The Effect of Nurse Practice Environment on Retention and Quality of Care via Burnout, Work Characteristics, and Resilience: A Moderated Mediation Model.

Autor: Gensimore MM; Author Affiliations: Director (Dr Gensimore), Sentara Northern Virginia Medical Center, Woodbridge; Biostatistician (Dr Maduro) and Manager (Dr Morgan), Sentara Quality Research Institute, Sentara Healthcare, Virginia Beach; Corporate Vice President and System Chief Nursing Officer (Ms McGee), Sentara Healthcare, Norfolk; and Nurse Executive in Research and Director (Dr Zimbro), Sentara Quality Research Institute, Sentara Healthcare, Virginia Beach, Virginia., Maduro RS, Morgan MK, McGee GW, Zimbro KS
Jazyk: angličtina
Zdroj: The Journal of nursing administration [J Nurs Adm] 2020 Oct; Vol. 50 (10), pp. 546-553.
DOI: 10.1097/NNA.0000000000000932
Abstrakt: Objective: The aim of this study was to explore the influence of nurse work characteristics, resiliency, and burnout on retention, and patient quality and safety.
Background: With an ongoing nursing shortage, maintaining qualified nursing staff is critical. We explored the direct and indirect effects of practice environment, nurse work characteristics, and burnout on retention, and perceived quality and safety.
Methods: Responses from 507 RNs were collected via an anonymous online survey. Theorized relationships were explored via path analysis and invariance testing.
Results: Positive practice environment and favorable work characteristics lowered burnout and improved outcomes. The indirect effects of work characteristics and burnout were dependent upon individual level of resilience. Social capital minimized the effects of burnout for participants reporting below-average resilience.
Conclusions: Leader support was critical in shaping positive perception of the practice environment. A nurse leader's visibility and actions impact intent to stay. Results of this study may inform healthcare systems struggling to retain a robust, engaged nursing workforce.
Databáze: MEDLINE
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