Abstract: Objective　To acquire a comprehensive and in-depth understanding on the attitude towards the work environment in nurses working in a specialized hospital and further provide rationales for decision making of continuous improvement of nursing management and quality. Methods　It was a cross-sectional study. The Practice Environment Scale of the Nursing Work Index (PES-NWI) was used to administer the questionnaire from July 9 to 22, 2020 in Guangzhou Chest Hospital as a cross-sectional study. A total of 249 nurses, aged 18 to 50 years, were selected. The Likert 4-level scoring method was used to calculate its score and score category by dimensions and items. Results　The scores of healthcare cooperation, foundation of high-quality nursing service, nurse managers' competence and leadership, nurses' participation in hospital affairs, and adequate manpower and material resources dimensions were (3.04±0.55), (2.98±0.59), (2.90±0.70), (2.74±0.73), and (2.65±0.69), respectively. The top 5 ranking items in order of score from highest to lowest were "the rapport between nurses and doctors", "a good teamwork spirit between nurses and doctors", "the supports to the nursing work from the managers of the department", "the guiding and training programs for new onboarding nurses", and "the opportunity to work with competent nurses in clinical work", respectively. Conversely, the last 5 items in order of score from lowest to highest were "the opportunity to participate in the management decisions of the hospital for nurses", "the opportunity to further study and collaborate for me", "giving me more time to care for patients by adequate support equipment","adequate staff (doctors, nurses, carers, etc.) for completing the work tasks", and "managers listening to and responding to nursing staff's opinions and suggestions", respectively. Conclusions　The cooperation and high-quality service for nursing have many good qualities in the specialized hospital. But, the status, human development, as well as staffing for nurses must be paid great attention to.

Key words: Nursing care, Environment, Practice Environment Scale of the Nursing Work Index (PES-NWI), Questionnaire investigation

摘要： 目的　全面、深入了解专科医院护理工作者对其工作环境所持的态度，为持续改进医院护理管理和快速提高护理质量提供相应有决策依据。方法　此为横断面研究，于2020年7月9日至22日期间应用护理工作环境量表（PES-NWI）对广州市胸科医院护士进行问卷调查，最终入选249名护士，年龄在18～50岁之间。采用Likert 4级计分法按维度、条目计算其得分及计分类别情况。结果　医护合作维度、高质量护理服务的基础维度、护理管理者的能力及领导方式维度、护士参与医院事务维度、充足的人力和物力维度得分分别为（3.04±0.55）、（2.98±0.59）、（2.90±0.70）、（2.74±0.73）和（2.65±0.69），得分由高到低前5顺位条目为“科室的医生和护士工作关系融洽”“科室的护士和医生具有良好的团队合作精神”“科室的管理者支持护理人员的工作”“医院对新进护士有指导培训计划”“我有机会与临床工作能力强的护士一同工作”，得分由低到高最后5位条目为“护理人员有机会参与医院的管理决策”“我有进修合作的机会”“科室有充足的支持设备让我有更多的时间护理患者”“科室有充足的人员（医生、护士、护工等）完成工作任务”“管理部门会倾听和反馈护理人员的意见和建议”。结论　在专科医院中，医护合作、护士高质量服务水平上乘，但护理人员的地位、发展以及人员配置值得关注。

关键词: 护理, 环境, 护理工作环境量表（PES-NWI）, 问卷调查