RESUMO
BACKGROUND: Different initiatives have been implemented in healthcare organizations to improve efficiency, such as transforming care at the bedside (TCAB). However, there are important gaps in understanding the effect of TCAB on healthcare teams' work environments. AIM: The specific aim of the study is to describe findings regarding the TCAB initiative effects on healthcare teams' work environments. METHODS: A pretest and posttest study design was used for this study. The TCAB initiative was implemented in fall 2010 in a university health center in Montreal, Canada. The sample consisted of healthcare workers from four different care units. RESULTS: Statistically significant improvement was observed with the communicating specific information subscale from the measure of processes of care variable, and a significant difference was found between the support from colleagues variable, which was higher at baseline than postprogram. The differences for psychological demand, decisional latitude, and effort-reward were not significant. CONCLUSIONS: TCAB is an intervention that allows healthcare teams to implement change to improve patients' and families' outcomes. Ongoing energy should focus on how to improve communication among all members of the team and ensure their support.
Assuntos
Centros Médicos Acadêmicos/organização & administração , Recursos Humanos de Enfermagem Hospitalar/organização & administração , Equipe de Enfermagem/organização & administração , Equipe de Assistência ao Paciente/organização & administração , Apoio Social , Adulto , Enfermagem Baseada em Evidências/organização & administração , Feminino , Humanos , Relações Interprofissionais , Masculino , Pessoa de Meia-Idade , Recursos Humanos de Enfermagem Hospitalar/psicologia , Teoria de Enfermagem , Avaliação de Programas e Projetos de Saúde , Meio Social , Local de Trabalho/organização & administraçãoRESUMO
The purpose of the present study was to evaluate nurses' intent to stay at work and to determine the associations between intent to stay and various predictors. A sample of 108 nurses at a single tertiary care hospital filled in a questionnaire on intent to stay, satisfaction at work, satisfaction with administration, organizational commitment and work group cohesion. The results showed that the majority of nurses are planning to stay in their current job. Satisfaction at work and satisfaction with administration are the best predictors of intent to stay and explained 25.5% of intent to stay variance. It is possible that developing strategies based on the predictors of intent to stay at work could improve that intent. Healthcare organizations could consider this with the objective of increasing nurses' intent to stay at work and, consequently, retention.