title: Integrated Employee Occupational Health and Organizational-Level Registered Nurse Outcomes.
abstract: The study examined organizational culture, structural supports, and employee health program integration influence on registered nurse (RN) outcomes.
  
  
  
  An organizational health survey, employee health clinical operations survey, employee attitudes survey, and administration data were collected. Multivariate regression models examined outcomes of sick leave, leave without pay, voluntary turnover, intention to leave, and organizational culture using 122 medical centers.
  
  
  
  Lower staffing ratios were associated with greater sick leave, higher turnover, and intention to leave. Safety climate was favorably associated with each of the five outcomes. Both onsite employee occupational health services and a robust health promotion program were associated with more positive organizational culture perceptions.
  
  
  
  Findings highlight the positive influence of integrating employee health and health promotion services on organizational health outcomes. Attention to promoting employee health may benefit organizations in multiple, synergistic ways.
authors.affiliation: Center for Healthcare Organization and Implementation Research (CHOIR), the Boston VA Healthcare System (Dr Mohr), Boston University School of Public Health, Massachusetts (Dr Mohr), and Veterans Health Administration, Office of Public Health, Occupational Health (Drs Schult, Eaton, Awosika, McPhaul), Washington, DC.
authors.forename: David C
authors.initials: DC
authors.lastname: Mohr
authors.forename: Tamara
authors.initials: T
authors.lastname: Schult
authors.forename: Jennifer Lipkowitz
authors.initials: JL
authors.lastname: Eaton
authors.forename: Ebi
authors.initials: E
authors.lastname: Awosika
authors.forename: Kathleen M
authors.initials: KM
authors.lastname: McPhaul
mesh_terms: D006293:Health Promotion; D006787:Hospitals, Veterans; D006801:Humans; D009726:Nurses; D016272:Occupational Health; D009786:Occupational Health Services / Q000458:organization & administration*; D000073397:Occupational Stress; D015279:Organizational Culture; D010563:Personnel Turnover; D018582:Sick Leave; D011795:Surveys and Questionnaires; D014481:United States; D014493:United States Department of Veterans Affairs