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The Practice Environment Project. A process for outcome evaluation

C G Grindel1, K Peterson, M Kinneman

  • 1Northeastern University, Boston, MA, USA.

The Journal of Nursing Administration
|May 1, 1996
PubMed
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The Practice Environment Project (PEP) evaluated healthcare settings, finding high patient and physician satisfaction. Nurses reported autonomy but desired improvements in development and recognition for better patient care delivery.

Area of Science:

  • Healthcare Management
  • Nursing Practice
  • Quality Improvement

Background:

  • Evaluating healthcare practice environments is crucial for ensuring quality patient care.
  • Significant changes in healthcare delivery necessitate assessing their effectiveness.
  • Identifying core variables is key to evaluating new service delivery models.

Purpose of the Study:

  • To establish a framework for evaluating the healthcare practice environment.
  • To assess factors influencing the delivery of patient care services.
  • To develop strategies for managing identified barriers.

Main Methods:

  • Quantitative data collection from nurses, physicians, and patients on job satisfaction, collaboration, autonomy, and care satisfaction.
  • Qualitative data through focus groups with nursing personnel to explore service provision factors.

Related Experiment Videos

  • Development of unit-based action plans to address barriers.

    • Main Results:

    • High satisfaction with patient care reported by both patients and physicians.
    • Physicians perceived greater collaboration with nurses than nurses reported.
    • Nurses indicated high autonomy but suggested improvements in development and recognition.

    Conclusions:

    • The Practice Environment Project (PEP) provided a mechanism for evaluating practice environments and work redesign.
    • The project identified core elements for assessing practice environments.
    • A framework was established for managing barriers impacting patient care delivery.