Association of nurse work environment and safety climate on patient mortality: A cross-sectional study

Olds, Danielle; Aiken, Linda H.; Cimiotti, Jeannie P.; Lake, Eileen T.

doi:10.1016/j.ijnurstu.2017.06.004

Cited by 128 publications

(134 citation statements)

References 72 publications

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“…The overall mean of the hospital organizational characteristics indicates a low level of nurses’ views on hospital organizational characteristics. This indicates poor work environments as marked by low nurse professional autonomy, consistent with other studies; low nurse satisfaction and high nurse turnover, similar to Kutney‐Lee et al; low quality of work, consistent with Olds et al and Wei et al; and, in turn, low patient satisfaction, similar to Olds et al and Wei et al…”

Section: Discussionsupporting

confidence: 88%

“…For practice settings, the nurse leaders/managers should set up and sustain positive hospital organizational characteristics, especially maintaining adequate support services and information technology as well as using standardized languages, encouraging interprofessional communication and teamwork, providing orientation programs for new staff, maintaining high standards of care and initiating quality and accreditation projects, and investing in experienced nurses and promoting them to be preceptors and mentors. These characteristics will positively influence patient, nurse, and organizational outcomes …”

Section: Discussionmentioning

confidence: 99%

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Nurses’ views on hospital organizational characteristics

Mrayyan

2019

Nurs Forum

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Background Positive organizational characteristics are conducive to healthy work environments. Hospitals with positive organizational characteristics and healthy work environments attract nurses. In turn, positive organizational characteristics and healthy work environments in hospitals will result in positive nurse, patient, and organizational outcomes. Aim The aim of this study was to assess hospital organizational characteristics from the viewpoint of registered nurses (RNs) in the country of Jordan. Methods The researcher used a survey method to conduct the study; the Revised Nursing Work Index (NWI‐R) was used to collect data, utilizing a convenience sample of 308 RNs with a total response rate of 75%. Findings The strongest positive hospital organizational characteristic was the presence of adequate support services which allow nurses to spend time with their patients. The strongest negative hospital organizational characteristics were the nursing delivery systems—particularly in primary nursing where they result in nurses having to do things that are against their nursing judgment—and the limited opportunities and freedom over many aspects of nursing care and unit/ward decisions. Conclusions Positive hospital organizational characteristics should be maintained because these produce positive nurse, patient, and organizational outcomes. Fostering a positive hospital organizational environment is a continuous effort. The results have implications for practice, research, and education.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Nurses’ views on hospital organizational characteristics

Mrayyan

2019

Nurs Forum

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“…These is critically important evidence since improving NPE, including nurse–patient ratios, may enhance nurse workforce as well as improve QNC, as found in previous studies in United States (Olds et al. ; Patrician et al. ).…”

Section: Discussionmentioning

confidence: 77%

Factors predicting quality of nursing care among nurses in tertiary care hospitals in Mongolia

Gaalan

Kunaviktikul

Akkadechanunt

et al. 2019

International Nursing Review

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Background An increasing nursing shortage, high workloads and poor working environments are affecting the quality of nursing care in many countries including Mongolia. Aim To explore the level of quality of nursing care, nursing competency and nursing practice environment, as well as the predictability of nurses’ personal factors, nursing competency and nursing practice environment on quality of nursing care as perceived by nurses in Mongolia. Methods We collected data from 346 registered nurses, randomly selected and working in seven general public tertiary care hospitals in the capital city of Ulaanbaatar, and four regions of Mongolia. Instruments used were the Good Nursing Care Scale, the Competency Inventory for Registered Nurses and the Practice Environment Scale of Nursing Work Index. Data were analysed using descriptive statistics and multiple regression analysis. Results The overall quality of nursing care and nursing competency was perceived to be at a high level, whereas nursing practice environment was at a favourable level. Nursing competency and nursing practice environment were found as significant predictors of nursing care quality, while personal factors were found as non‐significant predictors. Discussion Improving nursing competency and practice environment enhances the quality of nursing care. However, a study limitation is that self‐reporting may not have reflected the accuracy of variables. Conclusion Findings provide important evidence for the use of measures and strategies to enhance the quality of nursing care by improving nursing competency and the nursing practice environment. Implications for nursing and health policy Policymakers, administrators and nurses need to work together to develop and implement policies to enhance and support the competency and practice environments of the Mongolian nurses.

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“…For nurses, organisational factors such as adequate staffing levels and supportive work environments have long been linked to patient outcomes (Aiken et al, ; Olds, Aiken, Cimiotti, & Lake, ). Higher nurse staffing levels, for example, are associated with lower mortality and readmissions, and fewer pressure ulcers and falls (McHugh & Ma, ; Shin, Park, & Bae, ).…”

Section: Introductionmentioning

confidence: 99%

“You only have time for so much in 12 hours” unmet social needs of hospitalised patients: A qualitative study of acute care nurses

Carthon

Hedgeland

Brom

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To explore the experiences of nurses caring for socially at‐risk patients and gain an understanding of the challenges nurses face when providing care. Background Nurses play a pivotal role in caring for hospitalised patients with social risk factors and preparing them for discharge. Few studies have explored whether acute care nurses are adequately supported in their practice environments to address the unique needs of socially at‐risk patients as they transition back into community settings. Design A qualitative descriptive study of nurses working in a large urban academic medical centre. Methods We conducted six semi‐structured focus groups of nurses (n = 21). Thematic content analysis was performed to analyse the transcripts from the focus groups. We adhered to COREQ guidelines for reporting this qualitative study. Results Six key themes emerged: (a) nurses’ assessments of social risk factors, (b) experiences providing care, (c) barriers to care, (d) fear of “labelling” socially at‐risk patients, (e) unmet social care needs and (f) recommendations to improve care. Conclusions Our findings suggest that nurses are able to identify social risk factors. However, prioritisation of medical needs during acute care hospitalisation and lack of organisational supports may deter nurses from fully addressing social concerns. Relevance to clinical practice Acute care nurses should be involved in the development of future efforts to address the needs of socially at‐risk patients and be provided with additional supports in their practice environments. This could include continuing education to build nursing competencies in community‐based care and social vulnerability.

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Association of nurse work environment and safety climate on patient mortality: A cross-sectional study

Abstract: 2017-08-25T16:30:32

Cited by 128 publications

References 72 publications

Nurses’ views on hospital organizational characteristics

Nurses’ views on hospital organizational characteristics

Factors predicting quality of nursing care among nurses in tertiary care hospitals in Mongolia

“You only have time for so much in 12 hours” unmet social needs of hospitalised patients: A qualitative study of acute care nurses

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