The association of the emergency department work environment on patient care and nurse job outcomes

To determine the association between emergency nurses’ work environments and patient care quality and safety, and nurse burnout, intent to leave, and job dissatisfaction. Cross‐sectional study of 221 hospitals in New York and Illinois informed by surveys from 746 emergency nurses and 6932 inpatient...

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Vydáno v:Journal of the American College of Emergency Physicians Open Ročník 4; číslo 5; s. e13040
Hlavní autoři: Muir, K. Jane, Sloane, Douglas M., Aiken, Linda H., Hovsepian, Vaneh, McHugh, Matthew D.
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States Elsevier Inc 01.10.2023
John Wiley & Sons, Inc
John Wiley and Sons Inc
Elsevier
Témata:
burnout
emergency department
nurse
Nurses
Nursing care
Original Research
Patient safety
The Practice of Emergency Medicine
turnover
Work environment
New York
United States > US
Illinois
nurse
work environment
burnout
emergency department
turnover
ISSN:2688-1152, 2688-1152
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Popis
Shrnutí:To determine the association between emergency nurses’ work environments and patient care quality and safety, and nurse burnout, intent to leave, and job dissatisfaction. Cross‐sectional study of 221 hospitals in New York and Illinois informed by surveys from 746 emergency nurses and 6932 inpatient nurses with linked data on hospital characteristics from American Hospital Association Annual Hospital Survey. The RN4CAST‐NY/IL study surveyed all registered nurses in New York and Illinois between April and June 2021 about patient safety, care quality, burnout, intent to leave, and job dissatisfaction and aggregated their responses to specific hospitals where they practiced. Work environment quality was measured using the abbreviated Practice Environment Scale of the Nursing Work Index. Generalized estimating equations were used to determine the relationship between emergency nurses’ work environments on patient care and nurse job outcomes. A total of 58% of emergency nurses reported high burnout, 39% reported job dissatisfaction, and 27% indicated intent to leave their job in the next year. Nurses in hospitals with good (vs mixed) or mixed (vs poor) emergency work environments were less likely to report unfavorable patient care quality and hospital safety grades, and were less likely to experience high burnout, job dissatisfaction, and intentions to leave the job, by factors ranging from odds ratio (OR) 0.21 (95% confidence interval [CI], 0.16–0.29) to OR 0.46 (95% CI, 0.34–0.61). Given the complex and high stakes nature of emergency nursing care, leaders should place a high priority on organizational solutions targeting improved nurse staffing and work environments to advance better patient and clinician outcomes.
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Supervising Editor: Brittany Punches, PhD, RN.
Funding and support: By JACEP Open policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article as per ICMJE conflict of interest guidelines (see www.icmje.org). The authors have stated that no such relationships exist.
ISSN:2688-1152
2688-1152
DOI:10.1002/emp2.13040