title: A model for evaluating the context of nursing care delivery.
abstract: This study used a mixed method to test a model of demands on nurses. Factors were identified that affect demands, and a model was tested using structural equation modeling. Teamwork and expertise had significant effects on nurse-sensitive outcomes. Leadership was a strong determinant of stability and expertise. Workload was not a significant predictor of outcomes, but this is likely due to the difficulty in measuring nursing work. These results provide administrators with actionable recommendations that can be used to reduce the demands on nursing staff.
authors.affiliation: Department of Health Services, Administration and Management, Regis University, Denver, CO 80221, USA. jhouser@regis.edu
authors.forename: Janet
authors.initials: J
authors.lastname: Houser
mesh_terms: D001291:Attitude of Health Personnel; D002983:Clinical Competence; D003299:Cooperative Behavior; D017598:Efficiency, Organizational; D006801:Humans; D007400:Interprofessional Relations; D016294:Models, Nursing; D020380:Needs Assessment; D015401:Nursing Administration Research / Q000379:methods; D009732:Nursing Care / Q000458:organization & administration*; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration* / Q000523:psychology; D009745:Nursing, Supervisory / Q000458:organization & administration; D010561:Personnel Staffing and Scheduling / Q000458:organization & administration; D010563:Personnel Turnover / Q000706:statistics & numerical data; D011787:Quality of Health Care; D016526:Workload; D017132:Workplace / Q000458:organization & administration* / Q000523:psychology