组织复原力与基层护理护士的工作条件和福祉:中国的一项多层次实证研究。

IF 2.9 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Wenhua Wang, Mengyao Li, Jinnan Zhang, Ruixue Zhao, Huiyun Yang, Rebecca Mitchell
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引用次数: 0

摘要

抗灾能力对于医疗系统更好地预防和应对公共卫生威胁以及提供优质服务至关重要。尽管人们对医疗保健中的抗逆力概念越来越感兴趣,但有关组织抗逆力影响的实证证据却很少,尤其是在初级医疗机构中。作为初级保健领域最大的专业群体,初级保健护士在日常工作中承担着越来越多的责任,这既影响了他们的工作条件,也影响了他们的身心健康。本研究旨在探讨组织复原力与初级护理护士的工作条件和幸福感之间的关联。我们采用方便抽样的方法,从中国四个城市的 38 家社区卫生服务中心(CHC)招募了 175 名全科护士。组织复原力包括两个领域:适应能力和规划能力,采用 16 个项目的量表进行测量。全科护士的工作条件指标包括心理安全、组织承诺、专业承诺和自主学习等变量;健康指标包括抑郁和职业倦怠。我们建立了层次线性回归模型进行分析。我们发现,抽样调查的社区健康中心具有相对较高的组织复原力。组织复原力与以下四项工作条件指标呈正相关:心理安全(β=0.04,p
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Organizational resilience and primary care nurses' work conditions and well-being: a multilevel empirical study in China.

Resilience is crucial for a health system to better prevent and respond to public health threats and provide high-quality services. Despite the growing interest in the concept of resilience in health care, however, there is little empirical evidence of the impact of organizational resilience, especially in primary care settings. As the largest professional group in primary care, primary care nurses are taking more and more responsibilities during their daily practice, which influences both their work conditions and well-being. This study aims to examine the association between organizational resilience and primary care nurses' working conditions and well-being. Using a convenience sampling approach, we recruited 175 primary care nurses from 38 community health centres (CHCs) in four cities in China. Organizational resilience was operationalized as comprising two domains: adaptive capacity and planning capacity, and measured using a 16-item scale. The primary care nurses' working condition indicators comprised variables of psychological safety, organizational commitment, professional commitment, and self-directed learning; well-being indicators included depression and burn-out. Hierarchical linear regression models were built for analysis. We found that the sampled CHCs have a relatively high level of organizational resilience. The organizational resilience was positively associated with the four indicators of working conditions: psychological safety (β = 0.04, P < 0.01), organizational commitment (β = 0.38, P < 0.01), professional commitment (β = 0.39, P < 0.01), and self-directed learning (β = 0.28, P < 0.01). However, organizational resilience was not significantly associated with the two well-being indicators. Furthermore, we found that the adaptive capacity has stronger association compared with planning capacity. Therefore, primary care manager should build resilient organizations, especially the adaptive capacity, in order to enhance primary care nurses' psychological safety, commitment and learning behaviours. Further studies should also be conducted to understand the link between organizational resilience and primary care nurses' well-being.

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来源期刊
Health policy and planning
Health policy and planning 医学-卫生保健
CiteScore
6.00
自引率
3.10%
发文量
98
审稿时长
6 months
期刊介绍: Health Policy and Planning publishes health policy and systems research focusing on low- and middle-income countries. Our journal provides an international forum for publishing original and high-quality research that addresses questions pertinent to policy-makers, public health researchers and practitioners. Health Policy and Planning is published 10 times a year.
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