Evidence-Based Practice Proposal – Section E: Change Model

Increased number of research reveal, there is a link between poor nurse environment and poor nurse outcomes including poor job satisfaction and condition conducive to costly nurse turnover. Nurse turnover are expensive, leads to shortage of nurses and hospital face challenges trying to recruit new nurses. Hospital are assessing how they can change their work environment to improve outcomes. There is an emerging evidence of the correlation between nurse work environment and nurse outcomes which is based on studies that mainly attentive on large urban hospital, making it uncertain whether work environments and nurse outcomes are also associated with rural hospitals.

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In nursing unit characteristics, the unit size difference between non-health work environment and health work environment nursing units where health work environment had fewer beds. It does not have an impact on job satisfaction and turnover rate.

Reference
Duffield, C. M., Roche, M. A., Blay, N., & Stasa, H. (2011). Nursing unit managers, staff retention and the work environment. Journal of clinical nursing, 20(1‐2), 23-33.

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