Organizational climate and hospital nurses' caring practices: A mixed-methods study

Geneviève Roch; Carl Ardy Dubois; Sean P. Clarke

doi:10.1002/nur.21596

Organizational climate and hospital nurses' caring practices: A mixed-methods study

Geneviève Roch, Carl Ardy Dubois, Sean P. Clarke

Nursing

Research output: Contribution to journal › Article › peer-review

Abstract

Organizational climate in healthcare settings influences patient outcomes, but its effect on nursing care delivery remains poorly understood. In this mixed-methods study, nurse surveys (N=292) were combined with a qualitative case study of 15 direct-care registered nurses (RNs), nursing personnel, and managers. Organizational climate explained 11% of the variation in RNs' reported frequency of caring practices. Qualitative data suggested that caring practices were affected by the interplay of organizational climate dimensions with patients and nurses characteristics. Workload intensity and role ambiguity led RNs to leave many caring practices to practical nurses and assistive personnel. Systemic interventions are needed to improve organizational climate and to support RNs' involvement in a full range of caring practices.

Original language	English (US)
Pages (from-to)	229-240
Number of pages	12
Journal	Research in Nursing and Health
Volume	37
Issue number	3
DOIs	https://doi.org/10.1002/nur.21596
State	Published - Jun 2014

Keywords

Caring
Nurse-patient relations
Nursing practice
Organizational climate
Unlicensed assistive personnel
Work environment

ASJC Scopus subject areas

General Nursing

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10.1002/nur.21596

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abstract = "Organizational climate in healthcare settings influences patient outcomes, but its effect on nursing care delivery remains poorly understood. In this mixed-methods study, nurse surveys (N=292) were combined with a qualitative case study of 15 direct-care registered nurses (RNs), nursing personnel, and managers. Organizational climate explained 11% of the variation in RNs' reported frequency of caring practices. Qualitative data suggested that caring practices were affected by the interplay of organizational climate dimensions with patients and nurses characteristics. Workload intensity and role ambiguity led RNs to leave many caring practices to practical nurses and assistive personnel. Systemic interventions are needed to improve organizational climate and to support RNs' involvement in a full range of caring practices.",

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Organizational climate and hospital nurses' caring practices: A mixed-methods study

Abstract

Keywords

ASJC Scopus subject areas

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