Front-line management, staffing and nurse-doctor relationships as predictors of nurse and patient outcomes. a survey of Icelandic hospital nurses
Name:
Publisher version
View Source
Access full-text PDFOpen Access
View Source
Check access options
Check access options
Average rating
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Star rating
Your vote was cast
Thank you for your feedback
Thank you for your feedback
Issue Date
2009-07-01
Metadata
Show full item recordCitation
Int J Nurs Stud. 2009, 46(7):920-7Abstract
OBJECTIVE: To investigate aspects of nurses' work environments linked with job outcomes and assessments of quality of care in an Icelandic hospital. BACKGROUND: Prior research suggests that poor working environments in hospitals significantly hinder retention of nurses and high quality patient care. On the other hand, hospitals with high retention rates (such as Magnet hospitals) show supportive management, professional autonomy, good inter-professional relations and nurse job satisfaction, reduced nurse burnout and improved quality of patient care. METHODS: Cross-sectional survey of 695 nurses at Landspitali University Hospital, Reykjavík. Nurses' work environments were measured using the nursing work index-revised (NWI-R) and examined as predictors of job satisfaction, the Maslach burnout inventory (MBI) and nurse-assessed quality of patient care using linear and logistic regression approaches. RESULTS: An Icelandic adaptation of the NWI-R showed a five-factor structure similar to that of Lake (2002). After controlling for nurses' personal characteristics, job satisfaction, emotional exhaustion and nurse rated quality of care were found to be independently associated with perceptions of support from unit-level managers, staffing adequacy, and nurse-doctor relations. CONCLUSIONS: The NWI-R measures elements of hospital nurses' work environments that predict job outcomes and nurses' ratings of the quality of patient care in Iceland. Efforts to improve and maintain nurses' relations with nurse managers and doctors, as well as their perceptions of staffing adequacy, will likely improve nurse job satisfaction and employee retention, and may improve the quality of patient care.Description
To access publisher full text version of this article. Please click on the hyperlink in Additional Links fieldAdditional Links
http://dx.doi.org/10.1016/j.ijnurstu.2006.11.007ae974a485f413a2113503eed53cd6c53
10.1016/j.ijnurstu.2006.11.007
Scopus Count
Collections
Related articles
- Impacts of unit-level nurse practice environment and burnout on nurse-reported outcomes: a multilevel modelling approach.
- Authors: Van Bogaert P, Clarke S, Roelant E, Meulemans H, Van de Heyning P
- Issue date: 2010 Jun
- Work environment, health outcomes and magnet hospital traits in the Canadian nephrology nursing scene.
- Authors: Ridley J, Wilson B, Harwood L, Laschinger HK
- Issue date: 2009 Jan-Mar
- Nurse staffing, quality of nursing care and nurse job outcomes in intensive care units.
- Authors: Cho SH, June KJ, Kim YM, Cho YA, Yoo CS, Yun SC, Sung YH
- Issue date: 2009 Jun
- Nurses' work environment and nursing outcomes: a survey study among Finnish university hospital registered nurses.
- Authors: Tervo-Heikkinen T, Partanen P, Aalto P, Vehviläinen-Julkunen K
- Issue date: 2008 Oct
- The relationships between nurses' perceptions of the hemodialysis unit work environment and nurse turnover, patient satisfaction, and hospitalizations.
- Authors: Gardner JK, Thomas-Hawkins C, Fogg L, Latham CE
- Issue date: 2007 May-Jun