路径分析:护士长能力、实践环境感知与一线护士留任意愿之间的相互关系。

Christine Pabico,Shin Hye Park,Ellen Swartwout,Nora E Warshawsky
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引用次数: 0

摘要

目的研究护士长(NM)能力、工作环境(护理工作指数实践环境量表[PES-NWI])与一线护士的留任意愿之间的相关性;护士长能力对一线护士留任意愿的直接影响;以及护士长能力对一线护士留任意愿的间接影响(以PES-NWI为中介)。结果发现,护士能力与一线护士的执业环境之间存在正的、微弱的相关性;护士能力与一线护士的留任意愿之间不存在相关性。路径为 NM 能力/PES-NWI(β = 0.20,P = 0.001)和 PES-NWI/ 留任意愿(β = 0.55,P < 0.001);NM 能力/留任意愿不显著。通过PES-NWI(β = 0.11,P = 0.002;95%置信区间,0.05-0.17),间接影响了护士长能力对一线护士留下意愿的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Path Analysis: Interrelationships Between Nurse Manager Competencies, Practice Environment Perceptions, and Frontline Nurses' Intent to Stay.
OBJECTIVE To examine the correlation between nurse manager (NM) competencies, work environment (Practice Environment Scale of the Nursing Work Index [PES-NWI]), and frontline nurses' intent to stay; the direct effect of NM competency on frontline nurses' intent to stay; and the indirect effect of NM competency on frontline nurses' intent to stay, mediated by PES-NWI. BACKGROUND PES-NWI and NMs' competency can impact frontline nurses' intent to stay. METHODS Cross-sectional study with secondary analysis of NM Competency and NDNQI® (National Database of Nursing Quality Indicators®) RN Survey data with path analysis for effects of the model's variables. RESULTS Positive, weak correlations between NM competencies and frontline nurses' practice environments were found; NM competencies and frontline nurses' intent to stay were not correlated. Paths were NM competency/PES-NWI (β = 0.20, P = 0.001) and PES-NWI/intent to stay (β = 0.55, P < 0.001); NM competency/intent to stay was not significant. Indirect effect of NM competency on frontline nurses' intent to stay was mediated through PES-NWI (β = 0.11, P = 0.002; 95% confidence interval, 0.05-0.17). CONCLUSIONS Investing in NMs' competency can help create supportive work environments and frontline nurses' intent to stay.
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