Journal ArticleDOI
Development of the practice environment scale of the nursing work index
TLDR
Five subscales were derived from the Nursing Work Index to measure the hospital nursing practice environment, using 1985-1986 nurse data from 16 magnet hospitals, and all measures were highly reliable at the nurse and hospital levels.Abstract:
Five subscales were derived from the Nursing Work Index (NWI) to measure the hospital nursing practice environment, using 1985-1986 nurse data from 16 magnet hospitals. The NWI comprises organizational characteristics of the original magnet hospitals. The psychometric properties of the subscales and a composite measure were established. All measures were highly reliable at the nurse and hospital levels. Construct validity was supported by higher scores of nurses in magnet versus nonmagnet hospitals. Confirmatory analyses of contemporary data from 11,636 Pennsylvania nurses supported the subscales. The soundness of the new measures is supported by their theoretical and empirical foundations, conceptual integrity, psychometric strength, and generalizability. The measures could be used to study how the practice environment influences nurse and patient outcomes.read more
Citations
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Journal ArticleDOI
Effects of hospital care environment on patient mortality and nurse outcomes.
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.
Journal ArticleDOI
Leadership styles and outcome patterns for the nursing workforce and work environment: A systematic review
Greta G. Cummings,Tara MacGregor,Mandy Davey,How Lee,Carol A. Wong,Eliza Lo,Melanie Muise,Erin Stafford +7 more
TL;DR: Evidence is documented of various forms of leadership and their differential effects on the nursing workforce and work environments and efforts by organizations and individuals to encourage and develop transformational and relational leadership are needed to enhance nurse satisfaction, recruitment, retention, and healthy work environments.
Journal ArticleDOI
The impact of nursing work environments on patient safety outcomes: the mediating role of burnout/engagement.
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.
Journal ArticleDOI
The relationship between nursing leadership and patient outcomes: a systematic review update
TL;DR: Evidence of a positive relationship between relational leadership and a variety of patient outcomes is document, although future testing of leadership models that examine the mechanisms of influence on outcomes is warranted.
Journal ArticleDOI
Nurses’ Widespread Job Dissatisfaction, Burnout, And Frustration With Health Benefits Signal Problems For Patient Care
TL;DR: Strikingly, nurses are particularly dissatisfied with their health benefits, which highlights the need for a benefits review to make nurses' benefits more comparable to those of other white-collar employees.
References
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Nurses' Reports On Hospital Care In Five Countriese ways in which nurses' work is structured have left nurses
Linda H. Aiken,Sean P. Clarke,Douglas M. Sloane,Reinhard Busse,Heather F. Clarke,Phyllis Giovannetti,Jennifer Hunt,Anne Marie Rafferty,Judith Shamian +8 more
TL;DR: Reports from 43,000 nurses from more than 700 hospitals in the United States, Canada, England, Scotland, and Germany in 1998-1999 suggest core problems in work design and workforce management threaten the provision of care.
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