[[alternative]]A study of Perceived Nursing Work Environment among Nurses: An Example of Regional Teaching Hospitals in Taipei County

Abstract

[[abstract]]本研究旨在探討護理人員對護理工作環境的認知。本研究採橫斷式問卷調查法，研究對象爲台北縣區域教學醫院服務滿三個月以上之護理人員，共回收1,461份（回收率89.5%）。研究工具爲Aiken及Patrician之護理工作環境指標量表。研究結果：(1)以因素分析萃取出：專業實務、專業發展、專業標準、人力與資源、醫護合作、行政主管支持、護理人員能力之七個構面，共解釋護理工作環境45.2%的變異量。(2)七個構面平均得分依序爲專業標準、行政主管支持、護理人員能力、醫護合作、專業發展、專業實務、人力與資源。運用護理工作環境指標量表評值台灣護理工作環境是很好的開端，建議未來針對不同層級醫院的護理人員進行工具信效度的測試，以了解護理工作環境的狀態，進而提供有效的環境改善措施以留任護理人員。[[abstract]]Objective: To examine the perceived nursing work environment among nurses of regional teaching hospitals in Taipei County. Methods: A cross-sectional survey was conducted for collecting data from 1,632 nurses who were met the criteria of selection. The respondents were 1,461 with a response rate of 89.5%. Measurements adapting from Aiken and Patrician's Revised Nursing Work Index (NWI-R) was used. Results: Seven factors were extracted and accounted for 45.2% variance of nursing work environment by factor analysis with an orthogonal rotation, such as professional practice, professional development, professional standard, staffing and resource adequacy, nurse-physician collaboration, supportive nurse manager, and nursing competence. The mean scores of the perceived nursing work environment arranged in order among nurses were professional standard, supportive nurse manager, nursing competence, nurse-physician collaboration, professional development, professional practice, staffing and resource adequacy. It is a good start to initiate investigation of perception of nursing work environment through the NWI-R in Taiwan. Future research is needed to evaluate the validity and reliability of the NWI-R among other nurses from different ownership hospitals and to understand the nursing work environment