Organizational predictors and determinants of nurses' reported outcomes: Evidence from a 10-year program of research

Peter Van Bogaert, Sean Clarke

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

A 10-year research program systematically examined organizational features of nurses' workplaces in relation to nurse and patient outcomes. Its major results have been published in peer-reviewed international journals and presented here with replicated analyses and largely new datasets. First, a set of measures of nurse practice environment features and nurse work characteristics such as workload, decision latitude, and social capital along with burnout and work engagement as well as nurses' self-assessed job outcomes and quality of care was developed. These were examined in various populations of nurses such as those working in acute care hospitals and in long-term facilities. Secondly, models to explain associations between these selected variables were developed and tested in samples of acute hospital nurses. Thirdly, multilevel analyses of the associations between these variables confirmed that the phenomenon of organizational influences on work experiences occurred not only at the individual level but also at the team level in various study populations and across healthcare domains. Next, a longitudinal study design was set up to investigate the impact of planned transformations in the hospital organization as well as the implementation of the Productive Ward-Releasing Time to Care program aimed at strengthening practice environments and outcomes in a university hospital. Finally, a phenomenological study was undertaken to examine staff nurse and nurse manager perceptions and experiences of structural empowerment and the extent to which structural empowerment supports high-quality patient care. In addition, an explanatory sequential mixed methods design blended qualitative study results regarding staff nurses' experiences and perceptions of workload with prior quantitative results regarding structural empowerment to explain and interpret the findings of both models.

Original languageEnglish (US)
Title of host publicationThe Organizational Context of Nursing Practice
Subtitle of host publicationConcepts, Evidence, and Interventions for Improvement
PublisherSpringer International Publishing
Pages49-100
Number of pages52
ISBN (Electronic)9783319710426
ISBN (Print)9783319710419
DOIs
StatePublished - Feb 13 2018

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Keywords

  • Burnout
  • Job satisfaction
  • Mixed methods
  • Multilevel models
  • Nurse practice environment
  • Quality of care
  • Structural equation modeling
  • Work engagement

ASJC Scopus subject areas

  • Nursing(all)
  • Medicine(all)

Cite this

Van Bogaert, P., & Clarke, S. (2018). Organizational predictors and determinants of nurses' reported outcomes: Evidence from a 10-year program of research. In The Organizational Context of Nursing Practice: Concepts, Evidence, and Interventions for Improvement (pp. 49-100). Springer International Publishing. https://doi.org/10.1007/978-3-319-71042-6_3