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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.


Improved model.
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Figure 3: Improved model.

Mentions: Fit measures of the hypothesized model were insufficient (CFI: 0.887; IFI: 0.888) and modifications as described in the method section were necessary. Deletion and inclusion of pathways and in addition the deletion of item 1, 7, and 6 from respectively, work engagement dimensions vigor, dedication, and absorption (e.g., modification indices between item error measurements within vigor and dedication) gave sufficient fit measure and confirmed an adjusted model (CFI: 0.908; IFI: 0.907; RMSEA: 0.048). The improved model (Figure 3) showed additional pathways between nurse–physician relationship and respectively, vigor and decision latitude, nurse management at the unit level and job outcome, and workload and respectively, nurse-assessed quality of care and job outcome. Pathways between hospital management and organizational support and absorption and between the latter and job outcome were deleted. The improved model explained 47% of the variances on nurse-assessed quality of care and 60% of the variance on job outcome. Nurse management at the unit level has a strong direct impact on outcome variables with explained variances of 22 and 36%, respectively.


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)

Improved model.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 3: Improved model.
Mentions: Fit measures of the hypothesized model were insufficient (CFI: 0.887; IFI: 0.888) and modifications as described in the method section were necessary. Deletion and inclusion of pathways and in addition the deletion of item 1, 7, and 6 from respectively, work engagement dimensions vigor, dedication, and absorption (e.g., modification indices between item error measurements within vigor and dedication) gave sufficient fit measure and confirmed an adjusted model (CFI: 0.908; IFI: 0.907; RMSEA: 0.048). The improved model (Figure 3) showed additional pathways between nurse–physician relationship and respectively, vigor and decision latitude, nurse management at the unit level and job outcome, and workload and respectively, nurse-assessed quality of care and job outcome. Pathways between hospital management and organizational support and absorption and between the latter and job outcome were deleted. The improved model explained 47% of the variances on nurse-assessed quality of care and 60% of the variance on job outcome. Nurse management at the unit level has a strong direct impact on outcome variables with explained variances of 22 and 36%, respectively.

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.