Paper
Wednesday, July 21, 2004
9:30 AM - 10:00 AM
Wednesday, July 21, 2004
2:30 PM - 3:00 PM
This presentation is part of :
PostersStructural Analysis of Effects of Organizational Processes on Research Utilization Among Nurses in Alberta Hospitals
Carole A. Estabrooks, RN, PhD, Faculty of Nursing, University of Alberta, Edmonton, AB, Canada, William Kai Midodzi, BSc, MSc, MSc, Knowledge Utilization Studies in Practice Unit, Faculty of Nursing, University of Alberta, Edmonton, AB, Canada, Rejean Landry, PhD, Laval University, Quebec, QC, Canada, Karen Golden-Biddle, PhD, Alberta School of Business, University of Alberta, Edmonton, AB, Canada, and Harley Dickinson, PhD, University of Saskatchewan, Saskatoon, SK, Canada.
Objective: In this study we investigated how organizational processes affect research utilization among nurses in Alberta. Constructs of organizational processes were measured at the hospital, and nursing unit levels. Existing theories have suggested that organizational structures may influence the dissemination and uptake of research at both organizational and individual levels, but the nature of the causal path through which these structures operate is unclear. With this background, we examine the reliability and validity of measures defining various constructs of organizational processes, and investigated the interrelationships among these constructs and research utilization at the individual nurse (Level 1), unit (Level 2), and hospital (Level 3) simultaneously. Methods: Our focus was on testing a conceptualized causal model of the impact of organizational factors (within and between context relating to hospital and nursing unit) on research utilization, after accounting for known individual determinants at the nurse level.
Sample: The study sample consists of 90 acute care hospitals in Alberta with at least 5 nurse respondents who responded to an Alberta Register Nurse Survey. In total, 5228 usable nurses responses related to questions on different aspects of their work-life, including work environment and work structure, staffing on their last shift, their perception of professional burnout and job satisfaction, and the quality care they provide from 26 nursing units on questions were included in the study.
Implications: Multilevel structural equation modeling (MSEM) was use to analyze the data. The MSEM technique permitted us to investigate structural effects of the measured constructs defining the organizational processes within a full structural model, by specifying a separate structural model operating at each of the three levels simultaneously. The project has enabled us to examine a variety of complex relationships among and between levels of the organization, and to make a methodological contribution to research into the research utilization.
Back to Posters
Back to Evidence-Based Nursing: Strategies for Improving Practice
Sigma Theta Tau International
July 21, 2004