Organizational Climate and Nurse Health Outcomes in the United States: A Systematic Review

Mailman School of Public Health, Columbia University, New York, NY 10032, USA.
Industrial Health (Impact Factor: 1.12). 11/2007; 45(5):622-36. DOI: 10.2486/indhealth.45.622
Source: PubMed


Increasing interest has been focused on understanding the role working conditions play in terms of the serious issues facing hospitals today, including quality of patient care, nurse shortages, and financial challenges. One particular working condition that has been the subject of recent research, is the impact of organizational climate on nurses' well-being, including occupational health outcomes. To examine evidence-based research on the association between organizational climate and occupational health outcomes among acute-care registered nurses, a systematic review of published studies was conducted. Studies assessing the association between organizational climate variables and three common health outcomes in nurses (blood/body fluid exposures, musculoskeletal disorders, and burnout) were reviewed. Fourteen studies met the inclusion criteria. Although most were cross-sectional in design and variability was noted across studies with respect to operational definitions and assessment measures, all noted significant associations between specific negative aspects of hospital organizational climate and adverse health impacts in registered nurses. While evidence for an association between organizational climate constructs and nurses' health was found, data were limited and some of the relationships were weak. Additional studies are warranted to clarify the nature of these complex relationships.

Download full-text


Available from: Robyn R M Gershon,

Click to see the full-text of:

Article: Organizational Climate and Nurse Health Outcomes in the United States: A Systematic Review

0 B

See full-text
  • Source
    • "Burnout has been linked to perceptions of equity at work (van Dierendonck, Schaufeli, & Buunk, 1996) and support from supervisors and coworkers (Halbesleben, 2006; Sundin, Hochwalder, & Lisspers, 2011). Work climate has been associated with work attitudes and burnout in systematic reviews (Gershon et al., 2007; Parker et al., 2003) and found to negatively predict burnout 3 months later in a recent study (Idris, Dollard, & Yulita, 2014). Previous studies (Shirom, 2005) have shown substantial temporal stability of burnout across time. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Mental health care workers face heavy emotional demand and are prone to work burnout. Work burnout has been associated with poor mental health and work climate, which refers to individual perceptions about work setting. The purpose of this study was to examine whether intra-individual changes in work climate were associated with intra-individual changes in burnout and depression over two years. The present sample included Chinese mental health care workers (N = 312; mean age = 38.6, SD = 9.9) working in a psychosocial rehabilitation institution. The participants completed questionnaires on work climate, work burnout and depression at seven time points across two years. Parallel process latent growth modeling was used to analyze the associations of change between work climate and burnout and depression. Work climate displayed a logarithmic decreasing trend while burnout and depression displayed logarithmic increasing trends over two years. Baseline levels of work climate were negatively and moderately associated with baseline levels of burnout and depression (r = -.44 to -.60, p < .01). Changes in work climate were negatively and moderately associated with change in burnout (r = -.43, p < .01) and change in depression (r = -.31, p < .05). Change in burnout was positively and strongly associated (r = .58, p < .01) with change in depression. The current results support temporal relationships among changes in work climate, burnout and depression across time. Practical implications for future preventive work in burnout interventions were discussed within this population.
    Psychology Health and Medicine 09/2015; DOI:10.1080/13548506.2015.1080849 · 1.26 Impact Factor
  • Source
    • "Clima de segurança, condições e contexto de trabalho e burnout Clima de trabalho como construto geral corresponde as dimensões psicológicas percebidas da organização de trabalho, incluindo avaliações cognitivas e afetivas dos indivíduos sobre diferentes elementos objetivos e subjetivos da organização, como a percepção sobre relação com a chefia, organização do trabalho, normas e procedimentos, satisfação com o trabalho, relacionamento interpessoal com colegas, justiça organizacional, entre outros (Puente-Palacios & Martins, 2013). Clima de segurança, por sua vez, é um conceito mais particular de clima organizacional, abordando os elementos cognitivos e afetivos, além do conjunto de percepções e práticas compartilhadas sobre o risco e a segurança no trabalho (Gershon et al., 2007; Zohar, 1980), sendo este um construto de bastante relevância para atividades ocupacionais onde ocorram exposições a diferentes agentes de risco, como instituições hospitalares, construção civil, entre outros. De acordo com Cohen, Smith e Cohen (1975) e Díaz e Cabrera (1997), o clima de segurança positivo associa-se a ações de investimento em segurança no trabalho, predizendo resultados mais positivos em termos desse conceito. "
    [Show abstract] [Hide abstract]
    ABSTRACT: This study presents results from a theoretical- empirical model that assembles aspects of the work context, safety climate, and psychosocial work variables in a hospital setting, and their consequences in the manifestation of burnout syndrome. Burnout is a disorder related to work associated with severe occupational stress. The syndrome is characterized by emotional exhaustion of workers and is established by means of certain associations among individual, environmental, and work characteristics. The goal of this study is to developand test a structural theoretical model linking dimensional variables of work, burnout, and mental health. This is a survey type of design with a convenience sample of 200 health professionals, 174 of whom were female (87%), mean age was 34.4 years, and with a mean of 6.5 years of work in the profession. The instrument for this research was composed of psychological scales for the following constructs: a) work security climate, b) work conditions, c) burnout, and d) socio-demographic aspects. The results indicate the existence of relationships between different aspects of work, safety climate, and health as observed through two integrative theoretical models of psychosocial variables, safety climate, and health for workers in hospital environments. These data help guide policies for worker health protection and prevention taken as a core strategy to ensure the provision of care within the daily routine of the hospital environment.
  • Source
    • "Previously published studies suggest that stress and fatigue of HCWs have a wide range of predictors, both personal and job-related (Adriaenssens et al., 2011; Barker and Nussbaum, 2011; Coffey and Coleman, 2001; Geiger- Brown et al., 2012; Gershon et al., 2007; Kawano, 2008; Rogers et al., 2004; Wu et al., 2010). In this study, we hypothesized that they could be predicted by factors classifiable into three categories: demographic factors (such as age or gender), individual employment factors (such as profession or the years of experience) and job organization factors (such as shift length or nurse/patient ratio). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Background Healthcare workers (HCWs) working in intensive-care units (ICUs) are exposed to high physical and mental demands potentially affecting their health or having repercussions on patient care. Although several studies have explored the links between some aspects of working conditions in hospitals and HCW health, the complex dynamics at play are not fully understood. Objectives This study aimed to explore the impact of a wide array of demographic, employment and organizational factors related to fatigue and stress of French ICU HCWs. Design and setting A cross-sectional study was conducted in ICUs of Paris-area hospitals between January 18, 2013 and April 2, 2013. All types of adult ICUs were included (medical, surgical and polyvalent). Participants Included in the study were HCWs with patient contact (doctors, residents, registered nurses, nurse's aides and physical therapists). Participation was proposed to all eligible HCWs present during on-site visits. Temporary staff not typically assigned to the given ICU were excluded. Methods Data were collected using an individual questionnaire administered in interviews during day and night shifts (N = 682). Stress and fatigue outcomes included the 10-item Perceived Stress Scale (PSS10), the Nottingham Health Profile sleep and energy level rubrics and the current fatigue state at the interview. Multivariate analysis was restricted to nurse and nurse's aide data (n = 536). Results Doctors and residents reported fewer sleep difficulties but were more likely to report a tired current state. Female gender was associated with higher stress levels and greater fatigue for all outcomes, while greater social support of supervisor or colleagues decreased stress and fatigue. At the organizational level, longer shifts (12 h vs. 8 h) were associated with tired current state and greater sleep difficulties. Personnel on rotating shifts had lower stress and a better current state, while those on night shifts had greater sleep and energy level difficulties. Conclusions Even when controlling for demographic factors, employment and organizational elements remained significantly associated with stress and fatigue outcomes. To improve HCW health it is important to consider simultaneously factors at the individual and organizational level.
    International Journal of Nursing Studies 08/2014; 52(1). DOI:10.1016/j.ijnurstu.2014.07.015 · 2.90 Impact Factor
Show more