Understanding work contextual factors: a short-cut to evidence-based practice?
Lars Wallin1, Uwe Ewald, Karin Wikblad
1CRU, Karolinska University Hospital, Stockholm, Sweden. lars.wallin@karonlinska.se
Worldviews on Evidence-Based Nursing
|December 21, 2006
Summary
Workplace factors like skills development and participatory management predict organizational improvement. Enhancing these can boost research use in practice, while high work tempo and burnout negatively impact staff commitment.
Area of Science:
- Healthcare Management
- Organizational Psychology
- Evidence-Based Practice
Background:
- Workplace contextual factors significantly influence provider and patient outcomes.
- Understanding these factors is crucial for implementing evidence-based nursing practice.
- The study examines specific contextual factors affecting healthcare professionals' potential to use research in practice.
Purpose of the Study:
- To identify predictors of organizational improvement.
- To measure staff perceptions of work contextual factors.
- To understand mechanisms enhancing the use of research in practice.
Main Methods:
- The Quality Work Competence questionnaire was used.
- A repeated measurement survey design with a 1-year interval was employed.
- Data were collected from 134 employees in four Swedish neonatal units.
Main Results:
- Staff perceptions of skills development and participatory management predicted overall organizational improvement.
- Perceived improvements in skills development and feedback predicted leadership enhancement.
- Decreased work tempo and exhaustion predicted increased staff commitment.
Conclusions:
- Developing a supportive learning environment and involving staff in decision-making can drive organizational improvement.
- These initiatives may enhance research utilization and evidence-based nursing.
- Addressing work tempo and burnout is vital for staff commitment and improving the work environment.
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