Organization and outcomes of inpatient AIDS care. Nurses were supported in their decision making and staffing was such that nurses were able to engage in the observation activities that allow for early detection of complications and avert errors.
At least 1 in 3 nurses were routinely performing non-nursing tasks, such as delivering and retrieving food trays, transporting patients, coordinating and even performing ancillary services. Surprisingly, during the peak of hospital restructuring, little attention had been devoted to the effects of organizational changes on nurse and patient outcomes.
Nurses were in agreement that working relationships with physicians were good, however across the board nurses reported that their hospitals did not provide the support services needed to get their job done, and less than half felt that administration listened and responded to their concerns.
We also propose solutions that have worked in one country and should also work in others. These findings were the first to confirm that the educational level of nurses does make a difference in patient outcomes, and provided the impetus for state-level proposals to establish the baccalaureate degree as the minimum level of entry into the nursing profession in the US.
Outcomes of variation in hospital nurse staffing in English hospitals: High levels of job dissatisfaction and burnout contribute to the global shortage of nurses. Yet reports of nursing shortages and discontent from nurses in Canada and the United Kingdom suggested otherwise.
They found extensive problems in the organization and design of work in North America and Europe, confirming reports that stress, burnout, and job dissatisfaction was not unique to US hospital nurses. Studies conducted in countries outside the International Hospital Outcomes Research Consortium are providing evidence of the negative consequences on nurses and patients of hospital restructuring efforts.
In addition to having the ability to measure organizational features, these survey data are distinctive in that they provide valuable demographic information about nurses, as well as measurements of job satisfaction, levels of burnout and emotional exhaustion —something that no other database can provide on as large a scale.
Moreover, patient satisfaction was higher, nurse burnout levels were lower, and needlestick injuries were less in these same units.
US studies The early work of Kramer and Schmalenberg 67 served as the impetus for later studies seeking to explore further the link between organizational features of hospitals and nursing and patient outcomes. These studies find that the distinguishing attributes of Magnet hospitals are present in where nurses have high levels of job satisfaction and have low levels of burnout where the practice environment is poor, nurses working in hospitals with good work environments have the benefit of adequate staffing and patients in these hospitals have better outcomes.
Development of the practice environment scale of the Nursing Work Index.
However, some hospitals stood apart; achieving great success in recruiting and retaining nurses. World Alliance for Patient Safety: The international hospital outcomes studies.
The clinical environment of hospital nursing. Journal of Nursing Administration. Front-line management, staffing and nurse-doctor relationships as predictors of nurse and patient outcomes. Nurse outcomes, organizational support, and quality of care The first research endeavor was to study the impact of hospital restructuring on the nursing workforce and patient outcomes.
In each case, more than half the nurse respondents reported there were not enough nurses to provide high quality care. As the number of patients assigned to a nurse increased, job dissatisfaction increased, as well as level of burnout.The overall aim is to expand the knowledge base and debate surrounding EBP, and to highlight the significant contribution that nurses can make to improving patient outcomes in practice.
Nursing Standard. Nurses affect the outcome of a patient during and after hospitalization. Nurses have an impact in the outcome of the patient at all stages of the nursing care; assessment, nursing diagnosis and management of the problem.
Learn how nursing research is paving the way to improve patient outcomes. NINR Innovative Questions Initiative An initiative to encourage new thinking and creativity in nursing science from the broader scientific community and general public.
Nursing research is a scientific process that validates and refines existing knowledge and generates new knowledge that directly and indirectly influences nursing practice (Burns & Grove, ) Extensive research is needed to develop sound empirical knowledge for synthesis into the best research evidence needed for practice.
Nursing Research to Improve Patient Outcomes through Evidence Based Practice and Trans-Cultural Nursing Globalization has transformed the workplaces around the globe including the health sector and health profession like nursing.
The National Institute of Nursing Research (NINR) was established in to work with the National Institutes of Health (NIH) and collaborate to assist with optimal patient centered care.
Its mission statement states, “The mission of NINR is to promote and improve the health of individuals, families, communities, and populations.Download