Influence of Healthy Work Environments on PICU Patient and Nurse Outcomes

2.50
Hdl Handle:
http://hdl.handle.net/10755/291023
Category:
Full-text
Type:
Presentation
Title:
Influence of Healthy Work Environments on PICU Patient and Nurse Outcomes
Author(s):
Blake, Nancy T.
Lead Author STTI Affiliation:
Gamma Tau
Author Details:
Nancy T. Blake, PhD, ntblake@aol.com
Abstract:

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.

Keywords:
Nurse Outcomes; Healthy Work Environments; Patient Outcomes
Repository Posting Date:
13-May-2013
Date of Publication:
13-May-2013
Conference Date:
2013
Conference Name:
Creating Healthy Work Environments
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
Creating Healthy Work Environments. Held at the JW Marriott, Indianapolis

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryFull-texten_GB
dc.typePresentationen_GB
dc.titleInfluence of Healthy Work Environments on PICU Patient and Nurse Outcomesen_GB
dc.contributor.authorBlake, Nancy T.en_GB
dc.contributor.departmentGamma Tauen_GB
dc.author.detailsNancy T. Blake, PhD, ntblake@aol.comen_GB
dc.identifier.urihttp://hdl.handle.net/10755/291023-
dc.description.abstract<p>Session presented on Sunday, April 14, 2013</p>Purpose/Research Questions/Aims:&nbsp; The purpose of this research study was to determine the relationship between healthy work environments, patient outcomes and nurse turnover in the PICU. <p>Rationale/Background Information/Conceptual Framework:&nbsp; Medical errors cost the United States over $50 billion annually.&nbsp; Researchers have found that there is a relationship between the nurses&rsquo; work environments and medical errors. The Joint Commission stated that communication failures are the leading cause of harm to patients in hospitals today.&nbsp; With an estimated shortage of 400,000 nurses identified in the year 2020, nurse leaders need to improve the work environment. <p>Methods:&nbsp; The study design was descriptive cross-sectional.&nbsp; Nurses from ten PICUs completed the Practice Environment Scale of the Nursing Work Index (PES-NWI),&nbsp;the Communication section of the ICU Nurse-Physician Questionnaire and a demographic questionnaire.&nbsp; 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.&nbsp; A minimum of 415 nurses from ten PICUs completed the survey.&nbsp; Statistical analysis was done using SPSS 17.0.&nbsp; Statistical tests run included multiple regression, t-tests (two-tailed) and one way analysis of variance (ANOVA).&nbsp; The significance level was set at .05 for this study.&nbsp; <p>Results:&nbsp; There was an inverse relationship (p&lt;.05) between central line infections, risk adjusted length of stay and risk adjusted outcomes and communication as well as collaboration.&nbsp;&nbsp;There was a significant relationship (p&lt;.05) between leadership and nurses intent to leave their jobs. <p>Conclusions and implications:&nbsp; Nurse leaders need to use research-based interventions to improve the work environments.&nbsp; 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.en_GB
dc.subjectNurse Outcomesen_GB
dc.subjectHealthy Work Environmentsen_GB
dc.subjectPatient Outcomesen_GB
dc.date.available2013-05-13T10:26:55Z-
dc.date.issued2013-05-13-
dc.date.accessioned2013-05-13T10:26:55Z-
dc.conference.date2013en_GB
dc.conference.nameCreating Healthy Work Environmentsen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.descriptionCreating Healthy Work Environments. Held at the JW Marriott, Indianapolisen_GB
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