Rural Hospital Nursing Better Environments = Shared Vision and Quality/Safety Engagement

被引：10

作者：

Newhouse, Robin P. ^{[1
]}

Morlack, Laura ^{[2
]}

Pronovost, Peter ^{[3
,4
]}

Colantuoni, Elizabeth ^{[3
,4
]}

Johantgen, Mary ^{[5
]}

机构：

[1] Univ Maryland, Sch Nursing, Org Syst & Adult Hlth, College Pk, MD 20742 USA

[2] Bloomberg Sch Publ Hlth, Dept Hlth Policy & Management, Baltimore, MD USA

[3] Johns Hopkins Univ, Sch Med, Dept Anesthesiol, Baltimore, MD 21218 USA

[4] Johns Hopkins Univ, Sch Med, Dept Crit Care Med, Baltimore, MD 21218 USA

[5] Univ Maryland, Sch Nursing, Baltimore, MD 21201 USA

来源：

JOURNAL OF NURSING ADMINISTRATION | 2009年 / 39卷 / 04期

基金：

美国医疗保健研究与质量局;

关键词：

PATIENT MORTALITY; CULTURE; SAFETY;

D O I：

10.1097/NNA.0b013e31819c9cd5

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Objective: The aim of this study was to identify the independent effects among market forces, hospital factors, and the rural nursing work environment, controlling for hospital type, average daily census, and system or network membership. Background: The hospital work environment affects both nurse and patient outcomes, yet little is known about the rural hospital setting. Methods: A national sample of rural hospital nurse executives (n = 233) completed the Nursing Environment Survey and the Essentials of Magnetism (EOM) instrument. Results: Market variables explain 11.4% and hospital variables explain 27.2% of the variance in the total weighted EOM scale. System membership (beta = -.204), shared vision (beta = .531), and quality and safety activities (beta = .132) have significant independent effects on the total weighted EOM scale. Conclusions: Promoting shared vision and accelerating engagement in quality and safety initiatives will result in improvements in the nursing work environment in rural hospitals.

引用

页码：189 / 195

页数：7

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