Related Experiment Video
Updated: Feb 11, 2026
Using Learning Outcome Measures to assess Doctoral Nursing Education
Published on: June 21, 2010
Associations Between the Nurse Practice Environment and Nurse-Sensitive Patient Outcomes: Empirical Research
Janita Pak Chun Chau1, Suzanne Hoi Shan Lo1, Kai Chow Choi1
1The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, N.T, Hong Kong.
Aim:
This study aimed to investigate associations between the nurse practice environment and nurse-sensitive patient outcomes in Hong Kong.
Design:
This was a 4-wave repeated cross-sectional study.
Methods:
The sample comprised 71 adult general medical, surgical and orthopaedic wards recruited from four public hospitals. Data on nurses' practice environment and nurse-sensitive patient outcomes were collected quarterly from each hospital over a one-year period from January 2016 to December 2018. The number of participating nurses per survey wave ranged from 604 to 865. Measures comprised the Practice Environment Scale of the Nursing Work Index and four nurse-sensitive patient outcomes identified from the National Quality Forum-endorsed nursing-sensitive care measure set. The associations between each outcome and the practice environment were examined using multiple regression analysis.
Results:
Nurse practice environments were rated favourably. The 'Nursing foundations for quality of care' subscale received the highest score (59.6) while the 'Staffing and resource adequacy' subscale received the lowest score (36.7). Though no significant associations were found between the overall practice environment and nurse-sensitive patient outcomes, the subscale of 'Staffing and resource adequacy' was significantly associated with the incidence of inpatient falls and catheter-associated urinary tract infections.
Conclusions:
Our findings suggest that staffing is a core nurse workplace concern which impacts the outcomes of inpatient falls and catheter-associated urinary tract infections. However, the overall nurse practice environment was not significantly associated with any patient outcomes, and further studies are needed to corroborate these results. Additional mediating factors such as nurse resilience, which may potentially affect patient outcomes, should also be explored.
No Patient Or Public Contribution:
Patients or the general public were not involved in the design, analysis, or interpretation of the data in this study.
More Related Videos
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
09:52Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Related Concept Videos
01:30Theoretical Foundations of Nursing Practice
Theories provide a perspective to assess patients' conditions and organize data and methods. They also assist in analyzing and interpreting information. They represent a...
01:03Nursing Interventions I: Taxonomy of Nursing Interventions
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
01:29Nursing Interventions II: Selecting and Classifying the Nursing Interventions
01:24Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation
01:15Nursing Evaluation
01:27Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include: