A Comparison of Working Conditions Among Nurses in Magnet (R) and Non-Magnet (R) Hospitals

作者：Trinkoff Alison M^*; Johantgen Meg; Storr Carla L; Han Kihye; Liang Yulan; Gurses Ayse P; Hopkinson Susan

来源：Journal of Nursing Administration, 2010, 40(7-8): 309-315.

DOI：10.1097/NNA.0b013e3181e93719

Objectives: To compare working conditions (ie, schedule, job demands, and practice environment) of nurses working in American Nurses Credentialing Center-designated Magnet(R) and non-Magnet(R) hospitals.
Background: Although nurse retention has been reported as more favorable among Magnet hospitals, controversy still exists on whether Magnet hospitals have better working conditions.
Method: A secondary data analysis was conducted of the Nurses Worklife and Health Study using responses from the 837 nurses working in 171 hospitals: 14 Magnet and 157 non-Magnet facilities in the Wave 3 follow-up survey. Contingency tables and t tests compared working conditions by Magnet status. To accommodate clustering of nurses in hospitals, the Huber-White sandwich estimator was used to obtain robust SEs and variance estimates.
Result: Nurses in Magnet hospitals were significantly less likely to report jobs that included mandatory overtime (P = .04) or on-call (P = .01), yet hours worked did not differ. They also reported significantly lower physical demands (P = .03), although the means for Magnet hospital nurses and non-Magnet nurses were quite similar (30.1 vs 31.0). Furthermore, comparison of the groups on nursing practice environment and perceived patient safety found no significant differences.
Conclusion: Working conditions reported by nurses working in Magnet and non-Magnet hospitals varied little.

• 出版日期2010-8