Abstract:
:Clinical nursing expertise is central to quality patient care. Research on factors that contribute to expertise has focused largely on individual nurse characteristics to the exclusion of contextual factors. To address this, we examined effects of hospital contextual factors and individual nurse education and experience on clinical nursing expertise in a cross-sectional analysis of data from 8,611 registered nurses. In a generalized ordered logistic regression analysis, the composition of the hospital staff, particularly the proportion of nurses with at least a bachelor of science in nursing degree, was associated with significantly greater odds of a nurse reporting a more advanced expertise level. Our findings suggest that, controlling for individual characteristics, the hospital context significantly influences clinical nursing expertise.
journal_name
Res Nurs Healthjournal_title
Research in nursing & healthauthors
McHugh MD,Lake ETdoi
10.1002/nur.20388subject
Has Abstractpub_date
2010-08-01 00:00:00pages
276-87issue
4eissn
0160-6891issn
1098-240Xjournal_volume
33pub_type
杂志文章,多中心研究abstract::To test the hypotheses that pessimists might benefit from concrete objective information based on self-regulation theory and that optimists might benefit from instruction in self-care and coping based on self-care theory, 62 patients receiving radiation therapy (RT) for prostate cancer were studied. The two experiment...
journal_title:Research in nursing & health
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Research in nursing & health
pub_type: 临床试验,杂志文章,随机对照试验
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