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báo cáo khoa học: " Measuring the context of care in an Australian acute care hospital: a nurse survey"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Measuring the context of care in an Australian acute care hospital: a nurse survey | Schultz and Kitson Implementation Science 2010 5 60 http www.implementationscience.eom content 5 1 60 Implementation Science IMPLEMENTATION SCIENCE RESEARCH ARTICLE Open Access Measuring the context of care in an Australian acute care hospital a nurse survey Timothy J Schultz1 2 3 Alison L Kitson2 3 4 Abstract Background This study set out to achieve three objectives to test the application of a context assessment tool in an acute hospital in South Australia to use the tool to compare context in wards that had undergone an evidence implementation process with control wards and finally to test for relationships between demographic variables in particular experience of nurses being studied n 422 with the dimensions of context. Methods The Alberta Context Tool ACT was administered to all nursing staff on six control and six intervention wards. A total of 217 62 were returned 67 from the intervention wards and 56 from control wards . Data were analysed using Stata v9 . The effect of the intervention was analysed using nested hierarchical analysis of variance relationships between nurses experience and context was examined using canonical correlation analysis. Results Results confirmed the adaptation and fit of the ACT to one acute care setting in South Australia. There was no difference in context scores between control and intervention wards. However the tool identified significant variation between wards in many of the dimensions of context. Though significant the relationship between nurses experience and context was weak suggesting that at the level of the individual nurse few factors are related to context. Conclusions Variables operating at the level of the individual showed little relationship with context. However the study indicated that some dimensions of context e.g. leadership culture vary at the ward level whereas others e. g. structural and electronic resources do not. The ACT also raised a number of interesting speculative hypotheses around the .