The Nurse Work Environment

2021 ◽  
pp. 63-83
Author(s):  
Shelly A. Fischer ◽  
Diane K. Boyle
Keyword(s):  
Work Environment ◽  
Nurse Work Environment

scholarly journals Association of the Nurse Work Environment, Collective Efficacy, and Missed Care

2017 ◽  
Vol 40 (6) ◽  
pp. 779-798 ◽  
Author(s):  
Jessica G. Smith ◽  
Karen H. Morin ◽  
Leigh E. Wallace ◽  
Eileen T. Lake
Keyword(s):  
Work Environment ◽  
Collective Efficacy ◽  
Hospital Staff ◽  
Work Environments ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Quality Patient Care ◽  
Hospital Staff Nurses ◽  
Nurse Work Environment ◽  
Missed Care

Missed nursing care is a significant threat to quality patient care. Promoting collective efficacy within nurse work environments could decrease missed care. The purpose was to understand how missed care is associated with nurse work environments and collective efficacy of hospital staff nurses. A cross-sectional, convenience sample was obtained through online surveys from registered nurses working at five southwestern U.S. hospitals. Descriptive, correlational, regression, and path analyses were conducted ( N = 233). The percentage of nurses who reported that at least one care activity was missed frequently or always was 94%. Mouth care (36.0% of nurses) and ambulation (35.3%) were missed frequently or always. Nurse work environments and collective efficacy were moderately, positively correlated. Nurse work environments and collective efficacy were associated with less missed care (χ2 = 10.714, p = .0054). Fostering collective efficacy in the nurse work environment could reduce missed care and improve patient outcomes.

The Rural Nurse Work Environment and Structural Empowerment

2008 ◽  
Vol 9 (1) ◽  
pp. 28-39 ◽  
Author(s):  
Julianne P. Krebs ◽  
Elizabeth A. Madigan ◽  
Susan Tullai-McGuinness
Keyword(s):  
Work Environment ◽  
Structural Empowerment ◽  
Nurse Work Environment ◽  
Rural Nurse

A comparison of the nurse work environment between perinatal and non-perinatal hospice providers

2013 ◽  
Vol 19 (11) ◽  
pp. 535-540 ◽  
Author(s):  
Lisa C Lindley ◽  
Mary Lou Fornehed ◽  
Sandra J Mixer
Keyword(s):  
Work Environment ◽  
Nurse Work Environment ◽  
Perinatal Hospice

Nurse work environment and job-related outcomes in Brazilian hospitals

2018 ◽  
Vol 41 ◽  
pp. 68-72 ◽  
Author(s):  
Herica Silva Dutra ◽  
Jeannie P. Cimiotti ◽  
Edinêis de Brito Guirardello
Keyword(s):  
Work Environment ◽  
Nurse Work Environment

Impact of Nurse Work Environment and Staffing on Hospital Nurse and Quality of Care in Thailand

2011 ◽  
Vol 43 (4) ◽  
pp. 426-432 ◽  
Author(s):  
Apiradee Nantsupawat ◽  
Wichit Srisuphan ◽  
Wipada Kunaviktikul ◽  
Orn-Anong Wichaikhum ◽  
Yupin Aungsuroch ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Work Environment ◽  
Hospital Nurse ◽  
Nurse Work Environment

scholarly journals Care Quality, Patient Safety, and Nurse Outcomes at Hospitals Serving Economically Disadvantaged Patients: A Case for Investment in Nursing

2022 ◽  
pp. 152715442110695
Author(s):  
Molly Kreider Viscardi ◽  
Rachel French ◽  
Heather Brom ◽  
Eileen Lake ◽  
Connie Ulrich ◽  
...  
Keyword(s):  
Patient Safety ◽  
Work Environment ◽  
Economically Disadvantaged ◽  
Intent To Leave ◽  
Secondary Data ◽  
Care Quality ◽  
Work Environments ◽  
Cross Sectional ◽  
Nurse Work Environment ◽  
Nurse Outcomes

We sought to evaluate if better work environments or staffing were associated with improvements in care quality, patient safety, and nurse outcomes across hospitals caring for different proportions of patients who are economically disadvantaged. Few actionable approaches for hospitals with quality and resource deficits exist. One solution may be to invest in the nurse work environment and staffing. This cross-sectional study utilized secondary data from 23,629 registered nurses in 503 hospitals from a four-state survey collected in 2005–2008. Each 10% increase in the proportion of patients who are economically disadvantaged was associated with 27% and 22% decreased odds of rating unit-level care quality as excellent and giving an “A” safety grade, respectively. Each 10% increase was also associated with 9%, 25%, and 11% increased odds of job dissatisfaction, intent to leave, and burnout, respectively. The work environment had the largest association with each outcome. Accounting for the nurse work environment lessened or eliminated the negative outcomes experienced at hospitals serving high proportions of patients who are economically disadvantaged. Leaders at hospitals serving high proportions of patients who are economically disadvantaged, as well as state and federal policymakers, should work to improve quality, safety, and nurse outcomes by strengthening nurse work environments. Improving work environments highlights the role of nursing in the health care system, and policies focused on work environments are needed to improve the experiences of patients and nurses, especially at hospitals that care for many patients who are economically disadvantaged.

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