AimTo investigate the relationship between nurses' climate of perceived organizational support, and their well‐being and healthcare‐unit performance.DesignA two‐wave cohort questionnaire study among nurses within six hospitals in Sweden.MethodsHypotheses were tested using cross‐lagged path models on the individual (organizational support, job satisfaction, burnout, intention to stay) and aggregate levels (care‐unit organizational support, team effectiveness, patient safety climate and patient safety). Analyses were based on 1.817 nurses in 228 care‐units (T1), 1.362 nurses in 213 care‐units (T2) and longitudinal samples of 711 nurses and 140 care‐units.ResultsOrganizational support (T1) positively influenced job satisfaction (T2) and tended to decrease burnout (T2) but did not affect turnover intent. Reversed relationships were also found. No statistically significant prospective effects were found on the aggregate level.ConclusionThe results indicated a prospective reciprocally reinforcing relationship between organizational support and job satisfaction. Burnout and intention to stay were predictors rather than outcomes of the organizational support climate.Implications for the Profession and/or Patient CareA climate where nurses perceive that their organization values their contributions and cares about their well‐being is beneficial for their job satisfaction and health, which, according to previous research, may influence nurse retention.ImpactThe study addressed perceived organizational support as a potential predictor of nurses' well‐being and healthcare‐unit performance. A mutually reinforcing relation was indicated between organizational support and nurses' job satisfaction and health. Job dissatisfaction, burnout symptoms and turnover intentions were prospectively negatively related to the organizational support. Identifying and implementing a variety of practical measures to support perceptions of organizational support may be an effective way for healthcare management to start and sustain the development of a healthier work environment for healthcare professionals.Reporting MethodSTROBE statement for cohort studies.Patient or Public ContributionNo patient or public contribution.

中文翻译：

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感知组织支持氛围对护士福祉和医疗保健单位绩效的影响：纵向问卷研究

目的 调查护士感知到的组织支持气氛与其幸福感和医疗机构绩效之间的关系。设计了一项针对瑞典六家医院护士的双波队列问卷研究。方法使用交叉滞后路径模型对假设进行了检验个人（组织支持、工作满意度、倦怠、留下意愿）和总体水平（护理单位组织支持、团队有效性、患者安全氛围和患者安全）。分析基于 228 个护理单位的 1.817 名护士 (T1)、213 个护理单位的 1.362 名护士 (T2) 以及 711 名护士和 140 个护理单位的纵向样本。结果组织支持 (T1) 对工作满意度 (T2) 和倾向于减少倦怠（T2），但不影响离职意向。还发现了相反的关系。在总体水平上没有发现统计上显着的预期影响。结论结果表明组织支持和工作满意度之间存在预期的相互增强关系。倦怠和留下意愿是组织支持氛围的预测因素，而不是结果。对职业和/或患者护理的影响护士认为组织重视他们的贡献并关心他们的福祉的氛围有利于他们的工作满意度和健康，根据之前的研究，这可能会影响护士的保留。影响该研究将感知的组织支持作为护士福祉和医疗保健部门绩效的潜在预测因素。组织支持与护士的工作满意度和健康之间存在相辅相成的关系。工作不满、倦怠症状和离职意向与组织支持呈前瞻性负相关。确定和实施各种实际措施来支持组织支持的看法可能是医疗保健管理开始和维持医疗保健专业人员更健康的工作环境发展的有效方法。队列研究的报告方法STROBE声明。患者或公众贡献没有患者或公共贡献。