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Environmental turbulence. Impact on nurse performance

¹Department of Adult Health Nursing, School of Nursing, Medical College of Virginia/Virginia Commonwealth University, Richmond, USA.

The Journal of Nursing Administration

|April 1, 1995

Summary

High patient turnover in hospitals negatively impacts nurses

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Area of Science:

Healthcare Management
Nursing Administration
Organizational Behavior

Background:

External regulatory shifts create internal hospital turbulence.
The impact of healthcare environment changes on nurse performance is understudied.
Nursing administrators need to foster supportive clinical practice environments.

Purpose of the Study:

To analyze the effects of environmental turbulence on nurse job performance.
To identify specific factors within a turbulent healthcare environment that influence nurses.

Main Methods:

A study was conducted to examine the relationship between environmental turbulence and nurse performance.
Self-rated quality of performance was assessed.
Patient admission and discharge rates within a 24-hour period were measured as indicators of turbulence.

Main Results:

Increased patient admissions and discharges within a 24-hour period demonstrated a negative correlation with self-rated quality of nursing performance.
Environmental turbulence, specifically high patient flow, adversely affects perceived performance quality.

Conclusions:

Nurse administrators require insights into managing environmental turbulence.
Resources and strategies are needed to support nurse performance amidst healthcare instability.
Addressing high patient turnover is crucial for maintaining quality nursing care.

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