2.50
Hdl Handle:
http://hdl.handle.net/10755/150635
Type:
Presentation
Title:
Nursing Organization and Outcomes: A Theoretical and Empirical Review
Abstract:
Nursing Organization and Outcomes: A Theoretical and Empirical Review
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Rochefort, Christian, RN
P.I. Institution Name:Montreal University
Title:Ph.D. Candidate
Introduction: In the past few years, many researchers have examined the effects of nursing organizational / structural variables on various process and outcome indicators in hospital settings.  Objectives: The objective of this review is to synthesize the theoretical and empirical literature on the topic and to explore avenues for further research.  Theoretical framework: We propose a theoretical framework that is based on a synthesis of nine frameworks found in the nursing, medical and health services research literature. These frameworks, which are all based on Donabedian?s (1966; 1980) structure, processes and outcomes model, also allowed us to identify the relevant nursing organizational variables and patient and staff outcome indicators for the empirical review. Method: We searched the Medline and Cinahl databases between 1980 and 2005 to find studies on the relationships between the variables and indicators included in our theoretical framework.  The reference lists of the reviewed articles were also searched to find any other relevant publications. Results: Three major findings emerged from the empirical review.  First, nursing structural variables such as staffing, skill mix or a professional work environment have been both directly and indirectly associated, through their effects on process of care indicators, to various patient and staff outcomes.  Second, process of care indicators, such as caregivers interactions, have been found to be associated with patient and staff outcomes.  Finally, some evidence also suggests that staff outcomes, such as job satisfaction and burnout, have an effect on process of care as well as patient outcome indicators.  Conclusion: There is now strong evidence that nursing organizational variables have an effect on various outcomes, although the mechanism through which this effect operates has been less well-investigated.  There is a need for causal modeling studies to better understand the relationships between these two sets of variables.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleNursing Organization and Outcomes: A Theoretical and Empirical Reviewen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150635-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Nursing Organization and Outcomes: A Theoretical and Empirical Review</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Rochefort, Christian, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Montreal University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Ph.D. Candidate</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">christian.rochefort@umontreal.ca</td></tr><tr><td colspan="2" class="item-abstract">Introduction: In the past few years, many researchers have examined the effects of nursing organizational / structural variables on various process and outcome indicators in hospital settings. &nbsp;Objectives: The objective of this review is to synthesize the theoretical and empirical literature on the topic and to explore avenues for further research. &nbsp;Theoretical framework: We propose a theoretical framework that is based on a synthesis of nine frameworks found in the nursing, medical and health services research literature. These frameworks, which are all based on Donabedian?s (1966; 1980) structure, processes and outcomes model, also allowed us to identify the relevant nursing organizational variables and patient and staff outcome indicators for the empirical review. Method: We searched the Medline and Cinahl databases between 1980 and 2005 to find studies on the relationships between the variables and indicators included in our theoretical framework.&nbsp; The reference lists of the reviewed articles were also searched to find any other relevant publications. Results: Three major findings emerged from the empirical review. &nbsp;First, nursing structural variables such as staffing, skill mix or a professional work environment have been both directly and indirectly associated, through their effects on process of care indicators, to various patient and staff outcomes.&nbsp; Second, process of care indicators, such as caregivers interactions, have been found to be associated with patient and staff outcomes. &nbsp;Finally, some evidence also suggests that staff outcomes, such as job satisfaction and burnout, have an effect on process of care as well as patient outcome indicators. &nbsp;Conclusion: There is now strong evidence that nursing organizational variables have an effect on various outcomes, although the mechanism through which this effect operates has been less well-investigated.&nbsp; There is a need for causal modeling studies to better understand the relationships between these two sets of variables.</td></tr></table>en_GB
dc.date.available2011-10-26T10:38:36Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:38:36Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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