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Nursing work environment and quality of care: differences between units at the same hospital

Jane McCusker (Head, Department of Clinical Epidemiology and Community Studies and Quality Assessment Unit, St Mary’s Hospital, and Professor, Department of Epidemiology and Biostatistics, McGill University, Montreal, Canada)
Nandini Dendukuri (Biostatistician, Department of Clinical Epidemiology and Community Studies, St Mary’s Hospital, and Assistant Professor, Department of Epidemiology and Biostatistics, McGill University, Montreal, Canada)
Linda Cardinal (Quality Assessment Analyst, Quality Management, Mary’s Hospital, Montreal, Canada)
Johanne Laplante (Clinical Nurse Specialist, Mental Health Program, St Mary’s Hospital, Montreal, Canada)
Linda Bambonye (Vice‐President of Operations and Nursing, St Mary’s Hospital, Montreal, Canada)

International Journal of Health Care Quality Assurance

ISSN: 0952-6862

Publication date: 1 October 2004

Abstract

The literature suggests that improvements in nurses' work environments may improve the quality of patient care. Furthermore, monitoring the work environment through staff surveys may be a feasible method of identifying opportunities for quality improvement. This study aimed to confirm five proposed sub‐scales from the Nursing Work Index – Revised (NWI‐R) to assess the nursing work environment and the performance of these sub‐scales across different units in a hospital. Data were derived from a cross‐sectional survey of 243 nurses from 13 units of a 300‐bed university‐affiliated hospital in Quebec, Canada, during 2001. Using confirmatory factor analysis, the five sub‐scales were confirmed; three of the sub‐scales had greater ability to discriminate between units. Using hierarchical regression models, “resource adequacy” was the sub‐scale most strongly associated with the perceived quality of care at the last shift. The NWI‐R sub‐scales are potentially useful for comparison of work environments of different nursing units at the same hospital.

Keywords

Citation

McCusker, J., Dendukuri, N., Cardinal, L., Laplante, J. and Bambonye, L. (2004), "Nursing work environment and quality of care: differences between units at the same hospital", International Journal of Health Care Quality Assurance, Vol. 17 No. 6, pp. 313-322. https://doi.org/10.1108/09526860410557561

Publisher

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Emerald Group Publishing Limited

Copyright © 2004, Emerald Group Publishing Limited