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Nursing practice environment and outcomes for oncology nursing
Jingjing Shang1, Christopher R Friese, Evan Wu
1School of Nursing, Columbia University, New York, NY 10032, USA. js4032@columbia.edu
Cancer Nursing
|July 4, 2012
Summary
Oncology nurses reported better job outcomes and practice environments than medical-surgical nurses. Improving hospital environments, especially through nurse support and education programs, can enhance nurse well-being and retention.
Area of Science:
- Nursing
- Healthcare Management
- Occupational Health
Background:
- Oncology nurses face unique stressors due to caring for critically ill patients, leading to assumptions of high burnout and turnover.
- This study investigates the prevalence of burnout and job dissatisfaction among oncology nurses compared to medical-surgical nurses.
Purpose of the Study:
- To compare job dissatisfaction and burnout levels between oncology and medical-surgical nurses.
- To identify factors influencing oncology nurse outcomes, including burnout and retention.
Main Methods:
- Secondary analysis of 2006 survey data from 4047 nurses across 282 hospitals in three states.
- Statistical comparison (t-test, chi-squared) of nurse outcomes and practice environment assessments (Practice Environment Scale of the Nursing Work Index) between oncology and medical-surgical nurses.
- Logistic regression models were used to determine the impact of the practice environment on burnout, job dissatisfaction, intent to leave, and perceived quality of care.
Main Results:
- Oncology nurses reported more favorable practice environments and better outcomes compared to medical-surgical nurses.
- All four subscales of the Practice Environment Scale were significantly linked to nurse outcomes.
- Nurses reporting strong nursing foundations for quality care, such as preceptorship programs, experienced less burnout and lower intentions to leave their positions.
Conclusions:
- Enhancing hospital practice environments is crucial for optimizing nurse well-being, retention, and the quality of patient care.
- Implementing supportive initiatives like preceptor programs, continuing education, and increased nurse participation in decision-making can significantly improve nurse outcomes.
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