The Relationship Between Hospital Unit Culture and Nursesʼ Quality of Work Life

Gifford, Blair D.; Zammuto, Raymond F.; Goodman, Eric A.

doi:10.1097/00115514-200201000-00005

Cited by 199 publications

(172 citation statements)

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“…By measuring daily hassles in this context, we also highlighted the types of hassles experienced by hospital nurses on a daily basis. Hassle Category (frequency) Description Patient safety/quality (14) This code represents hassles related to the occurrence of an adverse event or near miss, as well as patient complaints Team factors (13) This code represents hassles related to teamwork, hierarchy, and team dynamics Discharge/admissions (13) This code represents hassles related to the process of discharge and admissions Support (9) This code represents hassles related to a lack of support experienced, this includes both administrative, team and managerial support Task factors (4) This code represents hassles related to specific tasks i.e. tasks left undone, time taken to complete tasks, unable to carry out a particular task/fulfil duties The general form of the model is expressed by the following equation:…”

Section: Resultsmentioning

confidence: 99%

“…The data were analysed using hierarchical linear modelling (HLM) and HLM6 [62], and was structured in two levels. Level 1 represented the within-person variation (safety perceptions and daily hassles), and level 2 represented the between-person variation (chronic stress and demographic characteristics) 4 . In terms of centering, the within-person data was group mean centered, the between-person data was grand mean centered and gender was uncentered [38,63,64].…”

Section: Discussionmentioning

confidence: 99%

“…The workload and demands placed on nurses are ever increasing [3,4] and healthcare organisations are under rising pressure [5,6]. High workloads and inadequate staffing are challenges for hospital nursing workforces internationally [7][8][9], with these issues recognised as important job related stressors within hospital nursing [10][11][12].…”

Section: Consequences Of Stress In Nursingmentioning

confidence: 99%

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A Daily Diary Approach to the Examination of Chronic Stress, Daily Hassles and Safety Perceptions in Hospital Nursing

et al. 2017

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Purpose 2Stress is a significant concern for individuals and organisations. Few studies have explored stress, burnout and patient safety in hospital nursing on a daily basis at the individual level. This study aimed to examine the effects of chronic stress and daily hassles on safety perceptions, the effect of chronic stress on daily hassles experienced, and chronic stress as a potential moderator. MethodsUtilising a daily diary design, 83 UK hospital nurses completed three end of shift diaries, yielding 324 person days. Hassles, safety perceptions and workplace cognitive failure were measured daily, and a baseline questionnaire included a measure of chronic stress. Hierarchical multivariate linear modelling was used to analyse the data. ResultsHigher chronic stress was associated with more daily hassles, poorer perceptions of safety, being less able to practise safely, but not more workplace cognitive failure. Reporting more daily hassles was associated with poorer perceptions of safety, being less able to practise safely and more workplace cognitive failure. Chronic stress did not moderate daily associations. The hassles reported illustrate the wide-ranging hassles nurses experienced. ConclusionThe findings demonstrate in addition to chronic stress, the importance of daily hassles for nurses' perceptions of safety, and the hassles experienced by hospital nurses on a daily basis. Nurses' perceive chronic stress and daily hassles to contribute to their perceptions of safety. Measuring the number of daily hassles experienced could proactively highlight when patient safety threats may arise, and as a result interventions could usefully focus on the management of daily hassles.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Consequences Of Stress In Nursingmentioning

confidence: 99%

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A Daily Diary Approach to the Examination of Chronic Stress, Daily Hassles and Safety Perceptions in Hospital Nursing

et al. 2017

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“…Kemampuan yang dimiliki oleh manajer dalam mengelola manajemen pelayanan, adanya pelaksanaan supervisi klinik yang dilakukan oleh pemimpin, adanya dukungan dari pemimpin dan pemberian kesempatan perawat untuk melakukan aktivitas refleksi terhadap pekerjaannya serta adanya budaya organisasi yang berlaku dalam suatu rumah sakit akan mempengaruhi kualitas kondisi lingkungan kerja perawat yang berdampak pada kualitas pemberian asuhan keperawatan yang dilakukan oleh perawat pada klien (8,10,11). Hal ini sesuai dengan temuan pada penelitian ini yang menunjukkan adanya pengaruh yang signifikan antara kepemimpinan, manajemen dan budaya dengan pelaksanaan praktek keperawatan dengan pola hubungan yang positif, artinya semakin baik kepemimpinan, manajemen dan budaya maka akan semakin baik pula pelaksanaan praktek keperawatan di institusi tersebut.…”

Section: Pengaruh Kepemimpinan Manajemen Dan Budaya Terhadap Pelaksaunclassified

“…Kondisi ini tentunya diperlukan suatu kemampuan atau otoritas yang dimiliki oleh perawat dalam mengelola beban kerjanya dan kemampuan ini berdampak positif pada meningkatnya kualitas asuhan keperawatan yang diberikan oleh perawat (5,11). Hal ini sesuai dengan temuan dalam penelitian ini yang menunjukkan ada pengaruh yang positif antara kendali terhadap beban kerja dengan pelaksanaan praktek keperawatan, artinya semakin tinggi kendali beban kerja yang dimiliki oleh perawat maka akan semakin tinggi pula kualitas pelaksanaan praktek keperawatannya.…”

Section: Kendali Terhadap Beban Kerjaunclassified

PENGARUH LINGKUNGAN KERJA PERAWAT TERHADAP PELAKSANAAN PRAKTEK KEPERAWATAN DI RUMAH SAKIT UMUM Dr. SAIFUL ANWAR MALANG TAHUN 2006

Putra

Hamid

Mustikasari

2013

JKB

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The implementation of nursing practice is related to nurses' working environment. The working environment components consist of leadership, culture and management; control over workload; control over practice; and adequate source. The purpose of this study is to identify any correlation between the nurses work environment with the implementation of nursing practice. The research was conducted in IRNA (Inpatients Ward) I and of IRNA II RSU Dr. Saiful Anwar on May 1 st until 20 th , 2006. Correlation was chosen as the research design using cross sectional study on 196 nurses with two instruments: nurses' work environment, and implementation of nursing practice. The result based on analysis with regression linier indicates that there is a significant correlation between working nurse environment (leadership, culture and management; control over workload; control over practice; and adequate source) with the implementation of nursing practice (p < 0.05) and control over practice is the biggest sub variable that influences the implementation of nursing practice(B=1.302). In conclusion, the nurse's working environment influences implementation of nursing practice in hospital.Keywords: Work environment, Implementation of nursing practice PENDAHULUANEra globalisasi merupakan tantangan, masalah, dan sekaligus potensi untuk pengembangan pelayanan kesehatan yang berkualitas. Peran perawat dalam menghadapi era globalisasi adalah dengan memberikan pelayanan perawatan secara profesional, yaitu perawat secara aktif terlibat dalam pembuatan keputusan terkait dengan permasalahan yang dihadapi klien dan memiliki kebebasan untuk melakukan praktek serta melakukan hubungan kolaborasi dengan dokter secara baik. Manfaat pelaksanaan praktek keperawatan secara profesional pada rumah sakit adalah terjadinya peningkatan kepuasan kerja perawat, terciptanya lingkungan kerja yang aman, menurunnya ketegangan emosi perawat dalam melakukan pekerjaannya, menurunnya angka cedera karena jarum suntik yang dialami perawat, serta penurunan angka kematian klien yang di rawat (1).Fenomena yang terjadi terkait dengan pelaksanaan praktek keperawatan di banyak negara masih sering ditemukan perawat menghabiskan waktunya untuk melakukan pekerjaan di luar keperawatan yang bukan menjadi tanggung jawabnya dan tentunya kondisi ini akan berdampak pada tidak tersedianya waktu yang cukup untuk melakukan praktek keperawatan secara berkesinambungan dan komprehensif bagi klien maupun keluarganya (2). Fenomena pelaksanaan praktek keperawatan seperti ini juga masih sering ditemukan pada beberapa rumah sakit di Indonesia. (3,4). Kemungkinan fenomena ini terjadi diakibatkan karena masalah lingkungan kerja perawat yang belum diselesaikan dengan baik (5).Salah satu syarat untuk dapat menunjang pelaksanaan praktek keperawatan secara profesional adalah dengan memperhatikan lingkungan kerja perawat (6). Lingkungan kerja yang berkualitas tinggi sangat bermanfaat bagi perawat dan dapat meningkatkan kualitas perawatan klien (7,8). Komponen dari lingkungan kerja perawat in...

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Team Working

Stanley¹

2017

Clinical Leadership in Nursing and Healthcare

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The Relationship Between Hospital Unit Culture and Nursesʼ Quality of Work Life

Cited by 199 publications

References 0 publications

A Daily Diary Approach to the Examination of Chronic Stress, Daily Hassles and Safety Perceptions in Hospital Nursing

A Daily Diary Approach to the Examination of Chronic Stress, Daily Hassles and Safety Perceptions in Hospital Nursing

PENGARUH LINGKUNGAN KERJA PERAWAT TERHADAP PELAKSANAAN PRAKTEK KEPERAWATAN DI RUMAH SAKIT UMUM Dr. SAIFUL ANWAR MALANG TAHUN 2006

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