Organizational determinants of work outcomes and quality care ratings among Army Medical Department registered nurses.
The Practice Environment Scale of the Nursing Work Index, the Maslach Burnout Inventory, and several single-item measures were administered to registered nurses (RNs) working within 23 U.S.-based Army Medical Department (AMEDD) hospitals. Data were analyzed with logistic regression for nested data. Unfavorable nursing practice environments had a substantial association with job dissatisfaction (OR 13.75, p < .01), emotional exhaustion (OR 12.70, p < .01), intent to leave (OR 3.03, p < .01), and fair to poor quality of care (OR 10.66, p < .01). This study provides the first system-wide analyses of nursing practice environments in AMEDD hospitals in the U.S. Similar to findings in civilian samples, poor quality work environments are associated with less favorable RN work outcomes and quality of care ratings.
University of Alabama at Birmingham School of Nursing, NB324, 1530 3rd Ave. S., Birmingham, AL 35294-1210, USA.
Patricia A
PA
Patrician
Jingjing
J
Shang
Eileen T
ET
Lake
D000328:Adult; D001291:Attitude of Health Personnel; D002055:Burnout, Professional / Q000523:psychology; D016009:Chi-Square Distribution; D005260:Female; D006272:Health Facility Environment / Q000458:organization & administration*; D006772:Hospitals, Military; D006801:Humans; D033182:Intention; D007588:Job Satisfaction; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D008888:Military Nursing / Q000458:organization & administration*; D015999:Multivariate Analysis; D015401:Nursing Administration Research; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration / Q000523:psychology*; D017063:Outcome Assessment, Health Care; D010563:Personnel Turnover; D011787:Quality of Health Care / Q000458:organization & administration*; D014481:United States; D017132:Workplace / Q000458:organization & administration / Q000523:psychology*