Abstract
An aging population and retiring workforce might affect United States health delivery care and could threaten the quality of care in hospitals. Nurses, as the largest profession in healthcare, can buffer these effects if supported in a safe nurse work environment. The purpose of this dissertation was to understand how peer-to-peer registered nurse workplace incivility as a mediator, and collective efficacy as a moderator, influence relationships among hospital structures (i.e. nurse manager leadership and staffing) and hospital outcomes (i.e. missed nursing care and patient safety cultures).
Donabedian's (1980) structure-process-outcomes conceptual framework was the theoretical basis for this study. A cross-sectional, correlational design was employed that involved path analysis to investigate a conditional process model. Six instruments were administered online: 1) the Hospital Survey on Patient Safety; 2) the Acute Care Missed Nursing Care Subscale; 3) the Workplace Incivility Scale (WIS); 4) the Collective Efficacy Beliefs Scale; 5) the Practice Environment subscale of the Nursing Work Index; and 6) a demographic information form. In all, surveys comprised 117 items.
Sigma Membership
Delta Theta
Type
Dissertation
Format Type
Text-based Document
Study Design/Type
Cross-Sectional
Research Approach
Quantitative Research
Keywords:
Coworker Incivility, Work Engagement, Outcomes
Advisor
Karen H. Morin
Degree
PhD
Degree Grantor
University of Wisconsin-Milwaukee
Degree Year
2016
Recommended Citation
Smith, Jessica G., "RN perceptions of coworker incivility and collective efficacy as influential to hospital structures and outcomes" (2017). Dissertations. 1277.
https://www.sigmarepository.org/dissertations/1277
Rights Holder
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Review Type
None: Degree-based Submission
Acquisition
Proxy-submission
Date of Issue
2017-03-29
Full Text of Presentation
wf_yes
Description
This dissertation has also been disseminated through the UWM Digital Commons Dissertations and Theses database. Dissertation/thesis number: 1205 at http://dc.uwm.edu/etd. The author still retains copyright.