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- Publisher Website: 10.1111/jan.14270
- Scopus: eid_2-s2.0-85076168093
- PMID: 31729771
- WOS: WOS:000500138300001
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Article: A mixed methods study to evaluate the effects of a teamwork enhancement and quality improvement initiative on nurses’ work environment
Title | A mixed methods study to evaluate the effects of a teamwork enhancement and quality improvement initiative on nurses’ work environment 增强团队合作与素质提高对护士工作环境影响的混合方法研究 |
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Authors | |
Keywords | job satisfaction autonomy work environment mixed method turnover teamwork quality improvement nursing nurses burnout |
Issue Date | 2020 |
Citation | Journal of Advanced Nursing, 2020, v. 76, n. 2, p. 664-675 How to Cite? |
Abstract | © 2019 John Wiley & Sons Ltd Aims: To test the effect of a teamwork enhancement and quality improvement program named ‘Nurturing Effective Teams and Continuous Quality Improvement’ on nurses’ work environments in the hospital setting. Design: Mixed-method study with quasi-experimental controlled trial and focus group interviews. Methods: Twelve units from two Philippine tertiary government hospitals will be matched and allocated to have 72 nurses receiving the teamwork enhancement and quality improvement program, or no intervention. The program focuses on enhancing the nurse autonomy, leadership and management support, teamwork, and workload management, delivered in two phases: (a) teamwork enhancement training using team strategies and tools to enhance the performance and patient safety; and (b) implementation of quality improvement projects using the model for improvement to identify priority unit issues and change ideas and tested using the Plan-Do-Study-Act cycle. The 6-month implementation includes two trainings and seven mentoring sessions with a quality improvement facilitator. Primary outcome is the nurses’ work environment and secondary outcomes are job satisfaction, burnout risk, turnover intention, and perceived quality of care provided measured at the nurse-level using self-administered survey and measured at 0, 3, and 6 months. Focus group interviews will be conducted among 14–16 nurse subjects to explore their experience during the program, while other stakeholders will be interviewed to reflect the program effects. Generalized equation modelling will be used to identify the program effects on the quantitative outcomes and content analysis will be used for qualitative data. Discussion: Establishing measures to improve the nurses’ work environments can be used to address poor nurse outcomes in high workload and low-resource settings. Impact: A favourable nurse work environment is the cornerstone to sustainable nursing workforce and positive outcomes. This study will provide explicit evidence to inform the effect of a structured evidence-based protocol in improving nurses’ work environment given resource-limited context. Trial Registration: China Clinical Trial Registration Center (CciCTR), Registration number ChiCTR1900021754 (March 8, 2019). |
Persistent Identifier | http://hdl.handle.net/10722/280725 |
ISSN | 2023 Impact Factor: 3.8 2023 SCImago Journal Rankings: 1.218 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Paguio, Jenniffer Torralba | - |
dc.contributor.author | Yu, Doris Sau Fung | - |
dc.date.accessioned | 2020-02-17T14:34:46Z | - |
dc.date.available | 2020-02-17T14:34:46Z | - |
dc.date.issued | 2020 | - |
dc.identifier.citation | Journal of Advanced Nursing, 2020, v. 76, n. 2, p. 664-675 | - |
dc.identifier.issn | 0309-2402 | - |
dc.identifier.uri | http://hdl.handle.net/10722/280725 | - |
dc.description.abstract | © 2019 John Wiley & Sons Ltd Aims: To test the effect of a teamwork enhancement and quality improvement program named ‘Nurturing Effective Teams and Continuous Quality Improvement’ on nurses’ work environments in the hospital setting. Design: Mixed-method study with quasi-experimental controlled trial and focus group interviews. Methods: Twelve units from two Philippine tertiary government hospitals will be matched and allocated to have 72 nurses receiving the teamwork enhancement and quality improvement program, or no intervention. The program focuses on enhancing the nurse autonomy, leadership and management support, teamwork, and workload management, delivered in two phases: (a) teamwork enhancement training using team strategies and tools to enhance the performance and patient safety; and (b) implementation of quality improvement projects using the model for improvement to identify priority unit issues and change ideas and tested using the Plan-Do-Study-Act cycle. The 6-month implementation includes two trainings and seven mentoring sessions with a quality improvement facilitator. Primary outcome is the nurses’ work environment and secondary outcomes are job satisfaction, burnout risk, turnover intention, and perceived quality of care provided measured at the nurse-level using self-administered survey and measured at 0, 3, and 6 months. Focus group interviews will be conducted among 14–16 nurse subjects to explore their experience during the program, while other stakeholders will be interviewed to reflect the program effects. Generalized equation modelling will be used to identify the program effects on the quantitative outcomes and content analysis will be used for qualitative data. Discussion: Establishing measures to improve the nurses’ work environments can be used to address poor nurse outcomes in high workload and low-resource settings. Impact: A favourable nurse work environment is the cornerstone to sustainable nursing workforce and positive outcomes. This study will provide explicit evidence to inform the effect of a structured evidence-based protocol in improving nurses’ work environment given resource-limited context. Trial Registration: China Clinical Trial Registration Center (CciCTR), Registration number ChiCTR1900021754 (March 8, 2019). | - |
dc.language | eng | - |
dc.relation.ispartof | Journal of Advanced Nursing | - |
dc.subject | job satisfaction | - |
dc.subject | autonomy | - |
dc.subject | work environment | - |
dc.subject | mixed method | - |
dc.subject | turnover | - |
dc.subject | teamwork | - |
dc.subject | quality improvement | - |
dc.subject | nursing | - |
dc.subject | nurses | - |
dc.subject | burnout | - |
dc.title | A mixed methods study to evaluate the effects of a teamwork enhancement and quality improvement initiative on nurses’ work environment | - |
dc.title | 增强团队合作与素质提高对护士工作环境影响的混合方法研究 | - |
dc.type | Article | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1111/jan.14270 | - |
dc.identifier.pmid | 31729771 | - |
dc.identifier.scopus | eid_2-s2.0-85076168093 | - |
dc.identifier.hkuros | 317128 | - |
dc.identifier.volume | 76 | - |
dc.identifier.issue | 2 | - |
dc.identifier.spage | 664 | - |
dc.identifier.epage | 675 | - |
dc.identifier.eissn | 1365-2648 | - |
dc.identifier.isi | WOS:000500138300001 | - |
dc.identifier.issnl | 0309-2402 | - |