Beyond the Bedside: Navigating Concerns Within a Nursing Department

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Poster Presentation

Mentor Information

Dr. Donna Lee Ettel-Gambino, Ph.D.

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Hospital nursing departments are paramount to the organization’s ability to deliver quality patient care.Employee burnout and retention continue to be an ongoing challenge. The manner in which nursing leadership addresses nurse team members’ concerns often falls short of staff expectations.The clinical environment has the potential to enhance staff performance, job satisfaction, and quality of care. The purpose of this study was to better understand concerns expressed by nursing department employees within a multi-hospital system in the Midwestern United States. A MANOVA was conducted to examine significant trends across groups. The independent variable was the nurse employee role. The dependent variables  were the following categorized concerns: 1) compensation and benefits; 2) staffing; 3) workplace conflicts; 4) policies and procedures; 5) management and 6) performance. One criterion was found to be statistically significant: 1) Overall, nursing staff members (23%) reported having issues with “performance concerns” (p<0.05). Means by role indicated that nursing assistants (28%) and staff nurses (20%) were more likely to have concerns than managers (12%). These findings suggest that nursing personnel are the ones who make the most contributions to patient care and may provide insight on systems and processes that are lacking.These data provide essential information that may give insight into which nursing roles may observe issues in performance at the highest rate. Hospital work environments may have implications in staff performance, job satisfaction, and quality of care. Efforts toward addressing the concerns in a nursing department may aid in the increase of positive healthcare outcomes and patient wellness.

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Beyond the Bedside: Navigating Concerns Within a Nursing Department

Hospital nursing departments are paramount to the organization’s ability to deliver quality patient care.Employee burnout and retention continue to be an ongoing challenge. The manner in which nursing leadership addresses nurse team members’ concerns often falls short of staff expectations.The clinical environment has the potential to enhance staff performance, job satisfaction, and quality of care. The purpose of this study was to better understand concerns expressed by nursing department employees within a multi-hospital system in the Midwestern United States. A MANOVA was conducted to examine significant trends across groups. The independent variable was the nurse employee role. The dependent variables  were the following categorized concerns: 1) compensation and benefits; 2) staffing; 3) workplace conflicts; 4) policies and procedures; 5) management and 6) performance. One criterion was found to be statistically significant: 1) Overall, nursing staff members (23%) reported having issues with “performance concerns” (p<0.05). Means by role indicated that nursing assistants (28%) and staff nurses (20%) were more likely to have concerns than managers (12%). These findings suggest that nursing personnel are the ones who make the most contributions to patient care and may provide insight on systems and processes that are lacking.These data provide essential information that may give insight into which nursing roles may observe issues in performance at the highest rate. Hospital work environments may have implications in staff performance, job satisfaction, and quality of care. Efforts toward addressing the concerns in a nursing department may aid in the increase of positive healthcare outcomes and patient wellness.