Margaret Kroposki, Greenville Technical College, Greenville, South Carolina. Judith W. Alexander, University of South Carolina, Columbia, South Carolina.
Workplace Variables and Their Relationship to Quality Client Outcomes in Home Health
Article first published online: 9 NOV 2004
Public Health Nursing
Volume 21, Issue 6, pages 555–563, November/December 2004
How to Cite
Kroposki, M. and Alexander, J. W. (2004), Workplace Variables and Their Relationship to Quality Client Outcomes in Home Health. Public Health Nursing, 21: 555–563. doi: 10.1111/j.0737-1209.2004.21608.x
- Issue published online: 9 NOV 2004
- Article first published online: 9 NOV 2004
- client outcomes;
- client satisfaction;
- home health;
- role clarity;
- technology-structure fit
Abstract The purpose of the study was to investigate the relationship of workplace variables and client outcomes, and to propose a model of the fit between the workplace variable dimensions of nursing technology (NT) and organizational structure (OS) to predict client outcomes in home health. The researchers used a correlational, predictive, descriptive design to measure NT, OS, nurses' role clarity, client outcomes, and client satisfaction. A convenience sample consisted of 43 home health sites with 205 nurses and 325 clients completing surveys. Nurses perceived that clients had better outcomes when the three dimensions of NT fit the three dimensions of OS: (1) when clients' conditions were unstable, nurses interacted with peers; (2) when care was complex, nurses consulted with supervisors; and (3) when clients' needs varied, nurses used rules to guide clinical decisions. Findings suggested that nurses' understanding of their roles correlated to OS. Nurse managers in home health care settings can use the model constructed as a result of the research to adjust the dimensions of OS to improve client outcomes.