Nurse Staffing and Patient Outcomes in Veterans Affairs Hospitals
| Autor: | Elliott Lowy, Gwendolyn T. Greiner, Julie Sochalski, Yu Fang Li, Nancy D. Sharp, Paulette Cournoyer, Pamela H. Mitchell, Anne E. Sales |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
medicine.medical_specialty genetic structures Attitude of Health Personnel Hospitals Veterans Leadership and Management Cross-sectional study Personnel Staffing and Scheduling MEDLINE Nursing Methodology Research Nursing Staff Hospital Nurse's Role Job Satisfaction Nursing Surveys and Questionnaires Health care Humans Medicine Professional Autonomy Nurse education Workplace Veterans Affairs health care economics and organizations Primary nursing business.industry Nurse staffing General Medicine Middle Aged United States Nursing Administration Research United States Department of Veterans Affairs Cross-Sectional Studies Family medicine Female Job satisfaction Nurse Clinicians Nurse-Patient Relations business |
| Zdroj: | JONA: The Journal of Nursing Administration. 35:459-466 |
| ISSN: | 0002-0443 |
| DOI: | 10.1097/00005110-200510000-00007 |
| Popis: | To assess characteristics and perceptions of nurses working in the Veterans Health Administration (VHA), comparing types of nursing personnel, to benchmark to prior studies across healthcare systems.Prior studies have shown relationships between positive registered nurse (RN) perceptions of the practice environment and patient outcomes. To date, no study has reported the comparison of RN perceptions of the practice environment in hospital nursing with those of non-RN nursing personnel. This study is the first to offer a more comprehensive look at perceptions of practice environment from the full range of the nursing work force and may shed light on issues such as the relationship of skill mix to nurse and patient outcomes.Cross-sectional observational study with a mailed survey administered to all nursing personnel in 125 VA Medical Centers between February and June 2003.Compared with other types of nursing personnel in the VHA, RNs are generally less positive about their practice environments. However, compared with RNs in other countries and particularly with other RNs in the United States (Pennsylvania), VHA RNs are generally more positive about their practice environment and express more job satisfaction.The nursing work force of the VHA has some unique characteristics. The practice environment for nurses in the VHA is relatively positive, and may indicate that the VHA, as a system, provides an environment that is more like magnet hospitals. This is significant for a public sector hospital system. |
| Databáze: | OpenAIRE |
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