title: Nurse work environments and occupational safety in intensive care units.
abstract: Using data collected from 39 intensive care units (ICUs) in 23 hospitals across the United States, the purpose of this study was to examine hospital structural characteristics, nurse characteristics, and nurses' working conditions' impact on occupational safety outcomes. ICU with more positive organizational climates had lower rates of occupational injuries and blood and body fluid exposures (p < .05). Similarly, ICUs in hospitals that had attained magnet accreditation had lower rates of negative occupational health incidents (p < .05). Hospital profitability was inversely related to rates of blood and body fluid exposure (p < .05). Monitoring nurses' working conditions and improving the organizational climate of hospitals is likely to improve the safety of the employee and the profitability of the hospital through improved system outcomes (such as lower turnover of the employees) as well as improve the quality of patient care delivered.
authors.affiliation: Columbia University School of Nursing, New York, NY, USA.
authors.forename: Patricia W
authors.initials: PW
authors.lastname: Stone
authors.forename: Robyn R M
authors.initials: RR
authors.lastname: Gershon
mesh_terms: D000062:Accidents, Occupational / Q000517:prevention & control / Q000706:statistics & numerical data; D000068:Accreditation; D000328:Adult; D001291:Attitude of Health Personnel; D016009:Chi-Square Distribution; D006272:Health Facility Environment / Q000458:organization & administration; D006301:Health Services Needs and Demand; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration*; D015401:Nursing Administration Research; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration* / Q000523:psychology; D016273:Occupational Exposure / Q000517:prevention & control / Q000706:statistics & numerical data; D016272:Occupational Health / Q000706:statistics & numerical data; D015279:Organizational Culture; D017063:Outcome Assessment, Health Care; D010563:Personnel Turnover / Q000706:statistics & numerical data; D017751:Safety Management / Q000458:organization & administration*; D011795:Surveys and Questionnaires; D017749:Total Quality Management / Q000458:organization & administration; D014481:United States / Q000453:epidemiology; D017132:Workplace / Q000458:organization & administration*; D014947:Wounds and Injuries / Q000453:epidemiology / Q000517:prevention & control