{"id":396,"date":"2024-11-06T17:20:54","date_gmt":"2024-11-06T17:20:54","guid":{"rendered":"https:\/\/iims.uthscsa.edu\/isrn\/?page_id=396"},"modified":"2024-11-06T17:20:54","modified_gmt":"2024-11-06T17:20:54","slug":"the-influence-of-the-nurses-work-environment-on-pediatric-icu-patient-outcomes-and-intent-to-leave-among-pediatric-critical-care-nurses","status":"publish","type":"page","link":"https:\/\/iims.uthscsa.edu\/isrn\/resources\/ereading-room\/abstracts\/the-influence-of-the-nurses-work-environment-on-pediatric-icu-patient-outcomes-and-intent-to-leave-among-pediatric-critical-care-nurses\/","title":{"rendered":"The Influence of the Nurses’ Work Environment on Pediatric ICU Patient Outcomes and Intent to Leave Among Pediatric Critical Care Nurses"},"content":{"rendered":"

[vc_row][vc_column width=”2\/3″][vc_column_text css=””]<\/p>\n\n\n\n\n
Primary Author:<\/td>\n\u00a0Nancy T. Blake, PhDc, RN, CCRN, NEA-BC<\/td>\n<\/tr>\n
Organization<\/td>\n\u00a0Children’s Hospital Los Angeles<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Abstract<\/h2>\n

Purpose<\/h3>\n

To determine the relationship between healthy work environments, patient outcomes and nurse turnover in pediatric intensive care units (PICUs), Three key elements of (HWE), communication, collaboration and leadership will be examined to measure their influence on patient outcomes: risk-adjusted patient length of stay, central line infections, risk-adjusted mortality, ventilator-associated pneumonia and RN turnover.<\/p>\n

Background<\/h3>\n

Medical errors cost the United States over $50 billion annually. Researchers have found a relationship between the nurses\u2019 work environments and medical errors. The Joint Commission stated that communication failures are the leading cause of harm to patients in hospitals today. With an estimated shortage of 400,000 nurses identified in 2020, nurse leaders need to improve the work environment. This type of study has never been done in the PICU environment.<\/p>\n

Materials & Methods<\/h3>\n

The study is a descriptive, cross-sectional, correlational design. The setting is the PICU in 10 childrens\u2019 hospital across the nation, with an RN sample of 40 at each site. RNs will be surveyed about their perceptions of their work environment, communication and collaboration using the Practice Environment Scale of the Nursing Work Index Revised (PES-NWI) and the ICU Nurse Physician Questionnaire.. Hospital data will be obtained on RN turnover, ventilator-associated pneumonia, central line infections, risk adjusted length of stay and risk adjusted mortality. Statistical analysis will include correlation, multiple regression, t-tests (two-tailed) and one way analysis of variance (ANOVA).<\/p>\n

Results<\/h3>\n

Data analysis will be completed in April 2012. Findings will be presented and this will be the first time these findings will be available.<\/p>\n

Conclusion<\/h3>\n

PICU patients are a vulnerable population. Nurse leaders need to use research-based interventions to improve nurses\u2019 work environments.. A better understanding of the relationship between RN-RN communication, RN-MD collaboration and the extent that nurse leadership contributes to a HWE and quality patient outcomes will add to the research demonstrating the importance of nurses and excellent nursing care on patient outcomes.<\/p>\n

Bibliography<\/h3>\n

AACN. (2005). AACN Standards for establishing and sustaining healthy work environments: a journey to excellence. American Journal of Critical Care , 14 (4), 187-197.<\/p>\n

Aiken, L., Clarke, S., Sloane, D., Lake, E., & Cheney, T. (2008). Effects of hospital care environment on patient mortality and nurse outcomes. JONA, 38 (5), 223-229.<\/p>\n

Baggs, J., Schmitt, M, Mushlin, A., Mitchell, P., Eldredge, D. Oakes, D., & Hutson, A. (1999). Association between nurse-physician collaboration and patient outcomes in three intensive care units. Critical Care Medicine, 27(9), 1991-1998.<\/p>\n

Knaus, W., Draper, E., Wagner, D., & Zimmerman, J. (1986). An evaluation of outcome from intensive care in major medical centers. Annals of Internal Medicine, 104, 410-418.<\/p>\n

 <\/p>\n

\u00a9 Improvement Science Research Network, 2012<\/p>\n

The ISRN\u00a0published this as received and with permission from the author(s).[\/vc_column_text][\/vc_column][vc_column width=”1\/3″]