Hospital Magnet Status, Unit Work Environment, and Pressure Ulcers

Ma, Chenjuan; Park, Shin Hye

doi:10.1111/jnu.12173

Cited by 53 publications

(54 citation statements)

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“…Regarding perception of the work environment, the percentage of nurses who rated their centre as a ‘favourable practice environment’ rose from 13.9% to 20% and from 2.31 to 2.44 in the PES‐NWI average global score. These results are within the range of average scores (2.30–3.07) obtained in other studies (Swiger et al, ), albeit far from the results presented for centres designated magnet hospitals (2.92–3.00) (Kutney‐Lee et al, ; Ma & Park, ). With respect to the increase in job satisfaction, nurses in 2012–2014 reported feeling more satisfied with independence at work and professional status.…”

Section: Discussionsupporting

confidence: 80%

“…Furthermore, reduction in the nurse–patient ratio only produces better health outcomes in healthy practice environments (Aiken, Cimiotti, et al, ; Aiken, Sloane, et al, ). This has been confirmed recently, showing pressure ulcers were significantly less likely to occur in nursing units in Magnet hospitals or in favourable work environments (Ma & Park, ).…”

Section: Introductionsupporting

confidence: 64%

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The nurse work environment in Spanish nurses following an economic recession: From 2009 to 2014

et al. 2019

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Section: Discussionsupporting

confidence: 80%

Section: Introductionsupporting

confidence: 64%

The nurse work environment in Spanish nurses following an economic recession: From 2009 to 2014

et al. 2019

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“…Furthermore, positive work environments have been associated with nurse sensitive patient outcomes. Recent studies have found that better nurse work environments are associated with lower hospital acquired pressure ulcers, 10 30 day readmissions in Medicare patients undergoing surgery, 11 and 30 day surgical mortality and failure to rescue. 12 Likewise, patients in hospitals gave the hospitals a higher overall rating if they had a better nurse work environment, and were more likely to recommend the hospital and reported more positive care experiences with nurse communication.…”

Section: Introductionmentioning

confidence: 99%

Nurses' sleep quality, work environment and quality of care in the Spanish National Health System: observational study among different shifts

et al. 2016

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ObjectiveThe main objective of this study was to determine the relationship between the characteristics of nurses' work environments in hospitals in the Spanish National Health System (SNHS) with nurse reported quality of care, and how care was provided by using different shifts schemes. The study also examined the relationship between job satisfaction, burnout, sleep quality and daytime drowsiness of nurses and shift work.MethodsThis was a multicentre, observational, descriptive, cross-sectional study, centred on a self-administered questionnaire. The study was conducted in seven SNHS hospitals of different sizes. We recruited 635 registered nurses who worked on day, night and rotational shifts on surgical, medical and critical care units. Their average age was 41.1 years, their average work experience was 16.4 years and 90% worked full time. A descriptive and bivariate analysis was carried out to study the relationship between work environment, quality and safety care, and sleep quality of nurses working different shift patterns.Results65.4% (410) of nurses worked on a rotating shift. The Practice Environment Scale of the Nursing Work Index classification ranked 20% (95) as favourable, showing differences in nurse manager ability, leadership and support between shifts (p=0.003). 46.6% (286) were sure that patients could manage their self-care after discharge, but there were differences between shifts (p=0.035). 33.1% (201) agreed with information being lost in the shift change, showing differences between shifts (p=0.002). The Pittsburgh Sleep Quality Index reflected an average of 6.8 (SD 3.39), with differences between shifts (p=0.017).ConclusionsNursing requires shift work, and the results showed that the rotating shift was the most common. Rotating shift nurses reported worse perception in organisational and work environmental factors. Rotating and night shift nurses were less confident about patients' competence of self-care after discharge. The most common nursing care omissions reported were related to nursing care plans. For the Global Sleep Quality score, difference were found between day and night shift workers.

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“…Nurse practice environment is the context in which nurses complete patient care activities. It has been found to be associated with patient outcomes, such as mortality and pressure injuries (Aiken, Clarke, Sloane, Lake, & Cheney, ; Ma & Park, ). According to Donabedian's structure‐process‐outcome model, the nurse practice environment also can influence the process of care, namely, missed nursing care in this study.…”

mentioning

confidence: 99%

Practice Environment Characteristics Associated With Missed Nursing Care

Park

Hanchett

2018

J of Nursing Scholarship

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Purpose:To examine which characteristics of the practice environment were associated with missed nursing care in U.S. acute care hospital units. Design: A descriptive, correlational study used secondary analysis of the 2015 National Database of Nursing Quality Indicators ® Registered Nurse (RN) Survey data. Subscales of the Practice Environment Scale of the Nursing Work Index were used to measure practice environment characteristics. The sample included 1,583 units in 371 hospitals, containing survey responses from 31,650 RNs. Methods: Multilevel logistic regression was performed to estimate the effects of the practice environment characteristics on missed care, controlling for hospital and unit characteristics. Results: About 84.1% of unit RNs reported missing at least one of the 15 necessary care activities. Good environment units had 63.3% significantly lower odds of having RNs miss care activities than poor environment units. Units had 81.5% lower odds of having RNs miss any necessary activities with 1 point increase of the staffing and resource adequacy score; 21.9% lower odds for 1 point increase in the nurse-physician relations score; and approximately 2.1 times higher odds with 1 point increase in the nurse participation in hospital affairs score. Conclusions: Good environments were significantly associated with lower levels of missed care. The impact on missed care differed by the characteristics of the practice environment. Clinical Relevance: Hospital and nursing administrators should maintain good practice environments for nurses to reduce missed care activities and thus potentially improve patient outcomes. Specifically, their efforts should be targeted on improving staffing and resource adequacy and nurse-physician relations and on reducing workloads on hospital affairs.

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Hospital Magnet Status, Unit Work Environment, and Pressure Ulcers

Abstract: Investment in the nurse work environments at both the hospital level and unit level has the potential to reduce HAPUs; and additional to hospital-level initiatives (e.g., Magnet recognition program), efforts targeting on-unit work environments deserve more attention.

Cited by 53 publications

References 38 publications

The nurse work environment in Spanish nurses following an economic recession: From 2009 to 2014

The nurse work environment in Spanish nurses following an economic recession: From 2009 to 2014

Nurses' sleep quality, work environment and quality of care in the Spanish National Health System: observational study among different shifts

Practice Environment Characteristics Associated With Missed Nursing Care

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