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Nurse work engagement impacts job outcome and nurse-assessed quality of care: model testing with nurse practice environment and nurse work characteristics as predictors.

Van Bogaert P, van Heusden D, Timmermans O, Franck E - Front Psychol (2014)

Bottom Line: Nurse practice environment dimensions predicted nurses' ratings of job outcome variables as well as quality of care.The findings in this study show that nurse work characteristics as workload, decision latitude, and social capital, alongside with nurse work engagement (e.g., vigor, dedication, and absorption) influence nurses' perspective of their nurse practice environment, job outcomes, and quality of care.The results underline aspects to considerate for various stakeholders, such as executives, nurse managers, physicians, and staff nurses, in setting up and organizing health care services.

View Article: PubMed Central - PubMed

Affiliation: Centre for Research and Innovation in Care, Nursing and Midwifery Sciences, University of Antwerp Antwerp, Belgium ; Nursing, Antwerp University Hospital Antwerp, Belgium.

ABSTRACT

Aim: To explore the mechanisms through which nurse practice environment dimensions, such as nurse-physician relationship, nurse management at the unit level and hospital management and organizational support, are associated with job outcomes and nurse-assessed quality of care. Mediating variables included nurse work characteristics of workload, social capital, decision latitude, as well as work engagement dimensions of vigor, dedication and absorption.

Background: Understanding how to support and guide nurse practice communities in their daily effort to answer complex care most accurate, alongside with the demand of a stable and healthy nurse workforce, is challenging.

Design: Cross-sectional survey.

Method: Based on earlier empirical findings, a structural equation model, designed with valid measurement instruments, was tested. The study population included registered acute care hospital nurses (N = 1201) in eight hospitals across Belgium.

Results: Nurse practice environment dimensions predicted nurses' ratings of job outcome variables as well as quality of care. Features of nurses' work characteristics, e.g., perceived workload, decision latitude, social capital, and the three dimension of work engagement, played mediating roles between nurse practice environment and outcomes. A revised model, using various fit measures, explained 60% of job outcomes and 47% of nurse-assessed quality of care.

Conclusion: The findings in this study show that nurse work characteristics as workload, decision latitude, and social capital, alongside with nurse work engagement (e.g., vigor, dedication, and absorption) influence nurses' perspective of their nurse practice environment, job outcomes, and quality of care. The results underline aspects to considerate for various stakeholders, such as executives, nurse managers, physicians, and staff nurses, in setting up and organizing health care services.

No MeSH data available.


Nurse practice environment and nurse work characteristics. Scale range 1–4; all scales higher values means favorable ratings expect for workload; 2.5 is the midpoint and means neither favorable nor unfavorable.
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Figure 2: Nurse practice environment and nurse work characteristics. Scale range 1–4; all scales higher values means favorable ratings expect for workload; 2.5 is the midpoint and means neither favorable nor unfavorable.

Mentions: Table 2 shows study populations’ demographic variables and the distribution of outcome variables. Results show less than 10% of the staff nurses were dissatisfied or very dissatisfied, where almost 6 and 11% had the intention to leave the hospital last year and the nursing profession. Respectively almost 13 and 10% assessed the quality of care at the unit and the last shift fair or poor and almost two out of five nurses assessed the quality in the hospital the last year as deteriorated or definitely deteriorated. Nurse–physician relations, nurse management at the unit level, decision latitude and social capital were rated favorably (scores of > 2.5 reflect predominantly positive responses to questions about desirable elements being present). The average respondents, however, rated hospital management and organizational support (<2.5) and workload (>2.5) unfavorable (see boxplots Figure 2). Based on cut-off values defined by Schaufeli and Bakker (2003), respectively, 45, 62, and 52% had high or very high levels of vigor, dedication, and absorption.


Nurse work engagement impacts job outcome and nurse-assessed quality of care: model testing with nurse practice environment and nurse work characteristics as predictors.

Van Bogaert P, van Heusden D, Timmermans O, Franck E - Front Psychol (2014)

Nurse practice environment and nurse work characteristics. Scale range 1–4; all scales higher values means favorable ratings expect for workload; 2.5 is the midpoint and means neither favorable nor unfavorable.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4230203&req=5

Figure 2: Nurse practice environment and nurse work characteristics. Scale range 1–4; all scales higher values means favorable ratings expect for workload; 2.5 is the midpoint and means neither favorable nor unfavorable.
Mentions: Table 2 shows study populations’ demographic variables and the distribution of outcome variables. Results show less than 10% of the staff nurses were dissatisfied or very dissatisfied, where almost 6 and 11% had the intention to leave the hospital last year and the nursing profession. Respectively almost 13 and 10% assessed the quality of care at the unit and the last shift fair or poor and almost two out of five nurses assessed the quality in the hospital the last year as deteriorated or definitely deteriorated. Nurse–physician relations, nurse management at the unit level, decision latitude and social capital were rated favorably (scores of > 2.5 reflect predominantly positive responses to questions about desirable elements being present). The average respondents, however, rated hospital management and organizational support (<2.5) and workload (>2.5) unfavorable (see boxplots Figure 2). Based on cut-off values defined by Schaufeli and Bakker (2003), respectively, 45, 62, and 52% had high or very high levels of vigor, dedication, and absorption.

Bottom Line: Nurse practice environment dimensions predicted nurses' ratings of job outcome variables as well as quality of care.The findings in this study show that nurse work characteristics as workload, decision latitude, and social capital, alongside with nurse work engagement (e.g., vigor, dedication, and absorption) influence nurses' perspective of their nurse practice environment, job outcomes, and quality of care.The results underline aspects to considerate for various stakeholders, such as executives, nurse managers, physicians, and staff nurses, in setting up and organizing health care services.

View Article: PubMed Central - PubMed

Affiliation: Centre for Research and Innovation in Care, Nursing and Midwifery Sciences, University of Antwerp Antwerp, Belgium ; Nursing, Antwerp University Hospital Antwerp, Belgium.

ABSTRACT

Aim: To explore the mechanisms through which nurse practice environment dimensions, such as nurse-physician relationship, nurse management at the unit level and hospital management and organizational support, are associated with job outcomes and nurse-assessed quality of care. Mediating variables included nurse work characteristics of workload, social capital, decision latitude, as well as work engagement dimensions of vigor, dedication and absorption.

Background: Understanding how to support and guide nurse practice communities in their daily effort to answer complex care most accurate, alongside with the demand of a stable and healthy nurse workforce, is challenging.

Design: Cross-sectional survey.

Method: Based on earlier empirical findings, a structural equation model, designed with valid measurement instruments, was tested. The study population included registered acute care hospital nurses (N = 1201) in eight hospitals across Belgium.

Results: Nurse practice environment dimensions predicted nurses' ratings of job outcome variables as well as quality of care. Features of nurses' work characteristics, e.g., perceived workload, decision latitude, social capital, and the three dimension of work engagement, played mediating roles between nurse practice environment and outcomes. A revised model, using various fit measures, explained 60% of job outcomes and 47% of nurse-assessed quality of care.

Conclusion: The findings in this study show that nurse work characteristics as workload, decision latitude, and social capital, alongside with nurse work engagement (e.g., vigor, dedication, and absorption) influence nurses' perspective of their nurse practice environment, job outcomes, and quality of care. The results underline aspects to considerate for various stakeholders, such as executives, nurse managers, physicians, and staff nurses, in setting up and organizing health care services.

No MeSH data available.