Organizational Climate and Occupational Health Outcomes in Hospital Nurses
Abstract
OBJECTIVE: The objective of this study was to determine relationships between organizational climate (OC) factors and occupational health outcomes (lost workdays, musculoskeletal injury, blood and body fluid exposures, injuries, and burnout) among hospital-based nurses. METHODS: Measures were obtained through a self-administered, anonymous survey distributed in 13 New York City hospitals. Multivariate models appropriate for clustered data were developed. These analyses controlled for nurse and employment characteristics. Independent effects of OC factors were examined. RESULTS: Surveys from 2047 predominantly registered nurses were obtained (response rate 50%). More than 75% reported lost workdays due to illness in the previous 4-month period and over one third reported experiencing some type of injury. OC factors were independently associated with injuries and measures of burnout (P < or = 0.05). CONCLUSIONS: OC is significantly associated with the health and well-being of hospital nurses.
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Low support from nurse managers is associated with all MBI subscales.
“A relationship between low support from nurse managers and all MBI subscales was observed in one study [77]”
From Burnout in nursing: a theoretical review. (2020) · cites this paper as [77]
Low decision-making at the ward level is associated with all MBI subscales.
“Low decision-making at the ward level was associated with all MBI subscales [77]”
From Burnout in nursing: a theoretical review. (2020) · cites this paper as [77]
A positive scheduling climate was protective of Emotional Exhaustion only.
“Stone et al. found that a positive scheduling climate was protective of Emotional Exhaustion only [77]”
From Burnout in nursing: a theoretical review. (2020) · cites this paper as [77]
Having negative relationships with physicians is associated with all MBI dimensions.
“In two studies, having negative relationships with physicians was associated with all MBI dimensions [77, 83]”
From Burnout in nursing: a theoretical review. (2020) · cites this paper as [77]
Opportunity for career advancement is associated with all MBI dimensions.
“There was an association between opportunity for career advancement and all MBI dimensions [77]”
From Burnout in nursing: a theoretical review. (2020) · cites this paper as [77]
Cites
Hospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction
Aiken, L. H. (2002) · JAMA · doi:10.1001/jama.288.16.1987 · Cited by 5,226 · see citing works
Comparison of Nurse, System and Quality Patient Care Outcomes in 8-Hour and 12-Hour Shifts
Stone, P. W., Du, Y., Cowell, R., Amsterdam, N., Helfrich, T. A., Linn, R. W., Gladstein, A., Walsh, M., & Mojica, L. A. (2006) · Medical Care · doi:10.1097/01.mlr.0000237180.72275.82 · Cited by 104 · see citing works
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Burnout in nursing: a theoretical review.
Dall’Ora, C., Ball, J., Reinius, M., & Griffiths, P. (2020) · Human Resources for Health · doi:10.1186/s12960-020-00469-9 · Cited by 1,181 · see citing works
The effect of work hours on adverse events and errors in health care.
Olds, D. M., & Clarke, S. P. (2010) · Journal of Safety Research · doi:10.1016/j.jsr.2010.02.002 · Cited by 211 · see citing works
Desrumaux, P., Lapointe, D., Ntsame Sima, M., Boudrias, J.-S., Savoie, A., & Brunet, L. (2015) · European Review of Applied Psychology · doi:10.1016/j.erap.2015.06.003 · Cited by 147 · see citing works
Bronkhorst, B., Tummers, L., Steijn, B., & Vijverberg, D. (2015) · Health Care Management Review · doi:10.1097/hmr.0000000000000026 · Cited by 137 · see citing works
The JOINT model of nurse absenteeism and turnover: A systematic review
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- Authors
- Stone, P. W., Du, Y., & Gershon, R. R. M.
- Affiliations
- Columbia University (US)
- Albert Einstein College of Medicine (US)
- Corresponding author
- Stone, Patricia W.
- Venue
- Journal of Occupational and Environmental Medicine
- Published
- 2007-01
- Volume
- 49
- Issue
- 1
- Pages
- 50-58
- ISSN
- 1076-2752 (ISSN-L)
- OpenAlex
- W2019212303
- Cited by
- 99
- References
- 2
- Citations by year
- 2025: 2 · 2024: 4 · 2023: 2 · 2022: 3 · 2021: 4 · 2020: 6 · 2019: 3 · 2018: 5 · 2017: 4 · 2016: 3 · 2015: 4 · 2014: 8 · 2013: 10 · 2012: 8
- FWCI
- 14.52
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Occupational and Environmental Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Safety in Workplaces
- Keywords
- organizational climate, occupational health, hospital nurses, burnout, musculoskeletal injuries, lost workdays, blood and body fluid exposure, occupational injuries, nurse well-being
- MeSH terms
- Absenteeism, Adult, Data Collection, Female, Humans, Male, New York City, Nursing Service, Hospital, Nursing Staff, Hospital, Organizational Culture, Multivariate Analysis, Occupational Health
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