TY - JOUR
T1 - Rural hospital nursing
T2 - Better environments = shared vision and quality/safety engagement
AU - Newhouse, Robin P.
AU - Morlock, Laura
AU - Pronovost, Peter
AU - Colantuoni, Elizabeth
AU - Johantgen, Mary
PY - 2009/4
Y1 - 2009/4
N2 - OBJECTIVE:: The aim of this study was to identify the independent effects among market forces, hospital factors, and the rural nursing work environment, controlling for hospital type, average daily census, and system or network membership. BACKGROUND:: The hospital work environment affects both nurse and patient outcomes, yet little is known about the rural hospital setting. METHODS:: A national sample of rural hospital nurse executives (n = 233) completed the Nursing Environment Survey and the Essentials of Magnetism (EOM) instrument. RESULTS:: Market variables explain 11.4% and hospital variables explain 27.2% of the variance in the total weighted EOM scale. System membership (β = -.204), shared vision (β = .531), and quality and safety activities (β = .132) have significant independent effects on the total weighted EOM scale. CONCLUSIONS:: Promoting shared vision and accelerating engagement in quality and safety initiatives will result in improvements in the nursing work environment in rural hospitals.
AB - OBJECTIVE:: The aim of this study was to identify the independent effects among market forces, hospital factors, and the rural nursing work environment, controlling for hospital type, average daily census, and system or network membership. BACKGROUND:: The hospital work environment affects both nurse and patient outcomes, yet little is known about the rural hospital setting. METHODS:: A national sample of rural hospital nurse executives (n = 233) completed the Nursing Environment Survey and the Essentials of Magnetism (EOM) instrument. RESULTS:: Market variables explain 11.4% and hospital variables explain 27.2% of the variance in the total weighted EOM scale. System membership (β = -.204), shared vision (β = .531), and quality and safety activities (β = .132) have significant independent effects on the total weighted EOM scale. CONCLUSIONS:: Promoting shared vision and accelerating engagement in quality and safety initiatives will result in improvements in the nursing work environment in rural hospitals.
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U2 - 10.1097/NNA.0b013e31819c9cd5
DO - 10.1097/NNA.0b013e31819c9cd5
M3 - Article
C2 - 19359891
AN - SCOPUS:65249159166
SN - 0002-0443
VL - 39
SP - 189
EP - 195
JO - Journal of Nursing Administration
JF - Journal of Nursing Administration
IS - 4
ER -