Effects of hospital care environment on patient mortality and nurse outcomes

The objective of this study was to analyze the net effects of nurse practice environments on nurse and patient outcomes after accounting for nurse staffing and education. Staffing and education have well-documented associations with patient outcomes, but evidence on the effect of care environments o...

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Vydáno v:The Journal of nursing administration Ročník 38; číslo 5; s. 223
Hlavní autoři: Aiken, Linda H, Clarke, Sean P, Sloane, Douglas M, Lake, Eileen T, Cheney, Timothy
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States 01.05.2008
Témata:
Attitude of Health Personnel
Burnout, Professional - epidemiology
Burnout, Professional - etiology
Burnout, Professional - psychology
Clinical Competence
Emergencies - epidemiology
Emergencies - nursing
Female
Health Facility Environment - organization & administration
Hospital Mortality
Humans
Job Satisfaction
Male
Nursing Administration Research
Nursing Methodology Research
Nursing Staff, Hospital - education
Nursing Staff, Hospital - organization & administration
Nursing Staff, Hospital - psychology
Organizational Culture
Outcome Assessment, Health Care - organization & administration
Pennsylvania - epidemiology
Personnel Staffing and Scheduling
Personnel Turnover
Quality Indicators, Health Care - organization & administration
Quality of Health Care - organization & administration
Surveys and Questionnaires
Workload - psychology
Workplace - organization & administration
Workplace - psychology
Pennsylvania
ISSN:0002-0443
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Shrnutí:The objective of this study was to analyze the net effects of nurse practice environments on nurse and patient outcomes after accounting for nurse staffing and education. Staffing and education have well-documented associations with patient outcomes, but evidence on the effect of care environments on outcomes has been more limited. Data from 10,184 nurses and 232,342 surgical patients in 168 Pennsylvania hospitals were analyzed. Care environments were measured using the practice environment scales of the Nursing Work Index. Outcomes included nurse job satisfaction, burnout, intent to leave, and reports of quality of care, as well as mortality and failure to rescue in patients. Nurses reported more positive job experiences and fewer concerns with care quality, and patients had significantly lower risks of death and failure to rescue in hospitals with better care environments. Care environment elements must be optimized alongside nurse staffing and education to achieve high quality of care.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0002-0443
DOI:10.1097/01.NNA.0000312773.42352.d7