Influence of healthy work environments on PICU patient and nurse outcomes
View File(s)
- Author(s)
- Details
-
Nancy T. Blake, PhD
- Sigma Affiliation
- Gamma Tau at-Large
- Contributor Affiliation(s)
- Children's Hospital Los Angeles, Los Angeles, California, USA
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Blake, Nancy Theresa by View
Title | Page Views |
---|
Popular Works for Blake, Nancy Theresa by Download
Title | Downloads |
---|
View Citations
Citations
Session presented on Sunday, April 14, 2013:
Purpose/Research Questions/Aims: The purpose of this research study was to determine the relationship between healthy work environments, patient outcomes and nurse turnover in the PICU.
Rationale/Background Information/Conceptual Framework: Medical errors cost the United States over $50 billion annually. Researchers have found that there is a relationship between the nurses' work environments and medical errors. The Joint Commission stated that communication failures are the leading cause of harm to patients in hospitals today. With an estimated shortage of 400,000 nurses identified in the year 2020, nurse leaders need to improve the work environment.
Methods: The study design was descriptive cross-sectional. Nurses from ten PICUs completed the Practice Environment Scale of the Nursing Work Index (PES-NWI), the Communication section of the ICU Nurse-Physician Questionnaire and a demographic questionnaire. In addition to the nurses completing the questionnaires, data was obtained from the hospitals regarding nurse turnover, central line infections, ventilator associated pneumonia, risk adjusted length of stay and risk adjusted mortality. A minimum of 415 nurses from ten PICUs completed the survey. Statistical analysis was done using SPSS 17.0. Statistical tests run included multiple regression, t-tests (two-tailed) and one way analysis of variance (ANOVA). The significance level was set at .05 for this study.
Results: There was an inverse relationship (p<.05) between central line infections, risk adjusted length of stay and risk adjusted outcomes and communication as well as collaboration. There was a significant relationship (p<.05) between leadership and nurses intent to leave their jobs.
Conclusions and Implications: Nurse leaders need to use research-based interventions to improve the work environments. A better understanding of the relationship between communication, collaboration and the extent that nurse leadership contributes to a healthy work environment and quality patient outcomes will add to the research demonstrating the importance of nurses and excellent nursing care on patient outcomes.
Creating Healthy Work Environments. Held at the JW Marriott, Indianapolis, Indiana, USA
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository, unless otherwise noted.
Type | Presentation |
Acquisition | Proxy-submission |
Review Type | Abstract Review Only: Reviewed by Event Host |
Format | Text-based Document |
Evidence Level | N/A |
Research Approach | N/A |
Keywords | Nurse Outcomes; Healthy Work Environments; Patient Outcomes |
Name | Creating Healthy Work Environments |
Host | Sigma Theta Tau International |
Location | Indianapolis, Indiana, USA |
Date | 2013 |
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
The relationship between the nurses' work environment and patient and nurse outcomes
Blake, Nancy TheresaMedical errors cost the United States over $50 billion annually. Healthy work environments (HWE) can reduce medical errors and decrease Registered Nurse (RN) turnover. Three of the variables that impact the work environments ... -
E-mentoring: A new model of mentoring to support healthy nurse work environments
Pietsch, Theresa M. (2013-05-13)Session presented on Saturday, April 13, 2013: The purpose of this presentation is to present a new model of nurse mentoring that can meet the needs of a multigenerational workforce, working in fast-paced and highly ... -
Developing a critical care outreach team to improve patient outcomes and promote healthy work environments
Losurdo, Holly Lynn; Cook, Heather Joy; Wells, BrittanyCritical Care Outreach Teams (CCOTs) play a vital role in promoting healthy work environments and achieving positive patient outcomes. This presentation reviews strategies used in development and implementation of a CCOT. ... -
Modelling Medical-Surgical Nurse Workload and Care Quality During COVID-19: Implications for Building Healthy Work Environments
Bookey-Bassett, Sue; Greig, Michael; Kelly, Helen; Neumann, W. Patrick; Purdy, Nancy; Qureshi, Sadeem M.Discrete event simulation (DES) was used to measure the effects of varying COVID-19 nurse-patient ratios on nurse workload and quality of care in a Canadian medical-surgical context. As nurses were assigned to more COVID-19 ... -
Good for nurses, good for patients: Creating a healthy work environment
Roldan, Ivette; Klareich, JennaLearn how an organization implemented an evidence based 4 phase strategy approach to eliminating incivility and bullying by cultivating a healthier workforce environment. Positive outcomes of this intervention include ...