Organizational Climate and Nurse Health Outcomes in the United States: A Systematic Review

Details

• Personal Author:
  Chou SS ; Faucett J ; Gershon RR ; MacDavitt K ; Stone PW ; Zeltser M
• Description:
  Increasing interest has been focused on understanding the role working conditions play in terms of the serious issues facing hospitals today, including quality of patient care, nurse shortages, and financial challenges. One particular working condition that has been the subject of recent research, is the impact of organizational climate on nurses' well-being, including occupational health outcomes. To examine evidence-based research on the association between organizational climate and occupational health outcomes among acute-care registered nurses, a systematic review of published studies was conducted. Studies assessing the association between organizational climate variables and three common health outcomes in nurses (blood/body fluid exposures, musculoskeletal disorders, and burnout) were reviewed. Fourteen studies met the inclusion criteria. Although most were cross-sectional in design and variability was noted across studies with respect to operational definitions and assessment measures, all noted significant associations between specific negative aspects of hospital organizational climate and adverse health impacts in registered nurses. While evidence for an association between organizational climate constructs and nurses' health was found, data were limited and some of the relationships were weak. Additional studies are warranted to clarify the nature of these complex relationships. [Description provided by NIOSH]
• Subjects:
  Body Fluids Fatigue Health Personnel Mental Health Musculoskeletal Diseases Occupational Exposure Occupational Health Risk Assessment Risk Factors Safety Safety Management Stress, Psychological Workplace

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• Keywords:
  Blood-serum Body-fluids Health-care-personnel Injury-prevention Musculoskeletal-system-disorders Nurses Nursing Occupational-hazards Physical-stress Physiological-factors Physiological-stress Psychological-effects Psychological-factors Psychological-fatigue Psychological-stress Risk-analysis Risk-factors Safety-measures Work-environment

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• ISSN:
  0019-8366
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  New York ; OSHA Region 2
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  45
• Issue:
  5
• NIOSHTIC Number:
  nn:20033204
• Citation:
  Ind Health 2007 Oct; 45(5):622-636
• Contact Point Address:
  Robyn R.M. Gershon, Mailman School of Public Health, Columbia University, 722 W 168th Street 10th Floor, NY, NY 10032
• Federal Fiscal Year:
  2008
• Performing Organization:
  Columbia University, Health Sciences
• Peer Reviewed:
  True
• Start Date:
  20040901
• Source Full Name:
  Industrial Health
• End Date:
  20080630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:abd41dea6b8ae44f67c37d5c558c76b2e1acb9f6f31d60266940ea4d9bef5a7bcac63326522a9bc49d492a53f3705fe67eeb061962171a9e9941229f59000d97
• Download URL:
  https://stacks.cdc.gov/view/cdc/188872/cdc_188872_DS1.pdf
• File Type:
  [PDF - 136.16 KB ]