AIM:To describe staff nurse work engagement, identify predictors by generational cohort, present implications for nurse managers and suggest future research. BACKGROUND:A global nurse shortage looms. While an adequate supply of nurses is needed to ensure access to care, access to quality care may be enhanced by an adequate supply of highly engaged nurses-those who are dedicated, energized, and absorbed. Nurses have long reported the presence of energy depleting practice environments. Nurses practicing in professional practice environments may be more engaged. METHODS:A non-experimental survey design was executed. Direct care Registered Nurses (n = 747) working in five rural acute care hospitals completed questionnaires to assess work engagement (Utrecht Work Engagement Scale-9), decisional involvement (Decisional Involvement Scale), relational coordination (Relational Coordination Survey) and the nursing practice environment (Practice Environment Scale of the Nursing Work Index). Descriptive, correlational and regression analyses examined work engagement and predictors by generational cohort. RESULTS:With the exception of the absorption component, no statistically significant differences in engagement emerged across generational cohorts. Predictors of engagement differed by cohort, however across all cohorts, professional nursing practice environments predicted nurse work engagement. CONCLUSIONS:Professional nursing practice environments are significantly associated with nurse work engagement. IMPLICATIONS FOR NURSING MANAGEMENT:Enhancing nurse work engagement is a complex challenge. Generational cohorts may respond to different strategies to enhance engagement.

译文

目的:描述员工护士的工作参与度,按代际队列确定预测因素,介绍对护士管理者的影响并建议未来的研究。
背景:全球护士短缺迫在眉睫。尽管需要足够的护士来确保获得护理,但是可以通过充足的高度敬业的护士(专职,充满活力和专心致志的护士)来提供优质的护理。长期以来,护士一直在报告能量消耗练习环境的存在。在专业执业环境中执业的护士可能会更多地参与进来。
方法:执行非实验性调查设计。在五家农村急诊医院工作的直接护理注册护士(n = 747)完成了问卷调查,以评估工作参与度(乌特勒支工作投入量表9),决策参与(决定参与量表),关系协调(关系协调调查)和护理实践环境(护理工作指数的实践环境量表)。描述性,相关性和回归分析按世代队列研究了工作投入和预测因素。
结果:除了吸收成分外,各代人之间的参与度没有统计学上的显着差异。敬业度的预测因队列而异,但是在所有队列中,专业护理实践环境都预测了护士的工作敬业度。
结论:专业护理实践环境与护士工作投入密切相关。
护理管理的意义:加强护士工作投入是一项复杂的挑战。代际群体可能对不同的策略做出反应,以提高参与度。

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