Abstract

Session presented on: Tuesday, July 23, 2013:

Purpose: The purpose of this study is to explore the relationship between the hospital nurse surveillance capacity profile and nurse and patient outcomes.

Methods: Data were collected from a sample of 1,412 registered nurses across 92 community hospitals in Thailand and analyzed using multivariate logistic regression

Results: Results indicated that among the various hospital nurse surveillance capacity profiles, only nurse practice environment and staffing were associated with nurse and patient outcomes. At the hospital level, after controlling for nurse characteristics, nurses working in hospitals with fewer staff were 5% more likely to be dissatisfied in their job, 8% more likely to exhibit burnout, and 5% more likely to receive verbal abuse than nurses working in hospitals with more staff . Nurses working in better work environments were 28% less likely to be dissatisfied, 31% less likely to exhibit burnout, 31% less likely to have intent to leave, 28% less likely to rate the quality of care on their unit as poor or fair, 37% less likely to report complaints from patients or families, 27% less likely to receive verbal abuse, and 28% more likely to be confident that patients are able to manage their own care when discharged than nurses working in poor work environments.

Conclusion: These findings suggest that improving nurse staffing levels and creating environments supporting nursing practice may hold promise for improving nurse retention and quality of care.

Author Details

Apiradee Nantsupawat, PhD, RN; Wipada Kunaviktikul, DSN, RN; Raymoul Nantsupawat, PhD, RN

Sigma Membership

Non-member

Type

Presentation

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

N/A

Keywords:

Thailand, Quality of Care, Nurse Retention

Conference Name

24th International Nursing Research Congress

Conference Host

Sigma Theta Tau International

Conference Location

Prague, Czech Republic

Conference Year

2013

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.

Acquisition

Proxy-submission

Share

COinS
 

The relationship between the hospital nurse surveillance capacity profile and nurse and patient outcomes in community hospitals in Thailand

Prague, Czech Republic

Session presented on: Tuesday, July 23, 2013:

Purpose: The purpose of this study is to explore the relationship between the hospital nurse surveillance capacity profile and nurse and patient outcomes.

Methods: Data were collected from a sample of 1,412 registered nurses across 92 community hospitals in Thailand and analyzed using multivariate logistic regression

Results: Results indicated that among the various hospital nurse surveillance capacity profiles, only nurse practice environment and staffing were associated with nurse and patient outcomes. At the hospital level, after controlling for nurse characteristics, nurses working in hospitals with fewer staff were 5% more likely to be dissatisfied in their job, 8% more likely to exhibit burnout, and 5% more likely to receive verbal abuse than nurses working in hospitals with more staff . Nurses working in better work environments were 28% less likely to be dissatisfied, 31% less likely to exhibit burnout, 31% less likely to have intent to leave, 28% less likely to rate the quality of care on their unit as poor or fair, 37% less likely to report complaints from patients or families, 27% less likely to receive verbal abuse, and 28% more likely to be confident that patients are able to manage their own care when discharged than nurses working in poor work environments.

Conclusion: These findings suggest that improving nurse staffing levels and creating environments supporting nursing practice may hold promise for improving nurse retention and quality of care.