Organizational Climate and Hospital Nurses' Caring Practices: A Mixed-Methods Study

被引：33
|
作者：
Roch, Genevieve [1 ,2 ]
Dubois, Carl-Ardy [3 ]
Clarke, Sean P. [4 ]
机构：
[1] Univ Laval, Fac Nursing, Quebec City, PQ G1V 0A6, Canada
[2] CHU Quebec Res Ctr, Populat Hlth & Optimal Hlth Practices Res Unit, Quebec City, PQ G1V 0A6, Canada
[3] Univ Montreal, Fac Nursing, Montreal, PQ, Canada
[4] McGill Univ, Ingram Sch Nursing, Montreal, PQ, Canada
来源：
RESEARCH IN NURSING & HEALTH | 2014年 / 37卷 / 03期
基金：
加拿大健康研究院;
关键词：
organizational climate; work environment; nursing practice; caring; nurse-patient relations; unlicensed assistive personnel; QUALITY-OF-CARE; NURSING-CARE; WORK ENVIRONMENTS; PSYCHOLOGICAL CLIMATE; PATIENT SAFETY; JOB OUTCOMES; HEALTH; PERCEPTIONS; SCALE;
D O I：
10.1002/nur.21596
中图分类号：
R47 [护理学];
学科分类号：
1011 ;
摘要：
Organizational climate in healthcare settings influences patient outcomes, but its effect on nursing care delivery remains poorly understood. In this mixed-methods study, nurse surveys (N=292) were combined with a qualitative case study of 15 direct-care registered nurses (RNs), nursing personnel, and managers. Organizational climate explained 11% of the variation in RNs' reported frequency of caring practices. Qualitative data suggested that caring practices were affected by the interplay of organizational climate dimensions with patients and nurses characteristics. Workload intensity and role ambiguity led RNs to leave many caring practices to practical nurses and assistive personnel. Systemic interventions are needed to improve organizational climate and to support RNs' involvement in a full range of caring practices. (c) 2014 Wiley Periodicals, Inc.
引用
收藏
页码：229 / 240
页数：12
相关论文
共 50 条
  • [1] Organizational Climate for Inclusion Among Nurses: A Mixed-Methods Analysis
    Traver, Jodi
    Yeaman, Sarah
    Arenas, Cecily A.
    Daugherty, Joann
    Davidson, Judy E.
    [J]. JOURNAL OF NURSING ADMINISTRATION, 2024, 54 (05): : 292 - 298
  • [2] Nurses' Caring Behaviors Toward Patients Undergoing Chemotherapy in Greece: A Mixed-Methods Study
    Karlou, Chyssoula
    Papadopoulou, Constantina
    Papathanassoglou, Elizabeth
    Lemonidou, Chryssoula
    Vouzavali, Fotini
    Zafiropoulou-Koutroubas, Anna
    Katsaragakis, Stelios
    Patiraki, Elisabeth
    [J]. CANCER NURSING, 2018, 41 (05) : 399 - 408
  • [3] Violence against physicians and nurses in a hospital: How does it happen? A mixed-methods study
    Shafran-Tikva, Sigal
    Chinitz, David
    Stern, Zvi
    Feder-Bubis, Paula
    [J]. ISRAEL JOURNAL OF HEALTH POLICY RESEARCH, 2017, 6
  • [4] Violence against physicians and nurses in a hospital: How does it happen? A mixed-methods study
    Sigal Shafran-Tikva
    David Chinitz
    Zvi Stern
    Paula Feder-Bubis
    [J]. Israel Journal of Health Policy Research, 6
  • [5] Why are Turkish nurses migrating? A mixed-methods study
    Yurumezoglu, Havva Arslan
    Camveren, Hatice
    [J]. INTERNATIONAL NURSING REVIEW, 2024,
  • [6] Moral distress among nurses: A mixed-methods study
    Prompahakul, Chuleeporn
    Keim-Malpass, Jessica
    LeBaron, Virginia
    Yan, Guofen
    Epstein, Elizabeth G.
    [J]. NURSING ETHICS, 2021, 28 (7-8) : 1165 - 1182
  • [7] Knowledge and Practices for Central Line Infection Prevention Among Brazilian Nurses A Mixed-Methods Study
    Manzo, Bruna Figueiredo
    Duarte, Elysangela Dittz
    de Abreu Felizardo, Melissa Joice
    Vimieiro, Viviane Lopes
    Vieira Sa, Nathalia Fidelis
    Campos Sa, Rafaela Felix
    Parker, Leslie A.
    [J]. ADVANCES IN NEONATAL CARE, 2022, 22 (02) : 180 - 187
  • [8] The opinions and experiences of nursing students, nurses, and patients regarding clinical practices: A mixed-methods study
    Sarikose, Seda
    Ozkan, Alparslan
    Cengiz, Ayca
    Ongun, Burak
    Koyun, Hamza Can
    Doha, Najwa Ahmad
    Bagcivan, Gulcan
    Celik, Sevilay Senol
    [J]. NURSING & HEALTH SCIENCES, 2024, 26 (03)
  • [9] Barriers to organizational adoption of EMR systems in family physician practices: A mixed-methods study in Canada
    Pare, Guy
    Raymond, Louis
    de Guinea, Ana Ortiz
    Poba-Nzaou, Placide
    Trudel, Marie-Claude
    Marsan, Josianne
    Micheneau, Thomas
    [J]. INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS, 2014, 83 (08) : 548 - 558
  • [10] Caring for crying babies: A mixed-methods study to understand factors influencing nurses' and doctors' management of infant colic
    McGann, James
    Manohar, Jaqueline
    Hiscock, Harriet
    O'Connor, Denise
    Hodgson, Jan
    Babl, Franz
    Sung, Valerie
    [J]. JOURNAL OF PAEDIATRICS AND CHILD HEALTH, 2018, 54 (06) : 653 - 660
12345