Linking unit collaboration and nursing leadership to nurse outcomes and quality of care

Chenjuan Ma, Jingjing Shang, Marjorie J. Bott

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: The objective of this study is to identify the effects of unit collaboration and nursing leadership on nurse outcomes and quality of care. BACKGROUND: Along with the current healthcare reform, collaboration of care providers and nursing leadership has been underscored; however, empirical evidence of the impact on outcomes and quality of care has been limited. METHODS: Data from 29742 nurses in 1228 units of 200 acute care hospitals in 41 states were analyzed using multilevel linear regressions. Collaboration (nurse-nurse collaboration and nurse-physician collaboration) and nursing leadership were measured at the unit level. Outcomes included nurse job satisfaction, intent to leave, and nurse-reported quality of care. RESULTS: Nurses reported lower intent to leave, higher job satisfaction, and better quality of care in units with better collaboration and stronger nursing leadership. CONCLUSION: Creating a care environment of strong collaboration among care providers and nursing leadership can help hospitals maintain a competitive nursing workforce supporting high quality of care.

Original languageEnglish (US)
Pages (from-to)435-442
Number of pages8
JournalJournal of Nursing Administration
Volume45
Issue number9
DOIs
StatePublished - Sep 11 2015

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Quality of Health Care
Nursing
Nurses
Job Satisfaction
Nursing Care
Health Care Reform
Linear Models
Physicians

ASJC Scopus subject areas

  • Leadership and Management

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Linking unit collaboration and nursing leadership to nurse outcomes and quality of care. / Ma, Chenjuan; Shang, Jingjing; Bott, Marjorie J.

In: Journal of Nursing Administration, Vol. 45, No. 9, 11.09.2015, p. 435-442.

Research output: Contribution to journalArticle

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