[LARS Research Project. Nursing Research Laboratory of the Health Regional Agency of the Friuli Venezia Giulia Region. Observational study on the outcomes of organizative models of medical wards on nurses, patients and organization].
No large scale studies have been conducted in Italy to assess factors that influence hospital nurses' satisfaction.


OBJECTIVE
To explore the relationship between participative organizative models and outcomes on nurses (work satisfaction, burnout, intention to stay), patients (satisfaction with quality of care) and organization (nurses turnover).


METHODS
This multicentre regional study involves 20 acute medical wards and more than 500 nurses. Data on the organizative model adopted in the ward will be collected with an ad hoc questionnaire with scores from 7 (scarce-limited involvement of nurses in decision making) to 35 (nurses take decisions on the management of the ward). Nurses satisfaction with their work is measured with the Nursing Work Index Revised; burnout with the Maslack Burnout Inventory; patients satisfaction with the Experiences of Nursing Care Scale Newcastle Satisfaction with Nursing Scale. The outcomes considered for the organization will be turnover, absences from work, injuries.


RESULTS
The study is ongoing. The association of each outcome to the organizzative model will be explored. Multivariate regression model will be adjusted for casemix index of the previuos year. T test and chi square tests will be used and a p value of 0.05 will be considered significant.
Palese
Alvisa
A
Gruppo di Ricerca LARS, Agenzia Regionale alla Sanità, Friuli Venezia Giulia.
Lavia
Barbara
B
Bassan
Fabia
F
De Corti
Cinzia
C
Del Forno
Miria
M
Finos
Rosanna
R
Flaibani
Lidia
L
Mesaglio
Maura
M
Paroni
Roberto
R
Pellizzari
Mara
M
Piazza
Donatella
D
Zamolo
Maurizia
M
Roberto
Iuli
I
Carlo
Saitto
S
Elena
Clagnan
C
Anna
Busolini
B
Simon
Giorgio
G
Tosolini
Gino
G
D006801:Humans; D007558:Italy; D007588:Job Satisfaction; D017146:Models, Organizational; D009729:Nursing / Q000458:organization & administration*; D015399:Nursing Research; D017060:Patient Satisfaction