Title
Nurse work engagement impacts job outcome and nurse-assessed quality of care : model testing with nurse practice environment and nurse work characteristics as predictors Nurse work engagement impacts job outcome and nurse-assessed quality of care : model testing with nurse practice environment and nurse work characteristics as predictors
Author
Faculty/Department
Faculty of Medicine and Health Sciences
Publication type
article
Publication
Pully, Switzerland :Frontiers Research Foundation ,
Subject
Psychology
Human medicine
Source (journal)
Frontiers in psychology. - Pully, Switzerland, 2010, currens
Volume/pages
5(2014) , 11 p.
ISSN
1664-1078
1664-1078
Article Reference
1261
Carrier
E-only publicatie
Target language
English (eng)
Full text (Publishers DOI)
Affiliation
University of Antwerp
Abstract
Aim: To explore the mechanisms through which nurse practice environment dimensions, such as nursephysician relationship, nurse management at the unit level and hospital management and organizational support, are associated with job outcomes and nurse-assessed quality of care. Mediating variables included nurse work characteristics of workload, social capital, decision latitude, as well as work engagement dimensions of vigor, dedication and absorption. Background: Understanding how to support and guide nurse practice communities in their daily effort to answer complex care most accurate, alongside with the demand of a stable and healthy nurse workforce, is challenging. Design: Cross-sectional survey. Method: Based on earlier empirical findings, a structural equation model, designed with valid measurement instruments, was tested. The study population included registered acute care hospital nurses (N = 1201) in eight hospitals across Belgium. Results: Nurse practice environment dimensions predicted nurses ratings of job outcome variables as well as quality of care. Features of nurses work characteristics, e.g., perceived workload, decision latitude, social capital, and the three dimension of work engagement, played mediating roles between nurse practice environment and outcomes. A revised model, using various fit measures, explained 60% of job outcomes and 47% of nurse-assessed quality of care. Conclusion: The findings in this study show that nurse work characteristics as workload, decision latitude, and social capital, alongside with nurse work engagement (e.g., vigor, dedication, and absorption) influence nurses perspective of their nurse practice environment, job outcomes, and quality of care. The results underline aspects to considerate for various stakeholders, such as executives, nurse managers, physicians, and staff nurses, in setting up and organizing health care services.
Full text (open access)
https://repository.uantwerpen.be/docman/irua/007c9f/572a9a27.pdf
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