Specialty cardiac nurses' work satisfaction is influenced by the type of coronary care unit: A mixed methods study.

Cardiovascular nursing Coronary care units Job satisfaction Leadership Nursing staff Physician-nurse relations

Journal

BMC nursing
ISSN: 1472-6955
Titre abrégé: BMC Nurs
Pays: England
ID NLM: 101088683

Informations de publication

Date de publication:
2019
Historique:
received: 01 11 2018
accepted: 27 08 2019
entrez: 14 9 2019
pubmed: 14 9 2019
medline: 14 9 2019
Statut: epublish

Résumé

Many dedicated Coronary Care Units (CCUs) in Victoria, Australia, have been decommissioned and replaced with larger combined generic medical/cardiac precincts called hybrid units. Hybrid units are staffed with a low proportion of specialist critical care nurses. These changes may pose risks to nurse satisfaction and retention, and quality of patient care. The aims of this study were to explore specialist cardiac nurses' perceived work satisfaction across four CCUs, and differences in satisfaction between dedicated and hybrid CCUs. This concurrent mixed methods study comprised two Phases in four Victorian CCUs (2 dedicated, 2 hybrid). In Phase 1, 74 specialist cardiac nurses completed the Professional Practice Environment (PPE) Scale. In Phase 2, 17 specialist cardiac nurses were interviewed to further explore elements of the PPE subscales. Descriptive, inferential (Phase 1), and content analyses (Phase 2) were performed. Survey participants' median age was 38 years (IQR 30, 45). The median PPE Scale score was 3.10 (IQR 2.90, 3.10) indicating high levels of satisfaction with their workplaces. Specialist cardiac nurses in one hybrid unit were significantly less satisfied compared with each of the other three units ( Specialist cardiac nurses' workplace satisfaction overall is high, with no significant differences between dedicated and hybrid CCUs. However, the structure of specialist cardiac units and NUM leadership skill level can impact nurses' satisfaction with their workplace and collegial relationships. Strong nursing leadership that is respectful of nursing expertise and places patient safety foremost positively impacts nurses' satisfaction. Further studies should assess the impact of the types of CCUs and NUM leadership on workforce factors such as nurse retention rates and patient outcomes such as adverse events.

Sections du résumé

BACKGROUND BACKGROUND
Many dedicated Coronary Care Units (CCUs) in Victoria, Australia, have been decommissioned and replaced with larger combined generic medical/cardiac precincts called hybrid units. Hybrid units are staffed with a low proportion of specialist critical care nurses. These changes may pose risks to nurse satisfaction and retention, and quality of patient care. The aims of this study were to explore specialist cardiac nurses' perceived work satisfaction across four CCUs, and differences in satisfaction between dedicated and hybrid CCUs.
METHODS METHODS
This concurrent mixed methods study comprised two Phases in four Victorian CCUs (2 dedicated, 2 hybrid). In Phase 1, 74 specialist cardiac nurses completed the Professional Practice Environment (PPE) Scale. In Phase 2, 17 specialist cardiac nurses were interviewed to further explore elements of the PPE subscales. Descriptive, inferential (Phase 1), and content analyses (Phase 2) were performed.
RESULTS RESULTS
Survey participants' median age was 38 years (IQR 30, 45). The median PPE Scale score was 3.10 (IQR 2.90, 3.10) indicating high levels of satisfaction with their workplaces. Specialist cardiac nurses in one hybrid unit were significantly less satisfied compared with each of the other three units (
CONCLUSIONS CONCLUSIONS
Specialist cardiac nurses' workplace satisfaction overall is high, with no significant differences between dedicated and hybrid CCUs. However, the structure of specialist cardiac units and NUM leadership skill level can impact nurses' satisfaction with their workplace and collegial relationships. Strong nursing leadership that is respectful of nursing expertise and places patient safety foremost positively impacts nurses' satisfaction. Further studies should assess the impact of the types of CCUs and NUM leadership on workforce factors such as nurse retention rates and patient outcomes such as adverse events.

Identifiants

pubmed: 31516383
doi: 10.1186/s12912-019-0367-6
pii: 367
pmc: PMC6729056
doi:

Types de publication

Journal Article

Langues

eng

Pagination

42

Déclaration de conflit d'intérêts

Competing interestsThe authors declare that they have no competing interests.

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Auteurs

Judy Currey (J)

1School of Nursing and Midwifery, Deakin University, 1 Gheringhap Street, Geelong, VIC 3220 Australia.
2Centre for Quality and Patient Safety Research, School of Nursing and Midwifery, Deakin University, 1 Gheringhap Street, Geelong, VIC 3220 Australia.
3Deakin Learning Futures, Office of the Deputy Vice Chancellor (Education), Deakin University, 1 Gheringhap Street, Geelong, VIC 3220 Australia.

Stephanie K Sprogis (SK)

1School of Nursing and Midwifery, Deakin University, 1 Gheringhap Street, Geelong, VIC 3220 Australia.
Centre for Quality and Patient Safety Research - Eastern Health Partnership, 2/5 Arnold Street, Box Hill, VIC 3128 Australia.

Liliana Orellana (L)

5Biostatistics Unit, Faculty of Health, Deakin University, 1 Gheringhap Street, Geelong, VIC 3220 Australia.

Anusha Chander (A)

1School of Nursing and Midwifery, Deakin University, 1 Gheringhap Street, Geelong, VIC 3220 Australia.

Sharon Meagher (S)

1School of Nursing and Midwifery, Deakin University, 1 Gheringhap Street, Geelong, VIC 3220 Australia.

Rhoda Kennedy (R)

1School of Nursing and Midwifery, Deakin University, 1 Gheringhap Street, Geelong, VIC 3220 Australia.

Andrea Driscoll (A)

1School of Nursing and Midwifery, Deakin University, 1 Gheringhap Street, Geelong, VIC 3220 Australia.
2Centre for Quality and Patient Safety Research, School of Nursing and Midwifery, Deakin University, 1 Gheringhap Street, Geelong, VIC 3220 Australia.

Classifications MeSH