RESUMO
BACKGROUND: A healthy work environment can improve patient outcomes and registered nurse (RN) turnover. Creating cultures of retention and fostering healthy work environments are 2 major challenges facing nurse leaders today. SPECIFIC AIMS: Examine the effects of the healthy work environment (communication, collaboration, and leadership) on RN turnover from data collected from a research study. METHODS: Descriptive, cross-sectional, correlational design. Pediatric critical care RNs from 10 pediatric intensive care units (PICU) completed the Practice Environment Scale of the Nursing Work Index Revised and a subscale of the Intensive Care Unit Nurse-Physician Communication Questionnaire. These staff nurses were asked whether they intend to leave their current job in the next 6 months. Statistical analysis included correlations, multiple linear regression, t tests (2-tailed), and 1-way analysis of variance. RESULTS: A total of 415 RNs completed the survey. There was a statistically significant relationship between leadership and the intent to leave (P < .05). There was also an inverse relationship between years of experience and intent to leave. None of the communication variables between RNs and among RNs and MDs or collaboration were significantly associated with PICU nurses' intention to leave. CONCLUSION: Effective leadership in the PICU is important to PICU RNs and significantly influences their decisions about staying in their current job.
Assuntos
Unidades de Terapia Intensiva Pediátrica , Satisfação no Emprego , Liderança , Enfermeiros Administradores , Recursos Humanos de Enfermagem Hospitalar/psicologia , Saúde Ocupacional , Adulto , Idoso , Criança , Comunicação , Comportamento Cooperativo , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Enfermeiros Administradores/psicologia , Enfermeiros Administradores/normas , Reorganização de Recursos Humanos , Relações Médico-Enfermeiro , Recursos Humanos , Local de TrabalhoRESUMO
The development of premature infants may be altered due to exposure to high cumulative doses of the perinatal corticosteroid dexamethasone during critical growth periods. To compare child behavioral development of prematurely born infants who were exposed to higher perinatal steroids (PNS; >0.2 mg/kg) with that of infants exposed to lower PNS (Assuntos
Deficiências do Desenvolvimento/induzido quimicamente
, Deficiências do Desenvolvimento/epidemiologia
, Dexametasona/efeitos adversos
, Glucocorticoides/efeitos adversos
, Trabalho de Parto Prematuro/tratamento farmacológico
, Adulto
, Análise de Variância
, Antropometria
, Distribuição de Qui-Quadrado
, Criança
, Deficiências do Desenvolvimento/diagnóstico
, Dexametasona/administração & dosagem
, Feminino
, Glucocorticoides/administração & dosagem
, Humanos
, Recém-Nascido
, Terapia Intensiva Neonatal
, Masculino
, Morbidade
, Pais/psicologia
, Assistência Perinatal
, Gravidez
, Estudos Prospectivos
, Análise de Regressão
, Fatores de Risco
, Índice de Gravidade de Doença
, Inquéritos e Questionários
, Resultado do Tratamento