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JournalISSN: 0002-0443

Journal of Nursing Administration 

Lippincott Williams & Wilkins
About: Journal of Nursing Administration is an academic journal published by Lippincott Williams & Wilkins. The journal publishes majorly in the area(s): Nurse Administrator & Health care. It has an ISSN identifier of 0002-0443. Over the lifetime, 5081 publications have been published receiving 97086 citations. The journal is also known as: Nursing administration & JNA.


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Journal ArticleDOI
TL;DR: Care environment elements must be optimized alongside nurse staffing and education to achieve high quality of care and patients had significantly lower risks of death and failure to rescue in hospitals with better care environments.
Abstract: A recent systematic review of research on the link between nurse staffing and patient outcomes in hospitals commissioned by the Agency of Healthcare Quality and Research concluded that a strong evidence base connects better nurse staffing to better outcomes.1 Three large recent studies show that better-educated hospital nurse workforces are associated with lower patient mortality.2-4 Research on magnet hospitals consistently demonstrates links between better care environments and superior nurse and patient outcomes.5-7 General reviews of the literature support the case that better nurse care environments are associated with better patient outcomes,8 but definitive evidence has been lacking.9 Skepticism remains among some stakeholders about whether nurse practice environments actually have a significant net impact on patient outcomes after patient-to-nurse staffing ratios are taken into account. This debate is practical as well as academic because it concerns the options available to nurse leaders for improving nurse retention and patient outcomes. The purpose of this article was to empirically examine whether better hospital nurse care environments are associated with lower patient mortality and better nurse outcomes independently of nurse staffing and the education of the registered nurse (RN) workforce in hospitals. We also provide the first empirical evidence that the practice environment scale of the Nursing Work Index (PES-NWI),10,11 the measure selected as the National Quality Forum's standard for measuring hospital care environments, is associated with patient outcomes.

957 citations

Journal ArticleDOI
TL;DR: An expanded model of Kanter’s structural empowerment, which specified the relationships among structural and psychological empowerment, job strain, and work satisfaction, provides initial support for an expandedmodel of organizational empowerment and offers a broader understanding of the empowerment process.
Abstract: ObjectiveIn this study, we tested an expanded model of Kanter’s structural empowerment, which specified the relationships among structural and psychological empowerment, job strain, and work satisfactionBackgroundStrategies proposed in Kanter’s empowerment theory have the potential to reduce job st

787 citations

Journal ArticleDOI
TL;DR: Patient safety outcomes are suggested to be related to the quality of the nursing practice work environment and nursing leadership's role in changing the work environment to decrease nurse burnout.
Abstract: Objective:To test a theoretical model of professional nurse work environments linking conditions for professional nursing practice to burnout and, subsequently, patient safety outcomes.Background:The 2004 Institute of Medicine report raised serious concerns about the impact of hospital restructuring

754 citations

Journal ArticleDOI
TL;DR: This article tells how a hospital nursing director sought out and effectively used an educational nurse consultant to help establish a more unified, progressive working group in a health institution, including a three-year school for nurses, as well as the department of nursing.

658 citations

Performance
Metrics
No. of papers from the Journal in previous years
YearPapers
2023115
2022174
2021120
2020122
2019116
2018120