Abstract:
BACKGROUND:Few studies link organizational variables and outcomes to quality indicators. This approach would expose operant mechanisms by which work environment characteristics and organizational outcomes affect clinical effectiveness, safety, and quality indicators. QUESTION:What are the predominant psychosocial variables in the explanation of organizational outcomes and quality indicators (in this case, medication errors and length of stay)? The primary objective of this study was to link the fields of evidence-based practice to the field of decision making, by providing an effective model of intervention to improve safety and quality. METHODS:The study involved healthcare workers (n = 243) from 13 different care units of a university affiliated health center in Canada. Data regarding the psychosocial work environment (10 work climate scales, effort/reward imbalance, and social support) was linked to organizational outcomes (absenteeism, turnover, overtime), to the nurse/patient ratio and quality indicators (medication errors and length of stay) using path analyses. RESULTS:The models produced in this study revealed a contribution of some psychosocial factors to quality indicators, through an indirect effect of personnel- or human resources-related variables, more precisely: turnover, absenteeism, overtime, and nurse/patient ratio. Four perceptions of work environment appear to play an important part in the indirect effect on both medication errors and length of stay: apparent social support from supervisors, appreciation of the workload demands, pride in being part of one's work team, and effort/reward balance. CONCLUSIONS:This study reveals the importance of employee perceptions of the work environment as an indirect predictor of quality of care. Working to improve these perceptions is a good investment for loyalty and attendance. In general, better personnel conditions lead to fewer medication errors and shorter length of stay.
journal_name
Worldviews Evid Based Nursjournal_title
Worldviews on evidence-based nursingauthors
Paquet M,Courcy F,Lavoie-Tremblay M,Gagnon S,Maillet Sdoi
10.1111/j.1741-6787.2012.00250.xsubject
Has Abstractpub_date
2013-05-01 00:00:00pages
82-94issue
2eissn
1545-102Xissn
1741-6787journal_volume
10pub_type
杂志文章abstract:BACKGROUND:Ventilator-associated pneumonia (VAP) is an ongoing challenge for critical care nurses as they use current evidence-based strategies to decrease its incidence and prevalence. Mechanical intubation negates effective cough reflexes and impedes mucociliary clearance of secretions, causing leakage and microaspir...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1741-6787.2008.00140.x
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:There is a growing nursing literature that views missed care as an inevitable consequence of work intensification associated with the rationing of nursing and material resources available to deliver care. Global studies recognize that missed care is now ubiquitous, although studies tend to be conducted in on...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12285
更新日期:2018-06-01 00:00:00
abstract:PURPOSE:To conduct a baseline assessment of nurses' perceptions of knowledge, attitude, and skill level related to evidence-based practice (EBP) and research utilisation; determine the level of organisational readiness for implementing EBP and research; and examine the effectiveness of a computer-based educational prog...
journal_title:Worldviews on evidence-based nursing
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1111/j.1741-6787.2008.00123.x
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:Intimate partner violence (IPV) is a significant public health issue. Healthcare providers (e.g., nurses, advanced practice nurses, physicians, social workers) have a unique opportunity to prevent and reduce IPV through screening and referral. The objective of this project was to determine the impact of educ...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12360
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:Postnatal mental health problems range from transient psychological problems to depression, anxiety, psychosis, and post-traumatic stress disorder (PTSD). Debriefing is a structured psychological intervention to prevent postnatal psychological problems, particularly PTSD and depression. Many UK maternity ser...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1741-6787.2007.00088.x
更新日期:2007-01-01 00:00:00
abstract:AIM:The primary purpose of this study was to identify research priorities for nurses and midwives across the Health Service Executive (HSE) North West region. The rationale for the study was underlined during meetings of HSE North West Directors of Nursing and Midwifery in January 2011. It was agreed that a more strate...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12035
更新日期:2014-06-01 00:00:00
abstract:BACKGROUND:Heart failure (HF) is considered a condition in which a portion of hospital admissions are preventable if timely and appropriate outpatient care management occurs. Facility readmission rates for HF are reportable and subject to penalty. Both military and civilian healthcare systems have fiscal responsibility...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12336
更新日期:2019-02-01 00:00:00
abstract:BACKGROUND:Our research team has undertaken implementation of evidence in the form of practice guideline recommendations for populations in hospital, community, and long-term care settings with diverse provider and patient populations (people with chronic wounds, e.g., pressure and leg ulcers, heart failure, stroke, di...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/j.1741-6787.2012.00256.x
更新日期:2012-12-01 00:00:00
abstract:BACKGROUND:Lavender inhalation aromatherapy is widely believed to impart a hypnotic effect, act as a mood stabilizer, and enhance the positive feelings of mothers toward their infants. However, research into these and other potential therapeutic effects of lavender tea has been limited. AIMS:This study was conducted i...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12122
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:Violence in health care has been widely reported and health care workers, particularly nurses in acute care settings, are ill-equipped to manage patients who exhibit aggressive traits. AIM:The aim of this systematic review was to establish best practice in the prevention and management of aggressive behavio...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1741-6787.2010.00206.x
更新日期:2011-06-01 00:00:00
abstract:BACKGROUND:Previous studies on bedside handovers have identified nurse-related barriers and facilitators for implementing bedside handovers, but have neglected the existing ward's nursing care system as an important influencing factor. AIMS:To determine the association between the existing nursing care system (i.e., d...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/wvn.12386
更新日期:2019-08-01 00:00:00
abstract:BACKGROUND:An increasing number of nursing practice guidelines (NPGs) of varying methodological and reporting quality have been issued and published in international journals. Currently, the quality of NPGs in mainland China has not been explored. OBJECTIVE:To assess the quality of NPGs in China mainland using the AGR...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12127
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND:Increasingly, health policy decision-makers and professionals are turning to research-based evidence to support decisions about policy and practice. Systematic reviews are useful for gathering, summarizing, and synthesizing published and unpublished research about clearly defined interventions. State-of-the-...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/j.1741-6787.2006.00051.x
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:Evidence shows that 3-5-year-old children undergo important physical and behavioral changes that include being affected by the amount of food they are served, with larger portions of food served resulting in greater dietary intake. This may be a key finding as researchers continue to identify effective treat...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1741-6787.2012.00257.x
更新日期:2013-05-01 00:00:00
abstract:BACKGROUND:The field of knowledge utilization has been hampered by several issues including: the synonymous use of multiple terms with little attempt at definition precision; an overexamination of knowledge utilization as product, rather than a process; and a lack of progress to cross disciplinary boundaries to advance...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/j.1741-6787.2010.00197.x
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND:Cognitive behavioral therapy for insomnia (CBT-I) has been shown to improve depressive symptoms in older adults with comorbid insomnia and depression. However, it remains unclear whether brief CBT-I is effective for improving depressive symptoms in community-dwelling older adults with insomnia symptoms of va...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/wvn.12342
更新日期:2019-02-01 00:00:00
abstract:BACKGROUND:Datum from electronic sources has accumulated and resulted in the establishment of big data and data science. Big data consists of data sets that are larger than traditional data processing applications can manage. Data science is the research method used to analyze big data. Researchers are applying researc...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12460
更新日期:2020-08-01 00:00:00
abstract:BACKGROUND:The Evidence-Based Practice Identification and Change (EPIC) intervention is a complex multifaceted knowledge translation strategy that combines the use of evidence and continuous quality improvement to change health care professional practices. However, there is no measure to evaluate the fidelity (degree t...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/j.1741-6787.2010.00182.x
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND:Innovative approaches are required to facilitate the adoption and sustainability of evidence-based care practices. We propose a novel implementation strategy, a peer reminder role, which involves offering a brief formal reminder to peers during structured unit meetings. AIMS:This study aims to (a) identify ...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12224
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:Falls prevention in "real-life" clinical practice is a complex undertaking. Nurses play an active and essential role in falls prevention. AIM:This discussion paper presents a picture of the nurse as a bricoleur in falls prevention, requiring knowledge in many areas and the ability to perform multiple divers...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12026
更新日期:2014-04-01 00:00:00
abstract:BACKGROUND:This paper shows patients' enactment of choice in mixed methods, multidisciplinary study on the use of bedrails as restraints. APPROACH:Under the pressure of the implementation of impending legislation, patients from a Canadian elderly care rehabilitation unit were recruited to be part of this study and ass...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/j.1741-6787.2006.00042.x
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:The Carer Support Needs Assessment Tool (CSNAT) intervention is an evidence-based, person-centered approach to carer assessment and support within palliative care. As such, it requires a change in practice from a practitioner- to a carer-led assessment and support process. A paucity of research has investiga...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12323
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:Adoption of evidence-based practices (EBP) by registered nurses (RNs) and nurse leaders continues to be a challenge. Although multiple strategies and substantial resources are being invested to advance nursing practice based on evidence, little is known about the long-term impact of these interventions. AIM...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12148
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Bridging the research-practice gap is a challenge for health care. Fostering awareness of and interest in research and development (R & D) can serve as a platform to help nurses and others bridge this gap. Strategic communication is an interdisciplinary field that has been used to achieve long-term interest ...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12109
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:It is known that registered nurses' (RNs') work context is related to their use of research and that it can affect nurse and patient satisfaction, as well as the outcomes of care. However, little is known about the relationship between work context and nurses' adherence to clinical practice guidelines. The a...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12046
更新日期:2014-08-01 00:00:00
abstract:BACKGROUND:The gap between what is stated in legislation about written individualized nursing care plans (ICP) and how they are used in practice is still too wide. AIM:To explore attitudes and experiences among nurses and managers in order to capture which factors and conditions impact on the successful implementation...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1741-6787.2010.00195.x
更新日期:2011-06-01 00:00:00
abstract:PURPOSE:The purpose of this study was to examine the Oral Health-Related Quality of Life (OHRQOL) and Oral Health Impact Profile (OHIP) of oral and dental health patients in terms of gender, educational status, and the reason for coming to the oral health center. Also, we investigated the relationships between OHRQOL a...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12398
更新日期:2019-10-01 00:00:00
abstract:BACKGROUND:The Evidence-Based Practice Beliefs (EBP-B) and Evidence-Based Practice Implementation (EBP-I) scales are psychometrically sound instruments that were used, within an educational setting, to systematically study students' beliefs about and their implementation of evidence-based practice (EBP). Czech and Slov...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12128
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND:The capacity for self-care and positive mental health (PMH) has an influence on well-being and on one's approach to chronic illness. PURPOSE:The aim was to determine the level of PMH and self-care agency as well as the relations among sociodemographic variables, PMH, and the level of self-care among patient...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12453
更新日期:2020-08-01 00:00:00
abstract:BACKGROUND:Evidence-based guidelines assist clinicians in practice, but how the guidelines are implemented is less established. AIM:To describe the nurses' implementation of activities recommended in evidence-based guidelines for falls prevention and care of older people with cognitive impairment. METHODS:Structured ...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12376
更新日期:2019-10-01 00:00:00