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Importance of Work Environments on Hospital Outcomes in Nine Countries

Aiken, Linda H., Sloane, Douglas M., Clarke, Seane, Poghosyan, Lusine, Cho, Eunhee, You, Liming, Finlayson, Mary, Kanai-Pak, Masako and Aungsuroch, Yupin (2011). Importance of Work Environments on Hospital Outcomes in Nine Countries. International Journal for Quality in Health Care,23(4):357-364.

Document type: Journal Article

IRMA ID 83093774xPUB183
Title Importance of Work Environments on Hospital Outcomes in Nine Countries
Author Aiken, Linda H.
Sloane, Douglas M.
Clarke, Seane
Poghosyan, Lusine
Cho, Eunhee
You, Liming
Finlayson, Mary
Kanai-Pak, Masako
Aungsuroch, Yupin
Journal Name International Journal for Quality in Health Care
Publication Date 2011
Volume Number 23
Issue Number 4
ISSN 1353-4505   (check CDU catalogue open catalogue search in new window)
Start Page 357
End Page 364
Total Pages 7
Place of Publication United Kingdom
HERDC Category C1 - Journal Article (DIISR)
Abstract Purpose
To determine the effect of hospital work environments on hospital outcomes across multiple countries.

Primary survey data using a common instrument were collected from separate cross sections of 98 116 bedside care nurses practising in 1406 hospitals in 9 countries between 1999 and 2009.

Main Outcome Measures
Nurse burnout and job dissatisfaction, patient readiness for hospital discharge and quality of patient care.

High nurse burnout was found in hospitals in all countries except Germany, and ranged from roughly a third of nurses to about 60% of nurses in South Korea and Japan. Job dissatisfaction among nurses was close to 20% in most countries and as high as 60% in Japan. Close to half or more of nurses in every country lacked confidence that patients could care for themselves following discharge. Quality-of-care rated as fair or poor varied from 11% in Canada to 68% in South Korea. Between one-quarter and one-third of hospitals in each country were judged to have poor work environments. Working in a hospital with a better work environment was associated with significantly lower odds of nurse burnout and job dissatisfaction and with better quality-of-care outcomes.

Poor hospital work environments are common and are associated with negative outcomes for nurses and quality of care. Improving work environments holds promise for nurse retention and better quality of patient care.

Keywords Hospital work environments
nurse burnout
nurse job satisfaction
quality of care
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Created: Fri, 17 Jan 2014, 00:55:16 CST