Nurse staffing and patient outcomes in veterans affairs hospitals

被引:21
|
作者
Sales, AE
Sharp, ND
Li, YF
Greiner, GT
Lowy, E
Mitchell, P
Sochalski, JA
Cournoyer, P
机构
[1] VA Puget Sound Hlth Care Syst, Seattle, WA 98108 USA
[2] Univ Washington, Dept Biobehav Nursing & Hlth Syst, Seattle, WA 98195 USA
[3] Univ Penn, Sch Nursing, Philadelphia, PA 19104 USA
来源
JOURNAL OF NURSING ADMINISTRATION | 2005年 / 35卷 / 10期
关键词
D O I
10.1097/00005110-200510000-00007
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Objective: 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. Background: 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. Methods: Cross-sectional observational study with a mailed survey administered to all nursing personnel in 125 VA Medical Centers between February and June 2003. Results: 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. Conclusions: 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.
引用
收藏
页码:459 / 466
页数:8
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