US Army primary care: nursing practice environment, team performance, and outcomes
Description
TitleUS Army primary care: nursing practice environment, team performance, and outcomes
Date Created2020
Other Date2020-10 (degree)
Extent1 online resource (x, 197 pages)
DescriptionRationale: In order to compete with the private sector in retaining highly competent and skilled nurses, it is critical to identify, through rigorous research methods, those system characteristics that contribute to or reduce attrition so that evidenced-based retention strategies can be designed and implemented in US Army primary care settings within the Military Health System.
Hypotheses: This study tested three hypotheses: (a) the nursing practice environment is positively associated with team performance, clinic staff perception of overall patient safety, and staff nurse job satisfaction, and negatively associated with staff nurse intent to leave, (b) team performance is positively associated with clinic staff perception of overall patient safety and staff nurse job satisfaction, and negatively associated with staff nurse intent to leave, and (c) team performance mediates the relationship between the nursing practice environment and clinic staff perception of overall patient safety, staff nurse job satisfaction, and staff nurse intent to leave.
Method: This is a cross-sectional, correlational study examining secondary data from 2016 representing 39 US Army primary care clinics located in eighteen states and Germany.
Purpose: The purpose of this study is to examine the relationships among the nursing practice environment, team performance, clinic staff perception of overall patient safety, staff nurse job satisfaction, and staff nurse intent to leave in US Army primary care clinics.
Findings: The findings of this study highlight the importance of a positive nursing practice environment, especially nurse manager ability, leadership, and support for nurses to clinic and staff nurse outcomes including intent to leave as an indicator of attrition.
NotePh.D.
NoteIncludes bibliographical references
Genretheses, ETD doctoral
LanguageEnglish
CollectionGraduate School - Newark Electronic Theses and Dissertations
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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