Influence of workplace culture on nursing-sensitive nurse outcomes in municipal primary health care.
OBJECTIVE
To explore the influence of workplace culture on sickness absences, overtime work and occupational injuries in municipal primary health care.


BACKGROUND
The need to improve nursing sensitive outcomes has been highlighted. Therefore, an adequate understanding of the influence of workplace culture on nursing-sensitive nurse outcomes is essential for nurse managers to meet the requirements of improving nursing outcomes.


METHODS
A cross-sectional survey design was used to incorporating the data from 21 inpatient acute care units of nine organisations at the Finnish municipal primary health care system from 2011 to 2012.


RESULTS
Findings emphasise in particular the importance of the practice environment as being an interpretative factor for nurses' absences owing to sickness, overtime work and occupational injuries.


CONCLUSIONS
To ensure favourable nursing sensitive outcomes it is essential that there is a shared interest in the unit to invest in the creation of a supportive practice environment. Outcome improvements require a special focus on issues related to nursing management, adequate staffing and resources and intention to leave.
School of Health Sciences, Nursing Science, University of Tampere, Tampere, Finland.
Nina
N
Hahtela
School of Health Sciences, Nursing Science, University of Tampere, South Ostrobothnia Hospital District, Tampere, Finland.
Eija
E
Paavilainen
Institute of Nursing & Health Research/School of Nursing, University of Ulster, Antrim, UK.
Brendan
B
McCormack
Institute of Nursing & Health Research/School of Nursing, University of Ulster, Antrim, UK.
Paul
P
Slater
Science Centre, Pirkanmaa Hospital District and School of Health Sciences, University of Tampere, Tampere, Finland.
Mika
M
Helminen
School of Health Sciences, Nursing Science, University of Tampere, Tampere, Finland.
Tarja
T
Suominen
D000041:Absenteeism; D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D005387:Finland / Q000453:epidemiology; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D009740:Nursing Staff / Q000458:organization & administration / Q000523:psychology / Q000706:statistics & numerical data*; D060051:Occupational Injuries / Q000453:epidemiology / Q000209:etiology*; D015279:Organizational Culture; D059017:Primary Care Nursing / Q000523:psychology / Q000706:statistics & numerical data*; D011320:Primary Health Care / Q000458:organization & administration* / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D016526:Workload / Q000706:statistics & numerical data*
outcome assessment; primary health care; work environment