The objective of this pilot project was to determine whether engaging critical care unit staff in designing and implementing enhancements to the practice environment would positively impact the clinical environment and staff outcomes. The project used a one-group pre-post test design and a participatory action process. Significant changes in the practice environment were observed in the priority areas identified by the unit staff. Results indicated that team collaboration and respectful work relationships improved following interventions.
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References
1.
Brady-SchwartzDC. Further evidence on the magnet recognition program: Implications for nursing leaders. Journal of Nursing Administration2005; 35(9): 397–403.
2.
FrieseCR. Nurse practice environments and outcomes: Implications for oncology nursing. Oncology Nursing Forum2005; 32(4): 765–772.
3.
Canadian Institute for Health Information. Workforce trends of registered nurses in Canada, 2003. Ottawa, ON: Author; 2004.
4.
NicklinWMcVeetyJE. Canadian nurses' perceptions of patient safety in hospitals. Canadian Journal of Nursing Leadership2002; 15(3): 11–21.
5.
AikenLHClarkeSPSloaneDMSochalskiJSilberJH. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. Journal of the American Medical Association2002; 288: 1987–93.
6.
ClarkeHSibleyLBradleyCJungD. Hospital and patient outcomes — A cross national study: A report of BC hospitals. Internal Report. 2002.
7.
Department of Health. Report of the NHS Taskforce on Staff Involvement. London, UK: Department of Health; 1999. Available from: http://www.dh.gov.uk/.
8.
National Health Service Executive. Working together: Staff attitude surveys: Measuring the quality of working life in the NHS. London, UK: Department of Health; 2000. Available from: http://www.dh.gov.uk/.
9.
YoungL. Participatory action research (PAR): A research strategy for nursing?Western Journal of Nursing Research2006; 28: 499–504.
10.
EstabrooksCATourangeauAEHumphreyCKHeskethKLGiovannettiPThomsonD. Measuring the hospital practice environment: A Canadian context. Research in Nursing & Health2002; 25(4): 256–68.
11.
MaslachCJacksonSE. Burnout in health professionals: A social psychological analysis. In: SandersGSSulsJM, editors. Social psychology of health and illness. Hillsdale, NJ: Lawrence Erlbaum Associates; 1982; 227–51.
12.
AikenLHClarkeSPSloaneDM, for the International Hospital Outcomes Research Consortium. Hospital staffing, organization, and quality of care: Cross-national findings. Conference paper. International Journal for Quality in Health Care2002; 14(1): 5–13.
13.
ClarkeHLaschingerHSGiovannettiPShamianJThomsonDTourangeauA. Nursing shortages: Workplace environments are essential to the solution. Hospital Quarterly2001; 4(4): 50–59.
14.
DuncanSMHyndmanKEstabrooksCAHeskethKHumphreyCKWongJS. Nurses' experience of violence in Alberta and British Columbia hospitals. Canadian Journal of Nursing Research2001; 32(4): 57–78.
MaslachCJacksonSLeiterM. Maslach burnout inventory: Third edition. In: ZalaquettCPWoodRJ, editors. Evaluating stress: A book of resources. Lanham, MD and London, UK: Scarecrow Press; 1997; 191–218.
17.
PorterE. Strength deployment inventory. Manual of administration and interpretation (6th ed.). Pacific Pallisades, CA: Personal Strengths Publishing; 1989.
18.
StichlerJF. The effects of collaboration, organizational climate, and job stress on job satisfaction and anticipated turnover in nursing. Unpublished doctoral dissertation. University of San Diego, San Diego, CA; 1990.