A Study of the Nursing Practice Environment in a Medical Center in Taiwan
尹祚芊(Yin Teresa Jeo-Chen)；林小玲(Shir-Ling Lin)
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
|Volume or Term/Year and Month of Publication||
26卷2期（2009 / 06 / 01）
177 - 187
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.
醫藥衛生 > 社會醫學