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首页> 外文期刊>Scandinavian journal of caring sciences. >The professional nursing practice environment and nurse-reported job outcomes in two European countries: A survey of nurses in Finland and the Netherlands
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The professional nursing practice environment and nurse-reported job outcomes in two European countries: A survey of nurses in Finland and the Netherlands

机译：欧洲两个国家/地区的专业护理实践环境和护士报告的工作成果：芬兰和荷兰的护士调查

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The working environment of nurses is receiving international interest, because there is a growing consensus that identifying opportunities for improving working conditions in hospitals is essential to maintain adequate staffing, high-quality care, nurses' job satisfaction and hence their retention. Thus, the aim of this study was to investigate the relationship between nurse work environment characteristics and nurse-reported job outcomes in hospital settings in Finland and the Netherlands and to compare these results. A comparative cross-sectional nurse survey was conducted. Data were collected from the two countries randomly sampling the countries' National Nurses Association' membership databases. In this paper, the results from Registered Nurses working in hospital settings are used. In total, 869 hospital nurses participated: 535 from Finland and 334 from the Netherlands with the response rate of 44.9 and 33.4%, respectively. Fifty-five items from the Nursing Work Index-Revised were used as a main tool for the practice environment. Exploratory factor analysis was used to identify a set of internally consistent subscales. Further, logistic regression analysis and T-tests were used. Three practice environment characteristics were identified: adequacy of resources, supportiveness of management and assurance of care quality via collaborative relationships. Favourable evaluations of the adequacy of resources and supportiveness of management were positively correlated with nurse-assessed quality of care and job-related positive feelings and negatively correlated with intentions to leave a unit, organization or the entire profession. In neither of the participating countries were adverse incidents affecting nurses related to nurses' evaluations of their current professional practice environment. Compared with Finland, in the Netherlands, RN appears to evaluate the majority of work environment characteristics more positively; nevertheless, to some extent, the results were uniform as adequacy of resources and supportiveness of management were main predictors for nurse-reported job outcomes considered.
机译：护士的工作环境正在引起国际关注，因为越来越多的共识认为，发现改善医院工作条件的机会对于维持足够的人员配备，高质量的护理，护士的工作满意度并因此对其保留至关重要。因此，本研究的目的是调查芬兰和荷兰医院环境中护士工作环境特征与护士报告的工作结果之间的关系，并比较这些结果。进行了比较横断面护士调查。数据是从两国收集的，对国家护士协会的会员数据库进行了随机抽样。在本文中，使用了在医院环境中工作的注册护士的结果。总共有869名医院护士参加：芬兰的535名和荷兰的334名，回复率分别为44.9％和33.4％。修订的《护理工作指数》中的55项被用作练习环境的主要工具。探索性因素分析用于识别一组内部一致的子量表。此外，使用了逻辑回归分析和T检验。确定了三个实践环境特征：资源的充足性，管理的支持性以及通过合作关系保证护理质量。对资源充足性和管理支持性的良好评价与护士评估的护理质量和工作相关的积极感觉呈正相关，与离开单位，组织或整个行业的意愿呈负相关。在这两个参与国中，都没有与护士对其当前专业实践环境的评估有关的影响护士的不良事件。与芬兰相比，在荷兰，RN似乎更积极地评估了大多数工作环境特征。然而，在一定程度上，结果是一致的，因为资源的充足性和管理的支持是考虑护士报告的工作成果的主要预测因素。

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