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The implementation of a professional practice model to improve the nurse work environment in a Dutch hospital: A quasi‐experimental study.
- Source :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.); Dec2021, Vol. 77 Issue 12, p4919-4934, 16p
- Publication Year :
- 2021
-
Abstract
- Aims: To evaluate the effects of the implementation of a professional practice model based on Magnet principles on the nurse work environment in a Dutch teaching hospital. Design: A quasi‐experimental study. Methods: Data were collected from registered nurses working on the clinical wards and outpatient clinics of the hospital in June/July 2016 (baseline) and in June/September 2019 (measurement of effects). Participants completed the Dutch Essentials of Magnetism II survey, which was used to measure their perception of their work environment. After baseline measurements were collected, interventions based on a professional practice model incorporating Magnet principles were implemented to improve the nurse work environment. Descriptive statistics and independent t‐tests were conducted to examine differences between survey outcomes in 2016 and 2019. Results: Survey outcomes revealed significant changes in the nurse work environment between 2016 and 2019. Seven of the eight subscales (essentials of magnetism) improved significantly. Score for overall job satisfaction increased from 7.3 to 8.0 and score for quality of care increased from 7.0 to 7.6. On unit level, 17 of the 19 units showed improvement in the nurse work environment. Conclusion: The implementation of a professional practice model positively affects the nurse work environment, job satisfaction and quality of care. Impact: Nowadays, the quality of care is threatened by workload pressure and the low autonomy experienced by nurses. Considering the global shortage of nurses and growing complexity of healthcare, it is important to invest in improving the nurse work environment. The Magnet concept created a work environment in which nurses can deliver optimal quality of care. Knowledge of how Magnet principles affect the nurse work environment in the Netherlands is missing. These study results, including the description of how the interventions were implemented, will assist other hospitals to develop improvement strategies by focusing on the nurse work environment. [ABSTRACT FROM AUTHOR]
- Subjects :
- EVALUATION of medical care
NURSING audit
PROFESSIONAL practice
MEDICAL quality control
WORK environment
HOSPITALS
TEAMS in the workplace
NURSING models
ACADEMIC medical centers
HEALTH facilities
NURSES' attitudes
RESEARCH evaluation
RESEARCH methodology
LEADERSHIP
HEALTH outcome assessment
PATIENTS
HUMAN services programs
SURVEYS
T-test (Statistics)
NURSE supply & demand
ORGANIZATIONAL change
NURSING practice
QUALITY assurance
DESCRIPTIVE statistics
JOB satisfaction
EMPLOYEES' workload
INTERPROFESSIONAL relations
JOB performance
DATA analysis software
Subjects
Details
- Language :
- English
- ISSN :
- 03092402
- Volume :
- 77
- Issue :
- 12
- Database :
- Complementary Index
- Journal :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 153579283
- Full Text :
- https://doi.org/10.1111/jan.15052