title: The Productive Ward program™: a longitudinal multilevel study of nurse perceived practice environment, burnout, and nurse-reported quality of care and job outcomes.
abstract: OBJECTIVE
  The objective of this study was to investigate the impact of The Productive Ward-Releasing Time to Care™ program implemented in a hospital transformation process on nurse perception related to practice environment, burnout, quality of care, and job outcomes.
  
  
  BACKGROUND
  To address the continuously evolving complex challenges of patient care, high-performance nursing care is necessary.
  
  
  METHODS
  A longitudinal survey design was used to conduct a study in a 600-bed acute care university hospital with 3 measurement periods: T0: base line in 2006, T1 in 2011, and T2 in 2013. As part of the hospital transformation process, the productive ward program was introduced between T1 and T2.
  
  
  RESULTS
  Relevant impact on nurse-physician relations, nurse management, hospital management-organizational support, nurse-reported quality of care, and job outcomes were identified.
  
  
  CONCLUSIONS
  Hospital strategies and policies should be aligned with daily practices so that engaged and committed staff can promote excellent outcomes.
authors.affiliation: Author Affiliations: Professor (Dr Van Bogaert), Research Associate (Mr Van heusden and Mss Somers and Tegenbos), Department of Nursing and Midwifery Sciences, Centre for Research and Innovation in Care (CRIC), Faculty of Medicine and Health Sciences, University of Antwerp, Belgium, and Department of Nursing, Antwerp University Hospital, Belgium; Statistician (Dr Wouters), Chief Executive Officer (Mr Van der Straeten), Chief Nursing Officer (Mr Van Aken), Antwerp University Hospital, Belgium; Professor (Dr Havens), School of Nursing, The University of North Carolina at Chapel Hill.
authors.forename: Peter
authors.initials: P
authors.lastname: Van Bogaert
authors.forename: Danny
authors.initials: D
authors.lastname: Van heusden
authors.forename: Annemie
authors.initials: A
authors.lastname: Somers
authors.forename: Muriel
authors.initials: M
authors.lastname: Tegenbos
authors.forename: Kristien
authors.initials: K
authors.lastname: Wouters
authors.forename: Johnny
authors.initials: J
authors.lastname: Van der Straeten
authors.forename: Paul
authors.initials: P
authors.lastname: Van Aken
authors.forename: Donna Sullivan
authors.initials: DS
authors.lastname: Havens
mesh_terms: D000328:Adult; D001530:Belgium; D002055:Burnout, Professional / Q000517:prevention & control*; D003430:Cross-Sectional Studies; D005260:Female; D006785:Hospitals, University; D006801:Humans; D007588:Job Satisfaction; D008137:Longitudinal Studies; D008297:Male; D055361:Multilevel Analysis; D009726:Nurses; D009741:Nursing Staff, Hospital / Q000458:organization & administration* / Q000523:psychology*; D009936:Organizational Innovation; D009937:Organizational Objectives; D019555:Physician-Nurse Relations; D057184:Practice Patterns, Nurses' / Q000458:organization & administration*; D015397:Program Evaluation; D011787:Quality of Health Care / Q000458:organization & administration*; D012931:Social Environment