Patient care delivery model improves nurse job satisfaction

ArticleinThe Journal of Continuing Education in Nursing 36(6):277-82 · November 2005with185 Reads
Source: PubMed
Nurse job satisfaction was identified as an outcome measure for a project to develop and implement a patient care delivery model in an acute psychiatric setting. Seventy registered nurses were surveyed during 3 years, utilizing the Index of Work Satisfaction. Nurse job satisfaction has improved significantly (14%) since model development began. Analysis of variance showed significant (p < .05) increases in all component mean scores in the second and third surveys. The relationship-based nursing model empowers nurses who know the patient best to decide how to provide care. It affirms the values that are the foundation of nursing practice, creating an environment where nurses feel they make a difference.
    • "Factors such as nurses' workload, nurse-physician relationships , salary and benefits, opportunities for advancement , autonomy in the workplace, nursing leadership, and task requirements have been found to influence nurses' perception of job satisfaction (Aiken et al., 2001; Flanagan & Flanagan, 2002; Hayhurst, Saylor, & Stuenkel, 2005; Ulrich, Buerhaus, Donelan, Norman, & Dittus, 2005 ). Interventions or strategies that were implemented and designed by these organizations such as enhanced working conditions, improved salary and benefits, new patient care delivery systems , and redesigned staffing or shift patterns have also been found to influence nurses' perception of job satisfaction (Allen & Vitale-Nolen, 2005; Hoff & Scott, 2003; Lundgren & Segesten, 2005). The outcomes of job satisfaction also have been explored in several studies. "
    [Show abstract] [Hide abstract] ABSTRACT: ITZHAKI M., EA E., EHRENFELD M. & FITZPATRICK J.J. (2013) Job satisfaction among immigrant nurses in Israel and the United States of America. International Nursing Review60, 122–128 Aim: The aim of this study is to examine perceptions of job satisfaction among immigrant registered nurses (RNs) in Israel and the USA. Background: Former Soviet Union (FSU) RNs in Israel and Filipino RNs in the USA make up the majority of the immigrant nursing workforce in their host countries. However, little is known about their perception of job satisfaction. Methods: Data were gathered using the Index of Work Satisfaction Scale among 71 FSU RNs recruited from three different courses in baccalaureate and master's degree programmes at a central Israeli university, and 96 Filipino RNs attending a national convention hosted by the Philippine Nurses Association of America. The required sample size was obtained by means of the WINPEPI COMPARE2 program, used to determine power and sample size for comparisons of two groups in cross-sectional designs. Findings: The findings show that FSU RNs perceived pay and professional status as important, although they were least satisfied with pay. For Filipino RNs, organizational policies and interactions were most important and they were least satisfied by task requirements. Although the average length of residence in the host country was similar in the two samples, significant differences were found between FSU and Filipino RNs in selected demographic variables and components of job satisfaction. Conclusions: Different characteristics of immigrant RNs affect their distinct perceptions of job satisfaction. As successful adjustment of international immigrant RNs to their workplace could enhance perceptions of job satisfaction, nursing managers should support professional advancement of immigrant RNs through mentorship and educational programmes. There is a need to conduct longitudinal studies among international immigrant RNs in order to better understand changes in their job satisfaction over time and contributing factors. Study Limitations: Generalization of the findings is limited, because a convenience sample was used to recruit FSU and Filipino immigrant RNs.
    Article · Mar 2013
    • "In Canada, a Nova Scotia initiative has suggested there is value in using collaborative models of care to positively influence patient and nurse outcomes (Tomblin Murphy, Alder, Mackenzie & Rigby, 2010). Overall, although most models described in the literature demonstrated improved outcomes for nurses (Allen & Vitale-Nolen, 2005) and patients (Burritt et al., 2007; LeClerc et al., 2008; Smith & Dabbs, 2007), these reports are largely simply descriptive and do not include rigorous quantitative comparisons. Despite the lack of methodological rigour, many other authors note that integrated models facilitated a paradigm shift from an individual to team mindset (Venturato & Drew, 2010). "
    Full-text · Technical Report · Mar 2012 · Journal of Clinical Nursing
    • "Should this patient be readmitted, the same nurse (assuming s/he is still employed) would again undertake responsibility for their care. This model has been shown to be used widely in Magnet-designated hospitals and linked to positive patient outcomes (Aiken et al. 1999, Mondino 2005) and staff satisfaction (Allen & Vitale Nolen 2005, Garon et al. 2009). Primary nursing, recently renamed Relationship-Based Care, is based on the philosophy that the development of a nurse-patient-family relationship is paramount to continuity of care. "
    [Show abstract] [Hide abstract] ABSTRACT: The study aimed to explore whether nurse staffing, experience and skill mix influenced the model of nursing care in medical-surgical wards. Methods of allocating nurses to patients are typically divided into four types: primary nursing, patient allocation, task assignment and team nursing. Research findings are varied in regard to the relationship between these models of care and outcomes such as satisfaction and quality. Skill mix has been associated with various models, with implications for collegial support, teamwork and patient outcomes. Secondary analysis of data collected on 80 randomly selected medical-surgical wards in 19 public hospitals in New South Wales, Australia during 2004-2005. Nurses (n = 2278, 80.9% response rate) were surveyed using The Nursing Care Delivery System and the Nursing Work Index-Revised. Staffing and skill mix was obtained from the ward roster and other data from the patient record. Models of care were examined in relation to these practice environment and organisational variables. The models of nursing care most frequently reported by nurses in medical-surgical wards in this study were patient allocation (91%) and team nursing (80%). Primary nursing and task based models were unlikely to be practised. Skill mix, nurse experience, nursing workload and factors in the ward environment significantly influenced the model of care in use. Wards with a higher ratio of degree qualified, experienced registered nurses, working on their 'usual' ward were more likely to practice patient allocation while wards with greater variability in staffing levels and skill mix were more likely to practice team nursing. Models of care are not prescriptive but are varied according to ward circumstances and staffing levels based on complex clinical decision making skills. Variability in the models of care reported by ward nurses indicates that nurses adapt the model of nursing care on a daily or shift basis, according to patients' needs, skill mix and individual ward environments.
    Full-text · Article · Aug 2010
Show more

Recommended publications

Discover more