2.50
Hdl Handle:
http://hdl.handle.net/10755/158432
Type:
Presentation
Title:
Work Environment Characteristics of High Quality Home Health Agencies
Abstract:
Work Environment Characteristics of High Quality Home Health Agencies
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2009
Author:Tullai-McGuinness, Susan, PhD
P.I. Institution Name:Case Westrn Reserve Univeristy
Title:Frances Payne Bolton School of Nursing
Contact Address:10900 Euclid Avenue, Cleveland, OH, 44104-4904, USA
Contact Telephone:216-368-6335
Co-Authors:S. Tullai-McGuinness, J. Riggs, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH;
Research in hospitals and skilled nursing facilities has found that a work environment supportive of nursing practice promotes an organization's ability to provide quality patient care. Little research exists on the home health work environment, though 9000 home health agencies serve more than 2.4 million Americans each year. The objective of this study was to identify work environment characteristics of home health agencies that provide high quality patient care. Donabedian's Structure Process Outcome framework guided the study. A concurrent mixed methods design with qualitative priority was used for this descriptive comparative study. A convenience sample of high quality (n=6) and low quality (n=6) home health agencies were recruited. Quality of agencies was determined by using agency level publicly reported patient outcomes. Direct care RNs were recruited from each agency to participate in a focus group, respond to semi-structures questions, and complete the Practice Environment Scale of the Nurse Work Index (PES-NWI). Nurses working in all the high quality agencies identified themes of adequate staffing, supportive managers, and team work. These themes were not consistently identified in low quality agencies. No significant differences were found in the PES-NWI results between nurses working in high and low quality agencies, though nurses in high quality agencies scored higher on all subscales. Themes of supportive managers and team work are reflective of effective leadership at the manager level. Agencies struggling to improve quality of care might consider developing their managers' leadership skills.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleWork Environment Characteristics of High Quality Home Health Agenciesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158432-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Work Environment Characteristics of High Quality Home Health Agencies</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Tullai-McGuinness, Susan, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Case Westrn Reserve Univeristy</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Frances Payne Bolton School of Nursing</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">10900 Euclid Avenue, Cleveland, OH, 44104-4904, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">216-368-6335</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">sxt32@case.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">S. Tullai-McGuinness, J. Riggs, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH;</td></tr><tr><td colspan="2" class="item-abstract">Research in hospitals and skilled nursing facilities has found that a work environment supportive of nursing practice promotes an organization's ability to provide quality patient care. Little research exists on the home health work environment, though 9000 home health agencies serve more than 2.4 million Americans each year. The objective of this study was to identify work environment characteristics of home health agencies that provide high quality patient care. Donabedian's Structure Process Outcome framework guided the study. A concurrent mixed methods design with qualitative priority was used for this descriptive comparative study. A convenience sample of high quality (n=6) and low quality (n=6) home health agencies were recruited. Quality of agencies was determined by using agency level publicly reported patient outcomes. Direct care RNs were recruited from each agency to participate in a focus group, respond to semi-structures questions, and complete the Practice Environment Scale of the Nurse Work Index (PES-NWI). Nurses working in all the high quality agencies identified themes of adequate staffing, supportive managers, and team work. These themes were not consistently identified in low quality agencies. No significant differences were found in the PES-NWI results between nurses working in high and low quality agencies, though nurses in high quality agencies scored higher on all subscales. Themes of supportive managers and team work are reflective of effective leadership at the manager level. Agencies struggling to improve quality of care might consider developing their managers' leadership skills.</td></tr></table>en_GB
dc.date.available2011-10-26T21:02:50Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:02:50Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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