Journal
HEALTH SERVICES RESEARCH
Volume 48, Issue 1, Pages 319-332Publisher
WILEY
DOI: 10.1111/j.1475-6773.2012.01438.x
Keywords
Acute inpatient care; quality of care/patient safety (measurement); patient assessment/satisfaction; health care organizations and systems; work environment; high performance work systems; management practices; organizational behavior
Funding
- National Council of State Boards of Nursing
- The Commonwealth Fund of New York
- Queens College-CUNY
- CUNY Office of the Dean of Health and Human Services
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Objective To examine the benefits of a high-performance work environment (HPWE) for employees, patients, and hospitals. Study Setting Forty-five adult, medical-surgical units in nine hospitals in upstate New York. Study Design Cross-sectional study. Data Collection Surveys were collected from 1,527 unit-based hospital providers (68.5 percent response rate). Hospitals provided unit turnover and patient data (16,459 discharge records and 2,920 patient surveys). Principal Findings HPWE, as perceived by multiple occupational groups on a unit, is significantly associated with desirable work processes, retention indicators, and care quality. Conclusion Our findings underscore the potential benefits for providers, patients, and health care organizations of designing work environments that value and support a broad range of employees as having essential contributions to make to the care process and their organizations.
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