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The nursing work environment and quality of care: A cross‐sectional study using the Essentials of Magnetism II Scale in England

The nursing work environment and quality of care: A cross‐sectional study using the Essentials of... What does this paper contribute to the wider global clinical community?As nurses' work is increasing in an internationalised world with movement between different cultures, this research makes evident the need to understand how nursing practice and particularly conceptions of autonomous nursing practice may vary culturally.In this study, the relationship of organisational autonomy to nurse‐assessed care quality is mediated by ward manager support, concern for patients and working as a team indicating that these three constructs act as facilitators of organisational autonomy.There is only a weak relationship between organisational autonomy and constraints on nursing practice implying that these two factors are largely independent of each other. This suggests that improving the nursing work environment and consequent patient outcomes requires that factors that both support and hinder nursing practice are addressed by policy makers and nurse managers.IntroductionNurses are the largest group of healthcare professionals in the UK, and thus, understanding their impact on effective healthcare delivery is a pressing concern. There is a long tradition of research on how adequate numbers of nurses affects the quality and safety of health care. However, research has also shown that there are organisational factors above and beyond the number of nurses that also affect http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Clinical Nursing Wiley

The nursing work environment and quality of care: A cross‐sectional study using the Essentials of Magnetism II Scale in England

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References (50)

Publisher
Wiley
Copyright
Copyright © 2017 John Wiley & Sons Ltd
ISSN
0962-1067
eISSN
1365-2702
DOI
10.1111/jocn.13783
pmid
28252820
Publisher site
See Article on Publisher Site

Abstract

What does this paper contribute to the wider global clinical community?As nurses' work is increasing in an internationalised world with movement between different cultures, this research makes evident the need to understand how nursing practice and particularly conceptions of autonomous nursing practice may vary culturally.In this study, the relationship of organisational autonomy to nurse‐assessed care quality is mediated by ward manager support, concern for patients and working as a team indicating that these three constructs act as facilitators of organisational autonomy.There is only a weak relationship between organisational autonomy and constraints on nursing practice implying that these two factors are largely independent of each other. This suggests that improving the nursing work environment and consequent patient outcomes requires that factors that both support and hinder nursing practice are addressed by policy makers and nurse managers.IntroductionNurses are the largest group of healthcare professionals in the UK, and thus, understanding their impact on effective healthcare delivery is a pressing concern. There is a long tradition of research on how adequate numbers of nurses affects the quality and safety of health care. However, research has also shown that there are organisational factors above and beyond the number of nurses that also affect

Journal

Journal of Clinical NursingWiley

Published: Sep 1, 2017

Keywords: ; ; ;

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