1. 印度护士招聘及海外护士计划 海外招聘在英国国民健康服务(NHS)中对员工成长有至关重要的贡献。2011年,重症监护病房的高级护理空缺率使得市场需要招募大量海外护士。招募的护士将参与到海外护士项目(ONP)中,该项目内的课程旨在训练海外护士达到NHS的要求。 该项研究发现跨学科团队需要承认并认可自身能力差距、语言障碍和文化差异的存在,并应给予ONPs项目中的非英语母语护士充足的时间来适应这种差异、为他们提供相应的帮助。 点击阅读原文 2. 护士延长工作时间:对患者,护士和医疗机构的影响 护士短缺与日益增加的护士工作量息息相关,工作量的增加可能导致工作的失误,而工作的失误会影响到病人、护士和组织机构。这项研究首次调查了 泰国护士工作时长的增加(每周工作超过40小时)对病人、护士和医疗机构间的影响 。 结果诸多国际证据一致,它们均表明, 护士高压的工作条件会对医疗专家、病人和医疗机构产生负面的影响 。决策者应意识到,护士工作时间的延长会导致一系列问题,职业倦怠位于这些问题之首。迫在眉睫地是,护士和医疗管理者需要制定和实施适当的护士加班政策,采取相应的措施来帮助解决护士短缺的现状。 点击阅读原文 3. 美国梦的修订:如何降低亚洲移民的艾滋病患病率 在美国,增长最快的少数族裔群体就是亚太岛国后裔,该种族也是唯一一个艾滋病(HIV)诊断率明显增高的族裔群体。 这项研究发现,HIV呈阳性的亚太岛国后裔群体中,文化认同水平影响患抑郁症的几率以及自我价值的实现。具有较低文化认同感的亚裔美国人自我实现度也较低,且易患抑郁症。因此未来的干预措施应着眼于增加该群体的文化认同感,减少他们的焦虑,最终达到自我实现的目的。 点击阅读原文 4. The Experience of Older People LivingIndependently in Singapore Globally, older people are livingindependently either alone or with their spouse, population continues to age.In Singapore, some may live with an unrelated older person in a public rentalapartment. In Asia, these older people are associated with increased risks ofpoor health and social isolation, have poorer social support and a poor qualityof life. Few studies have explored why these older people choose such livingarrangements, the challenges they encountered and what has helped or may helpthem overcome these challenges. Older people have such living arrangementsfor many reasons. They attain well-being and quality of life by devisingstrategies, tapping on their limited external resources and relying on theirvalues to manage their diminishing resources and the foreseeable death. Read the full article here.
中国大陆护理领域中结构授权、心理授权、留任意愿和倦怠的关系:一项基于横断面问卷调查的研究 Meng,L., Liu, Y., Liu, H., Hu, Y., Yang, J. and Liu, J. (2014), Relationships among structural empowerment, psychological empowerment, intent to stay and burnout in nursing field in mainland China —based on a cross-sectional questionnaire research. International Journal of Nursing Practice . doi: 10.1111/ijn.12279 中文摘要 关键词: 倦怠;中国的护士;授权;留任意愿;结构方程模型 本研究旨在探索中国大陆护士感知的结构授权、心理授权、留任意愿和倦怠心理的关系。现在,世界上很多国家(包括中国)护士资源短缺,留任意愿是护理质量的一个决定性因素。同时,倦怠心理会对护理质量产生负面影响。被授权的诊所护士操作环境与留任意愿和倦怠心理相关。在现有文献中,缺乏基于授权环境讨论倦怠心理和留任意愿关系的数据。本次研究于 2012 年实施,采用匿名问卷形式,由来自中国同一城市不同区域的 219 名护士自愿填写。研究采用结构方程模型( SEM )检验提出的假设。 基于 SEM , 机构授权和心理授权对留任意愿有积极影响,而对倦怠心理有消极影响 。 倦怠心理对留任意愿有非常明显的消极影响。最后的修正模型显示 χ2 = 58.580, P 0.05,χ2/df = 1.046 ,均方根误差大约等于 0.015 ,塔克 - 刘易斯指数等于 0.996 ,比较拟合指数等于 0.998 ,表明了良好的拟合指数。创造积极的授权工作环境可以鼓励护理长期留任并防止倦怠心理。因此,更高水平的授权环境是必要的。 点击阅读全文文献 期刊 介绍 International Journal of Nursing Practice 影响因子 (Impact Factor):0.543 2012年JCR排名: 88/105 (Nursing (Social Science)); 91/107 (Nursing (Science)) 期刊简介: International Journal of Nursing Practice 是一份完全参考性的杂志,发行促进对护理(作为职业和学术科目)的国际性理解的原创性作品。该杂志重点关注拥有健全的科学、理论和哲学基础的文章。优先发表高质量且对于普通读者而言易懂的论文。文章接收的主要标准是优秀、中肯、明晰。所有的文章均须由至少两名精通于所提交文章领域的业内研究人员进行同行评审。 英文摘要 Keywords: burnout; Chinese nurses; empowerment; intent to stay; structural equation modelling The aim of the study was to explore the relationship among perceived structural empowerment, psychological empowerment, burnout and intent to stay by nurses inmainland China. With the shortage of nurses in many countries, including China,intent to stay is a dominant factor to influence the quality of care. Also,burnout is identified to negatively affect the quality of care. Empowered clinical nurse practical environment is related to intentto stay and burnout. In the current literature, there is a lack of data based on empowering environment discussing the relationship between burnout andintent to stay. The study used an anonymous questionnaire, filled voluntarilyby 219 nurses from different sections in a city in mainland China, 2012.Structural equation modelling (SEM) was used to test the proposed hypotheses. Based on the SEM model, structural empowerment and psychological empowerment had significant positive effects on intent to stay of nurses and negative effects on burnout. Burnout had a significant negative effect onintent to stay. The final modified models yielded χ2 = 58.580, P 0.05,χ2/df = 1.046, root mean square error of approximation = 0.015, Tucker–LewisIndex = 0.996, comparative fit index = 0.998, which indicated good fit indices.Creating a positive empowering workplace can encourage nurses to stay long andprevent burnout. Therefore, higher level of empowering environment is required. 点击阅读全文— Relationships among structural empowerment, psychological empowerment, intent to stay and burnout in nursing field in mainland China —based on a cross-sectional questionnaire research.