreased (mean 26.79, 16.46, and 15.42 respectively) in the units where nurses who received toolbox training worked. The average number of correctly managed pain patients (mean 37.82, 71.61, 69.07 respectively) and the number of reported adverse events (mean 2.79, 6.60, 6.42 respectively) were observed to increase in the second follow-up but decrease in the third follow-u
简介:工具箱培训或工具箱讲座是短期培训,旨在改善各个部门的职业健康和安全实践。这些在职培训为员工提供提问和分享经验的机会,有助加强工作场所的安全措施。本研究的目的是确定向护士提供的工具箱培训对工作场所护理敏感质量指标(疼痛管理、压疮、患者跌倒、外周静脉导管并发症和不良事件报告)的影响。设计:随机对照、前测、后测和对照组设计。方法:实验组和对照组护士在进行工具箱培训前均采用前测量表,护理敏感质量指标由2名独立观察员进行监测。干预组的护士在各自的单位轮班时接受工具箱培训。两组均于训练后第8周和第12周进行随访。数据分析采用描述性检验,组间比较采用独立样本t检验,组内比较采用重复和混合方差分析。结果:接受工具箱培训组护士在跌倒、压疮、疼痛管理、外周静脉导管、不良事件报告等方面的测试前和测试后得分均有显著差异(p)。结论:在职培训提高了护士对护理敏感质量指标的知识水平,改进了护士的操作,提高了单位质量指标。根据本研究的发现,对护士进行在职培训是一种有效的方法,建议在传统培训方法的基础上,在护士在职教育中进行在职培训。临床相关性:护士教育对短期和不同培训方法的需求日益增长。除了经典的在职培训方法外,该培训方法首次应用于护理领域,有助于提高对护理敏感的质量指标。本研究结果强调了该培训方法在未来研究护理敏感质量指标的改进和发展中具有重要意义。试验注册:该研究已在ClinicalTrials.gov注册(NCT05853588)。
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引用次数: 0
Predictors of Nurses' Job Satisfaction in Home Care Settings: Findings From the AIDOMUS-IT Study 家庭护理环境中护士工作满意度的预测因素:AIDOMUS-IT 研究结果。
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-01-31 DOI: 10.1111/jnu.13050
Ilaria Marcomini, Marco Di Nitto, Francesco Zaghini, Valeria Caponnetto, Manuele Cesare, Paolo Iovino, Yari Longobucco, Rosaria Alvaro, Loreto Lancia, Duilio Fiorenzo Manara, Laura Rasero, Gennaro Rocco, Giancarlo Cicolini, Maurizio Zega, Beatrice Mazzoleni, Annamaria Bagnasco, Loredana Sasso

Introduction

Nurses' job satisfaction in hospitals is fundamental for the quality of care and the safety of patients. However, sociodemographic trends require moving care to patients' homes, and the predictors of job satisfaction for nurses working in the home care settings remain largely unknown. Therefore, the aim of this study was to investigate job satisfaction of nurses working in Italian home care settings and its determinants.

Design

Multicenter observational cross-sectional study.

Methods

This study was conducted in the districts of 70 local health authorities in Italy. Data on the characteristics of the organization and nurses were collected. Nursing job satisfaction was evaluated on a four-point scale ranging from “very satisfied” to “very dissatisfied.” Additionally, the following variables were assessed: workload, quality of leadership, work–private life conflict, burnout symptoms, possibility for development, staffing and resource adequacy, nurse manager ability, safety climate, and teamwork climate. A logistic regression analysis was conducted to identify factors influencing job satisfaction.

Results

Only organizational variables had a predictive value for nurses' job satisfaction. Workload (OR = 1.01; p = 0.033), work–private life conflict (OR = 1.02; p < 0.001), burnout (OR = 1.02; p < 0.001), and staffing inadequacy (OR = 1.44; p = 0.003) predicted higher levels of nurse dissatisfaction. Instead, high-quality leadership (OR = 0.981; p < 0.001), possibility for development (OR = 0.973; p < 0.001), and good teamwork climate (OR = 0.994; p = 0.003) were predictors of better levels of satisfaction.

Conclusions

This study suggested that home care nurses are generally satisfied with their jobs. To enhance job satisfaction, it is essential to improve nurses' work environment, the leadership quality and ensure professional development.

Clinical Relevance

Our results are globally relevant as they contribute to the limited evidence available on this topic in home care settings. This study emphasizes the need of measuring nurses' job satisfaction and implementing interventions to promote healthy work environments.

导读:医院护士的工作满意度是护理质量和患者安全的基础。然而,社会人口趋势要求将护理转移到患者家中,并且在家庭护理环境中工作的护士的工作满意度预测因素在很大程度上仍然未知。因此,本研究的目的是调查在意大利家庭护理机构工作的护士的工作满意度及其决定因素。设计:多中心观察性横断面研究。方法:本研究在意大利70个地方卫生当局的地区进行。收集组织和护士的特征数据。护理工作满意度以从“非常满意”到“非常不满意”的四分制进行评估。此外,还评估了以下变量:工作量、领导质量、工作-私人生活冲突、倦怠症状、发展可能性、人员配备和资源充足性、护士管理能力、安全气候和团队合作气候。采用logistic回归分析找出影响工作满意度的因素。结果:只有组织变量对护士工作满意度有预测价值。工作量(OR = 1.01;p = 0.033),工作-私人生活冲突(OR = 1.02;p结论:本研究提示家庭护理护士普遍对其工作满意。要提高护士的工作满意度,必须改善护士的工作环境,提高护士的领导素质,保证护士的专业发展。临床相关性:我们的结果具有全球相关性,因为它们有助于在家庭护理环境中提供有限的证据。本研究强调有必要测量护士的工作满意度,并实施干预措施,以促进健康的工作环境。
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引用次数: 0
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Journal of Nursing Scholarship
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