中苏拉威西岛 B 类医院护士职业倦怠和患者安全文化与护理质量之间的关系

Fitria Dewi Susanti, Sri Andarini, K. Putra
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摘要

医院提供住院、门诊和急诊等医疗服务。护理质量至关重要,因为病人依赖护士来解决他们的投诉。本研究旨在确定护士职业倦怠和患者安全文化与护理质量之间的关系。研究采用分析性观察设计和横断面研究方法,在中苏拉威西省的两家 B 类医院进行,使用目的性抽样法在住院病房对 235 名护士进行了调查。数据分析包括皮尔逊积矩检验和多元模型。结果表明,护士职业倦怠与护理质量之间以及患者安全文化与护理质量之间存在明显关系(P 值小于 0.05)。与护理质量相关的主要变量是患者安全文化(β = 0.723)。该研究强调,护士职业倦怠会对护理质量产生负面影响,而强大的患者安全文化则会提高护理质量。从理论上讲,这项研究拓展了对护士职业倦怠、患者安全文化和护理质量之间相互作用的理解,强调了组织支持和有效沟通的必要性。在实践中,它建议医院管理者应实施减少护士职业倦怠和培养积极的患者安全文化的策略,如压力管理计划和支持性工作环境,以提高护理质量和改善患者预后。
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The Relationship Between Nurse Burnout and Patient Safety Culture with The Quality of Nursing Care in Type B Hospitals in Central Sulawesi
The hospital provides health services such as inpatient, outpatient, and emergency departments. The quality of nursing care is crucial as patients rely on nurses to address their complaints. This study aims to determine the relationship between nurse burnout and patient safety culture with the quality of nursing care. An analytical observational design with a cross-sectional study approach was conducted in two Type B Hospitals in Central Sulawesi Province with 235 nurse respondents in the inpatient room, using purposive sampling. Data analysis included the Pearson product-moment test and multivariate modeling. Results indicated a significant relationship between nurse burnout and nursing care quality (p-value <0.05), as well as between patient safety culture and nursing care quality. The dominant variable related to the quality of nursing care was patient safety culture (β = 0.723). The study highlights that nurse burnout negatively impacts the quality of nursing care, whereas a strong patient safety culture improves it. Theoretically, this research expands the understanding of the interplay between nurse burnout, patient safety culture, and nursing care quality, emphasizing the need for organizational support and effective communication. Practically, it suggests that hospital administrators should implement strategies to reduce nurse burnout and foster a positive patient safety culture, such as stress management programs and a supportive work environment, to enhance nursing care quality and improve patient outcomes.
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