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Start Over Author "An, Jingjing" Journal jona: the journal of nursing administration
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3. Linking Unit Collaboration and Nursing Leadership to Nurse Outcomes and Quality of Care.

Author

Chenjuan Ma, Jingjing Shang, and Bott, Marjorie J.

Subjects
*CONFIDENCE intervals, *HOSPITAL wards, *INTERPROFESSIONAL relations, *JOB satisfaction, *LEADERSHIP, *EVALUATION of medical care, *MEDICAL quality control, *NURSES, *NURSING, *REGRESSION analysis, *SCALE analysis (Psychology), *STATISTICS, *DATA analysis, *SECONDARY analysis, *INTER-observer reliability, *CROSS-sectional method, *DATA analysis software, *DESCRIPTIVE statistics, *ODDS ratio, *ONE-way analysis of variance
Abstract

OBJECTIVE: The objective of this study is to identify the effects of unit collaboration and nursing leadership on nurse outcomes and quality of care. BACKGROUND: Along with the current healthcare reform, collaboration of care providers and nursing leadership has been underscored; however, empirical evidence of the impact on outcomes and quality of care has been limited. METHODS: Data from 29742 nurses in 1228 units of 200 acute care hospitals in 41 states were analyzed using multilevel linear regressions. Collaboration (nursenurse collaboration and nurse-physician collaboration) and nursing leadership were measured at the unit level. Outcomes included nurse job satisfaction, intent to leave, and nurse-reported quality of care. RESULTS: Nurses reported lower intent to leave, higher job satisfaction, and better quality of care in units with better collaboration and stronger nursing leadership. CONCLUSION: Creating a care environment of strong collaboration among care providers and nursing leadership can help hospitals maintain a competitive nursing workforce supporting high quality of care. [ABSTRACT FROM AUTHOR]

Published
2015
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