Front-line management, staffing and nurse-doctor relationships as predictors of nurse and patient outcomes. a survey of Icelandic hospital nurses
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field OBJECTIVE: To investigate aspects of nurses' work environments linked with job outcomes and assessments of quality of care in an Icelandic hospital. BACKGROUND: Prior research suggests...
Published in: | International Journal of Nursing Studies |
---|---|
Main Authors: | , , , |
Other Authors: | |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Pergamon Press
2010
|
Subjects: | |
Online Access: | http://hdl.handle.net/2336/104667 https://doi.org/10.1016/j.ijnurstu.2006.11.007 |
id |
ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/104667 |
---|---|
record_format |
openpolar |
spelling |
ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/104667 2023-05-15T16:48:44+02:00 Front-line management, staffing and nurse-doctor relationships as predictors of nurse and patient outcomes. a survey of Icelandic hospital nurses Gunnarsdottir, Sigrun Clarke, Sean P Rafferty, Anne Marie Nutbeam, Don Landspitali University Hospital, Office of the Chief Nursing Executive, Eiríksgata 19, Reykajvik, Iceland. sigrungu@landspitali.is 2010-06-11 http://hdl.handle.net/2336/104667 https://doi.org/10.1016/j.ijnurstu.2006.11.007 en eng Pergamon Press http://dx.doi.org/10.1016/j.ijnurstu.2006.11.007 Int J Nurs Stud. 2009, 46(7):920-7 1873-491X 17229425 doi:10.1016/j.ijnurstu.2006.11.007 http://hdl.handle.net/2336/104667 International journal of nursing studies Cross-Sectional Studies Data Collection Iceland Nurse-Patient Relations Nursing Staff Hospital Outcome Assessment (Health Care) Questionnaires Reproducibility of Results Article 2010 ftlandspitaliuni https://doi.org/10.1016/j.ijnurstu.2006.11.007 2022-05-29T08:21:32Z To access publisher full text version of this article. Please click on the hyperlink in Additional Links field OBJECTIVE: To investigate aspects of nurses' work environments linked with job outcomes and assessments of quality of care in an Icelandic hospital. BACKGROUND: Prior research suggests that poor working environments in hospitals significantly hinder retention of nurses and high quality patient care. On the other hand, hospitals with high retention rates (such as Magnet hospitals) show supportive management, professional autonomy, good inter-professional relations and nurse job satisfaction, reduced nurse burnout and improved quality of patient care. METHODS: Cross-sectional survey of 695 nurses at Landspitali University Hospital, Reykjavík. Nurses' work environments were measured using the nursing work index-revised (NWI-R) and examined as predictors of job satisfaction, the Maslach burnout inventory (MBI) and nurse-assessed quality of patient care using linear and logistic regression approaches. RESULTS: An Icelandic adaptation of the NWI-R showed a five-factor structure similar to that of Lake (2002). After controlling for nurses' personal characteristics, job satisfaction, emotional exhaustion and nurse rated quality of care were found to be independently associated with perceptions of support from unit-level managers, staffing adequacy, and nurse-doctor relations. CONCLUSIONS: The NWI-R measures elements of hospital nurses' work environments that predict job outcomes and nurses' ratings of the quality of patient care in Iceland. Efforts to improve and maintain nurses' relations with nurse managers and doctors, as well as their perceptions of staffing adequacy, will likely improve nurse job satisfaction and employee retention, and may improve the quality of patient care. Article in Journal/Newspaper Iceland Reykjavík Reykjavík Hirsla - Landspítali University Hospital research archive Reykjavík International Journal of Nursing Studies 46 7 920 927 |
institution |
Open Polar |
collection |
Hirsla - Landspítali University Hospital research archive |
op_collection_id |
ftlandspitaliuni |
language |
English |
topic |
Cross-Sectional Studies Data Collection Iceland Nurse-Patient Relations Nursing Staff Hospital Outcome Assessment (Health Care) Questionnaires Reproducibility of Results |
spellingShingle |
Cross-Sectional Studies Data Collection Iceland Nurse-Patient Relations Nursing Staff Hospital Outcome Assessment (Health Care) Questionnaires Reproducibility of Results Gunnarsdottir, Sigrun Clarke, Sean P Rafferty, Anne Marie Nutbeam, Don Front-line management, staffing and nurse-doctor relationships as predictors of nurse and patient outcomes. a survey of Icelandic hospital nurses |
topic_facet |
Cross-Sectional Studies Data Collection Iceland Nurse-Patient Relations Nursing Staff Hospital Outcome Assessment (Health Care) Questionnaires Reproducibility of Results |
description |
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field OBJECTIVE: To investigate aspects of nurses' work environments linked with job outcomes and assessments of quality of care in an Icelandic hospital. BACKGROUND: Prior research suggests that poor working environments in hospitals significantly hinder retention of nurses and high quality patient care. On the other hand, hospitals with high retention rates (such as Magnet hospitals) show supportive management, professional autonomy, good inter-professional relations and nurse job satisfaction, reduced nurse burnout and improved quality of patient care. METHODS: Cross-sectional survey of 695 nurses at Landspitali University Hospital, Reykjavík. Nurses' work environments were measured using the nursing work index-revised (NWI-R) and examined as predictors of job satisfaction, the Maslach burnout inventory (MBI) and nurse-assessed quality of patient care using linear and logistic regression approaches. RESULTS: An Icelandic adaptation of the NWI-R showed a five-factor structure similar to that of Lake (2002). After controlling for nurses' personal characteristics, job satisfaction, emotional exhaustion and nurse rated quality of care were found to be independently associated with perceptions of support from unit-level managers, staffing adequacy, and nurse-doctor relations. CONCLUSIONS: The NWI-R measures elements of hospital nurses' work environments that predict job outcomes and nurses' ratings of the quality of patient care in Iceland. Efforts to improve and maintain nurses' relations with nurse managers and doctors, as well as their perceptions of staffing adequacy, will likely improve nurse job satisfaction and employee retention, and may improve the quality of patient care. |
author2 |
Landspitali University Hospital, Office of the Chief Nursing Executive, Eiríksgata 19, Reykajvik, Iceland. sigrungu@landspitali.is |
format |
Article in Journal/Newspaper |
author |
Gunnarsdottir, Sigrun Clarke, Sean P Rafferty, Anne Marie Nutbeam, Don |
author_facet |
Gunnarsdottir, Sigrun Clarke, Sean P Rafferty, Anne Marie Nutbeam, Don |
author_sort |
Gunnarsdottir, Sigrun |
title |
Front-line management, staffing and nurse-doctor relationships as predictors of nurse and patient outcomes. a survey of Icelandic hospital nurses |
title_short |
Front-line management, staffing and nurse-doctor relationships as predictors of nurse and patient outcomes. a survey of Icelandic hospital nurses |
title_full |
Front-line management, staffing and nurse-doctor relationships as predictors of nurse and patient outcomes. a survey of Icelandic hospital nurses |
title_fullStr |
Front-line management, staffing and nurse-doctor relationships as predictors of nurse and patient outcomes. a survey of Icelandic hospital nurses |
title_full_unstemmed |
Front-line management, staffing and nurse-doctor relationships as predictors of nurse and patient outcomes. a survey of Icelandic hospital nurses |
title_sort |
front-line management, staffing and nurse-doctor relationships as predictors of nurse and patient outcomes. a survey of icelandic hospital nurses |
publisher |
Pergamon Press |
publishDate |
2010 |
url |
http://hdl.handle.net/2336/104667 https://doi.org/10.1016/j.ijnurstu.2006.11.007 |
geographic |
Reykjavík |
geographic_facet |
Reykjavík |
genre |
Iceland Reykjavík Reykjavík |
genre_facet |
Iceland Reykjavík Reykjavík |
op_relation |
http://dx.doi.org/10.1016/j.ijnurstu.2006.11.007 Int J Nurs Stud. 2009, 46(7):920-7 1873-491X 17229425 doi:10.1016/j.ijnurstu.2006.11.007 http://hdl.handle.net/2336/104667 International journal of nursing studies |
op_doi |
https://doi.org/10.1016/j.ijnurstu.2006.11.007 |
container_title |
International Journal of Nursing Studies |
container_volume |
46 |
container_issue |
7 |
container_start_page |
920 |
op_container_end_page |
927 |
_version_ |
1766038823078199296 |