Abstract

Medical errors cost the United States over $50 billion annually. Healthy work environments (HWE) can reduce medical errors and decrease Registered Nurse (RN) turnover. Three of the variables that impact the work environments are communication, collaboration and leadership. The Joint Commission stated that communication failures are the leading cause of harm to patients in hospitals today. With an estimated shortage of 260,000 nurses identified in the year 2025, nurse leaders need to be creative and do what they can to improve the work environment. The purpose of this research study was to determine the relationship between HWEs, patient outcomes and nurse turnover in the pediatric intensive care unit (PICU), specifically around communication, collaboration and leadership and risk adjusted patient mortality, risk adjusted length of stay, central line infections, ventilator associated pneumonia and nurse turnover in the PICU. This type of study has never been done in the PICU. Donabedian's model of Structure, Process and Outcomes was used as the conceptual framework. The study design was exploratory.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3510015; ProQuest document ID: 1021040600. The author still retains copyright.

Author Details

Nancy Theresa Blake, PhD, RN

Sigma Membership

Non-member

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Exploratory

Research Approach

Quantitative Research

Keywords:

Medical Errors, Medical Error Reduction, Nursing Turnover

Advisor

Linda S. Leach

Degree

PhD

Degree Grantor

University of California, Los Angeles

Degree Year

2012

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2019-09-13

Full Text of Presentation

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