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Learning Objective 1: The learner will be able to understand what are variables related to nurse and patient outcomes.
Learning Objective 2: The learner will be able to understand how the relationship between the hospital nurse surveillance capacity profile and nurse and patient outcome.
Methods: Data were collected from a sample of 1,412 registered nurses across 92 community hospitals in Thailand and analyzed using multivariate logistic regression
Results: Results indicated that among the various hospital nurse surveillance capacity profiles, only nurse practice environment and staffing were associated with nurse and patient outcomes. At the hospital level, after controlling for nurse characteristics, nurses working in hospitals with fewer staff were 5% more likely to be dissatisfied in their job, 8% more likely to exhibit burnout, and 5% more likely to receive verbal abuse than nurses working in hospitals with more staff . Nurses working in better work environments were 28% less likely to be dissatisfied, 31% less likely to exhibit burnout, 31% less likely to have intent to leave, 28% less likely to rate the quality of care on their unit as poor or fair, 37% less likely to report complaints from patients or families, 27% less likely to receive verbal abuse, and 28% more likely to be confident that patients are able to manage their own care when discharged than nurses working in poor work environments.
Conclusion: These findings suggest that improving nurse staffing levels and creating environments supporting nursing practice may hold promise for improving nurse retention and quality of care.
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