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Benchmarking nurse outcomes in Australian Magnet® hospitals: cross-sectional survey.
BMC Nursing ( IF 3.1 ) Pub Date : 2019-12-03 , DOI: 10.1186/s12912-019-0383-6
L Stone 1, 2 , M Arneil 1 , L Coventry 3, 4 , V Casey 1, 2, 5 , S Moss 1 , A Cavadino 6 , B Laing 5 , A L McCarthy 1, 5, 6, 7
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Background Positive reports of nursing-related outcomes such as quality nursing care, nursing engagement with work and good practice environment are crucial in attaining and maintaining Magnet® designation. The majority of Magnet®-designated organisations (N = 482) are in the USA, with their aggregate nursing outcomes widely published as benchmark data. Australian Magnet® outcomes have not been aggregated or published to date. Methods The aims are to benchmark educational preparation, occupational burnout, job satisfaction, intention to leave and working environment of nurses in Australian Magnet®-designated facilities and to determine the reliability of the Practice Environment Scale-Australia.The design is a cross-sectional multisite survey set in all three Australian Magnet®-designated organisations.The demographics included age, gender, level of education, years in practice, level of seniority and position title. Two items measured job satisfaction and intent to stay in current employment. The Maslach Burnout Inventory explored the three domains of nursing engagement: depersonalisation, personal achievement and emotional exhaustion. The Australian version of the Practice Environment Scale interrogated participants' perceptions of their work environments. Results 2004 nurses participated (response rate 45.9%). Respondents' mean age was 39.2 years (range 20-72). They were predominantly female and had worked in their current facility for more than 5 years. Eighty five percent had a minimum of a Bachelor's degree. Eighty-six percent of respondents were satisfied or very satisfied with their current position. Eighty eight percent had no intention of leaving their current employer within the next 12 months. Participants rated their hospitals highly in all domains of the practice environment. Respondents reported less burnout in the personal accomplishment and depersonalisation domains than in the emotional exhaustion domain, in which they reported average levels of burnout. The internal consistency of the Practice Environment Scale-Australia was confirmed in this sample (Cronbach α's 0.87-0.9 for subscales and 0.89 for composite score). Conclusion In this paper, we present nursing outcome data from all Australian Magnet® hospitals for the first time. This provides a benchmark that facilitates comparison with nursing outcomes published by Australian non-Magnet® hospitals and with international Magnet® organisations.

中文翻译:

澳大利亚 Magnet® 医院的护士成果基准测试:横断面调查。

背景 护理相关成果的正面报告,例如优质护理、护理工作参与度和良好的实践环境,对于获得和保持 Magnet® 称号至关重要。大多数 Magnet® 指定组织 (N = 482) 位于美国,其总体护理结果作为基准数据广泛发布。迄今为止,Australian Magnet® 结果尚未汇总或发布。方法 目的是对澳大利亚 Magnet® 指定设施中护士的教育准备、职业倦怠、工作满意度、离职意向和工作环境进行基准测试,并确定澳大利亚实践环境量表的可靠性。该设计是一个横断面的在所有三个澳大利亚 Magnet® 指定组织中进行多站点调查。人口统计数据包括年龄、性别、受教育程度、从业年限、资历水平和职位头衔。两个项目衡量了工作满意度和留在当前工作的意图。马斯拉克倦怠量表探讨了护理参与的三个领域:人格解体、个人成就和情绪衰竭。澳大利亚版的实践环境量表询问参与者对其工作环境的看法。结果 2004 名护士参与(响应率为 45.9%)。受访者的平均年龄为 39.2 岁(范围 20-72)。他们主要是女性,并在目前的设施中工作了 5 年以上。85% 的人至少拥有学士学位。86% 的受访者对他们目前的职位感到满意或非常满意。88% 的人无意在未来 12 个月内离开目前的雇主。参与者在实践环境的所有领域都高度评价他们的医院。与情绪衰竭领域相比,受访者报告的个人成就和人格解体领域的倦怠更少,他们报告的倦怠水平为平均水平。在该样本中证实了澳大利亚实践环境量表的内部一致性(Cronbach α 的子量表为 0.87-0.9,综合得分为 0.89)。结论 在本文中,我们首次展示了所有澳大利亚 Magnet® 医院的护理结果数据。这提供了一个基准,便于与澳大利亚非 Magnet® 医院和国际 Magnet® 组织发布的护理结果进行比较。
更新日期:2020-04-22
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