title: Organizational climate and hospital nurses' caring practices: a mixed-methods study.
abstract: Organizational climate in healthcare settings influences patient outcomes, but its effect on nursing care delivery remains poorly understood. In this mixed-methods study, nurse surveys (N = 292) were combined with a qualitative case study of 15 direct-care registered nurses (RNs), nursing personnel, and managers. Organizational climate explained 11% of the variation in RNs' reported frequency of caring practices. Qualitative data suggested that caring practices were affected by the interplay of organizational climate dimensions with patients and nurses characteristics. Workload intensity and role ambiguity led RNs to leave many caring practices to practical nurses and assistive personnel. Systemic interventions are needed to improve organizational climate and to support RNs' involvement in a full range of caring practices.
authors.affiliation: Faculty of Nursing, Université Laval, and Population Health and Optimal Health Practices Research Unit, CHU de Québec Research Centre, 1050 Avenue de la Médecine, Quebec, Quebec, Canada, G1V 0A6.
authors.forename: Geneviève
authors.initials: G
authors.lastname: Roch
authors.forename: Carl-Ardy
authors.initials: CA
authors.lastname: Dubois
authors.forename: Sean P
authors.initials: SP
authors.lastname: Clarke
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D016294:Models, Nursing; D009723:Nurse-Patient Relations; D009736:Nursing Process; D009741:Nursing Staff, Hospital / Q000458:organization & administration* / Q000523:psychology*; D015279:Organizational Culture; D036301:Qualitative Research; D011792:Quebec; D011795:Surveys and Questionnaires; D016526:Workload
keywords: caring; nurse-patient relations; nursing practice; organizational climate; unlicensed assistive personnel; work environment