Service quality in hospital wards with different nursing organization: nurses’ ratings

Sjetne, Ingeborg Strømseng; Veenstra, Marijke; Ellefsen, Bodil; Stavem, Knut

doi:10.1111/j.1365-2648.2008.04873.x

Cited by 21 publications

(52 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The age distribution of our sample is corresponding with studies from similar populations in Norway. 53 The difference in age from nurses in the NNO member register may be explained by the exclusion of nurses in leader positions and part-time positions. Nurses' practice environments are complex and cannot be fully covered by a questionnaire, but overall the NWI is characterised as a 'promising instrument'.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

A cross-sectional study to identify organisational processes associated with nurse-reported quality and patient safety

et al. 2012

View full text Add to dashboard Cite

ObjectivesThe purpose of this study was to identify organisational processes and structures that are associated with nurse-reported patient safety and quality of nursing.DesignThis is an observational cross-sectional study using survey methods.SettingRespondents from 31 Norwegian hospitals with more than 85 beds were included in the survey.ParticipantsAll registered nurses working in direct patient care in a position of 20% or more were invited to answer the survey. In this study, 3618 nurses from surgical and medical wards responded (response rate 58.9). Nurses' practice environment was defined as organisational processes and measured by the Nursing Work Index Revised and items from Hospital Survey on Patient Safety Culture.Outcome measuresNurses' assessments of patient safety, quality of nursing, confidence in how their patients manage after discharge and frequency of adverse events were used as outcome measures.ResultsQuality system, nurse–physician relation, patient safety management and staff adequacy were process measures associated with nurse-reported work-related and patient-related outcomes, but we found no associations with nurse participation, education and career and ward leadership. Most organisational structures were non-significant in the multilevel model except for nurses’ affiliations to medical department and hospital type.ConclusionsOrganisational structures may have minor impact on how nurses perceive work-related and patient-related outcomes, but the findings in this study indicate that there is a considerable potential to address organisational design in improvement of patient safety and quality of care.

show abstract

Section: Strengths and Limitationsmentioning

confidence: 99%

A cross-sectional study to identify organisational processes associated with nurse-reported quality and patient safety

et al. 2012

View full text Add to dashboard Cite

show abstract

“…The first illustrates the implications of organizational models for nurses' interaction and the second is about formal guidelines. Hospital nurses are organized mainly in teams, primary nurse systems or as hybrid models [28], while principles of New Public Management usually underpin the organizational structure used for home care nurses. New Public Management is a purchaser–provider split [29].…”

Section: Challenge 1: Local Practices Circumvent Formal Structuresmentioning

confidence: 99%

Cultural diversity between hospital and community nurses: implications for continuity of care

Hellesø¹,

Fagermoen²

2010

Int J Integr Care

View full text Add to dashboard Cite

IntroductionHealth care systems and nurses need to take into account the increasing number of people who need post-hospital nursing care in their homes. Nurses have taken a pivotal role in discharge planning for frail patients. Despite considerable effort and focus on how to undertake hospital discharge successfully, the problem of ensuring continuity of care remains.ChallengesIn this paper, we highlight and discuss three challenges that seem to be insufficiently articulated when hospital and community nurses interact during discharge planning. These three challenges are: how local practices circumvent formal structures, how nurses' different perspectives influence their assessment of patients' need for post-hospital care, and how nurses have different understanding of what it means to be ‘ready to be discharged’.DiscussionWe propose that nurses need to discuss these challenges and their implications for nursing care so as to be ready to face changing demands for health care in future.

show abstract

“…For a nursing administration study [15], a simple and valid classification system was needed to categorize models of nursing service organization at the ward level. Our expectation was that self-identification of organizational models would only to some degree correspond with reported ward data describing activity patterns on the wards.…”

Section: Introductionmentioning

confidence: 99%

Classifying nursing organization in wards in Norwegian hospitals: self-identification versus observation

2010

Self Cite

View full text Add to dashboard Cite

BackgroundThe organization of nursing services could be important to the quality of patient care and staff satisfaction. However, there is no universally accepted nomenclature for this organization. The objective of the current study was to classify general hospital wards based on data describing organizational practice reported by the ward nurse managers, and then to compare this classification with the name used in the wards to identify the organizational model (self-identification).MethodsIn a cross-sectional postal survey, 93 ward nurse managers in Norwegian hospitals responded to questions about nursing organization in their wards, and what they called their organizational models. K-means cluster analysis was used to classify the wards according to the pattern of activities attributed to the different nursing roles and discriminant analysis was used to interpret the solutions. Cross-tabulation was used to validate the solutions and to compare the classification obtained from the cluster analysis with that obtained by self-identification. The bootstrapping technique was used to assess the generalizability of the cluster solution.ResultsThe cluster analyses produced two alternative solutions using two and three clusters, respectively. The three-cluster solution was considered to be the best representation of the organizational models: 32 team leader-dominated wards, 23 primary nurse-dominated wards and 38 wards with a hybrid or mixed organization. There was moderate correspondence between the three-cluster solution and the models obtained by self-identification. Cross-tabulation supported the empirical classification as being representative for variations in nursing service organization. Ninety-four per cent of the bootstrap replications showed the same pattern as the cluster solution in the study sample.ConclusionsA meaningful classification of wards was achieved through an empirical cluster solution; this was, however, only moderately consistent with the self-identification. This empirical classification is an objective approach to variable construction and can be generally applied across Norwegian hospitals. The classification procedure used in the study could be developed into a standardized method for classifying hospital wards across health systems and over time.

show abstract

Service quality in hospital wards with different nursing organization: nurses’ ratings

Cited by 21 publications

References 40 publications

A cross-sectional study to identify organisational processes associated with nurse-reported quality and patient safety

A cross-sectional study to identify organisational processes associated with nurse-reported quality and patient safety

Cultural diversity between hospital and community nurses: implications for continuity of care

Classifying nursing organization in wards in Norwegian hospitals: self-identification versus observation

Contact Info

Product

Resources

About