Organizational climate and nurse health outcomes in the United States: A systematic review

Robyn R.M. Gershon, Patricia W. Stone, Marina Zeltser, Julia Faucett, Kathryn Macdavitt, Shin Shang Chou

Research output: Contribution to journalReview articlepeer-review


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.

Original languageEnglish (US)
Pages (from-to)622-636
Number of pages15
JournalIndustrial Health
Issue number5
StatePublished - Oct 2007


  • Blood and body fluid exposures
  • Burnout
  • Hospital
  • Musculoskeletal disorders
  • Nurses
  • Occupational health
  • Organizational climate
  • Quality of worklife
  • Working conditions

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis


Dive into the research topics of 'Organizational climate and nurse health outcomes in the United States: A systematic review'. Together they form a unique fingerprint.

Cite this