Patient care delivery model improves nurse job satisfaction.
BACKGROUND
Nurse job satisfaction was identified as an outcome measure for a project to develop and implement a patient care delivery model in an acute psychiatric setting.


METHODS
Seventy registered nurses were surveyed during 3 years, utilizing the Index of Work Satisfaction.


RESULTS
Nurse job satisfaction has improved significantly (14%) since model development began. Analysis of variance showed significant (p < .05) increases in all component mean scores in the second and third surveys.


CONCLUSIONS
The relationship-based nursing model empowers nurses who know the patient best to decide how to provide care. It affirms the values that are the foundation of nursing practice, creating an environment where nurses feel they make a difference.
Allen
Diane E
DE
Nursing, New Hampshire Hospital, APS, 36 Clinton Street, Concord, NH 03104, USA.
Vitale-Nolen
Roberta A
RA
D000704:Analysis of Variance; D001291:Attitude of Health Personnel; D003659:Decision Making, Organizational; D006778:Hospitals, Psychiatric; D006801:Humans; D007588:Job Satisfaction; D008137:Longitudinal Studies; D016294:Models, Nursing; D009513:New Hampshire; D024802:Nurse's Role / Q000523:psychology; D009723:Nurse-Patient Relations; D015401:Nursing Administration Research; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration / Q000523:psychology*; D015279:Organizational Culture; D010043:Outcome and Process Assessment, Health Care; D010358:Patient Participation / Q000523:psychology; D018802:Patient-Centered Care / Q000458:organization & administration; D011321:Primary Nursing / Q000458:organization & administration*; D017009:Professional Autonomy; D015397:Program Evaluation; D011568:Psychiatric Nursing / Q000193:education / Q000458:organization & administration*; D011795:Surveys and Questionnaires