Associate Professor and Donna Brown Banton Endowed Professor.
Organizational determinants of work outcomes and quality care ratings among Army Medical Department registered nurses†
Article first published online: 11 FEB 2010
Copyright © 2010 Wiley Periodicals, Inc.
Research in Nursing & Health
Volume 33, Issue 2, pages 99–110, April 2010
How to Cite
Patrician, P. A., Shang, J. and Lake, E. T. (2010), Organizational determinants of work outcomes and quality care ratings among Army Medical Department registered nurses. Res. Nurs. Health, 33: 99–110. doi: 10.1002/nur.20370
The authors wish to thank the anonymous reviewers, Associate Editor, and Editor for their thoughtful reviews of and suggestions for this manuscript. The information or content and conclusions do not necessarily represent the official position or policy of, nor should any official endorsement be inferred by, the TriService Nursing Research Program, Uniformed Services University of the Health Sciences, the Department of Defense, or the U.S. Government.
- Issue published online: 12 MAR 2010
- Article first published online: 11 FEB 2010
- Manuscript Accepted: 21 DEC 2009
- TriService Nursing Research Program, Uniformed Services University of the Health Sciences. Grant Number: N01-016
- nursing practice environment;
- military nursing;
- intent to leave;
- job satisfaction;
- quality care
The Practice Environment Scale of the Nursing Work Index, the Maslach Burnout Inventory, and several single-item measures were administered to registered nurses (RNs) working within 23 U.S.-based Army Medical Department (AMEDD) hospitals. Data were analyzed with logistic regression for nested data. Unfavorable nursing practice environments had a substantial association with job dissatisfaction (OR 13.75, p < .01), emotional exhaustion (OR 12.70, p < .01), intent to leave (OR 3.03, p < .01), and fair to poor quality of care (OR 10.66, p < .01). This study provides the first system-wide analyses of nursing practice environments in AMEDD hospitals in the U.S. Similar to findings in civilian samples, poor quality work environments are associated with less favorable RN work outcomes and quality of care ratings. © 2010 Wiley Periodicals, Inc. Res Nurs Health 33:99–110, 2010