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首页> 外文期刊>Western journal of nursing research >Evaluation of Elements of the Nursing Worklife Model Using Unit-Level Data
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Evaluation of Elements of the Nursing Worklife Model Using Unit-Level Data

机译：使用单位水平数据评估护理工作寿命模型的要素

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摘要

The practice environment is important to nurse satisfaction and patient outcomes. Laschinger and Leiter posited causal relationships by development and testing of the Nursing Worklife Model (NWLM). Using a secondary analysis of unit-level data (N = 3,203; medical, surgical, medical-surgical, critical-care, and step-down units) from the 2011 National Database for Nursing Quality Indicators (R), hypothesized pathways of the NWLM were tested using structural equation modeling. Practice Environment subscales developed by Lake were used to operationalize model variables with job enjoyment being the outcome variable. Positive pathways identified in the original causal model were supported. However, using an iterative process, additional pathways were identified that improved model fit (comparative fit index = 0.99; root mean square error of approximation = 0.06; standardized root mean square residual = 0.002). Nurse manager ability, leadership, and support had direct links to job enjoyment as well as other elements of the model. Development of nurse managers is important to the retention of clinical nurses in the hospital setting.
机译：练习环境对于护理满意度和患者结果至关重要。 Laschinger和Leiter通过开发和测试护理工作寿命模型（NWLM）提出因果关系。使用2011年国家护理质量指标数据库（R）的单位水平数据（N = 3,203;医疗，外科，医疗外科，重症监护和降级部门）进行二次分析，并假设了NWLM的途径使用结构方程模型进行了测试。 Lake开发的实践环境子量表用于操作模型变量，而工作乐趣是结果变量。支持在原始因果模型中确定的积极途径。但是，使用迭代过程，还发现了改进模型拟合的其他途径（比较拟合指数= 0.99;近似均方根误差= 0.06;标准化均方根残差= 0.002）。护士经理的能力，领导能力和支持与工作乐趣以及该模型的其他要素有着直接的联系。护士管理人员的培养对于保留临床护士在医院环境中至关重要。

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