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Pathway to better patient care and nurse workforce outcomes in home care
Unlike the Magnet Recognition Program, the newer Pathway to Excellence Program designed to improve work environments in a broader range of organizations has not yet been the focus of substantial research. The purpose of the study was to examine the association of Pathway to Excellence Program Standa...
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Published in: | Nursing outlook 2017-11, Vol.65 (6), p.671-678 |
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container_title | Nursing outlook |
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creator | Jarrín, Olga F. Kang, Youjeong Aiken, Linda H. |
description | Unlike the Magnet Recognition Program, the newer Pathway to Excellence Program designed to improve work environments in a broader range of organizations has not yet been the focus of substantial research.
The purpose of the study was to examine the association of Pathway to Excellence Program Standards with better patient care quality and workforce outcomes in home care.
Cross-sectional survey of registered nurses yielded informants from 871 home care agencies in the United States. Variables representing each of the 12 Pathway Standards were entered into logistic regression models to determine associations with better patient care and nurse workforce outcomes.
All Pathway Standards are strongly and significantly associated with better patient care and better workforce outcomes. Home care agencies with better-rated professional work environments consistently had better patient care and nurse workforce outcomes.
This study validates the Pathway to Excellence Standards as important to patient care quality and nursing workforce outcomes in home care.
•American Nurses Credentialing Center Pathway to Excellence Program holds promise for improved home care.•Patient care is better when home care agencies empower and equip nurses.•Nurse retention in home care is likely better when work environments are good. |
doi_str_mv | 10.1016/j.outlook.2017.05.009 |
format | article |
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The purpose of the study was to examine the association of Pathway to Excellence Program Standards with better patient care quality and workforce outcomes in home care.
Cross-sectional survey of registered nurses yielded informants from 871 home care agencies in the United States. Variables representing each of the 12 Pathway Standards were entered into logistic regression models to determine associations with better patient care and nurse workforce outcomes.
All Pathway Standards are strongly and significantly associated with better patient care and better workforce outcomes. Home care agencies with better-rated professional work environments consistently had better patient care and nurse workforce outcomes.
This study validates the Pathway to Excellence Standards as important to patient care quality and nursing workforce outcomes in home care.
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The purpose of the study was to examine the association of Pathway to Excellence Program Standards with better patient care quality and workforce outcomes in home care.
Cross-sectional survey of registered nurses yielded informants from 871 home care agencies in the United States. Variables representing each of the 12 Pathway Standards were entered into logistic regression models to determine associations with better patient care and nurse workforce outcomes.
All Pathway Standards are strongly and significantly associated with better patient care and better workforce outcomes. Home care agencies with better-rated professional work environments consistently had better patient care and nurse workforce outcomes.
This study validates the Pathway to Excellence Standards as important to patient care quality and nursing workforce outcomes in home care.
•American Nurses Credentialing Center Pathway to Excellence Program holds promise for improved home care.•Patient care is better when home care agencies empower and equip nurses.•Nurse retention in home care is likely better when work environments are good.</description><subject>Adult</subject><subject>Burnout, Professional - epidemiology</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Home care</subject><subject>Home Care Services - organization & administration</subject><subject>Home health</subject><subject>Humans</subject><subject>Job Satisfaction</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nursing</subject><subject>Nursing outcomes</subject><subject>Pathway to Excellence</subject><subject>Patient care</subject><subject>Quality of Health Care</subject><subject>Surveys and Questionnaires</subject><subject>United States</subject><subject>Work environment</subject><issn>0029-6554</issn><issn>1528-3968</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNqFUcFO3DAUtKqismz7CUU-9pJgO7EdX6gq1AISEhzo2XKc566XbLzYDoi_r2G3CE49vSe9eTOjGYS-UlJTQsXJug5zHkO4qxmhsia8JkR9QAvKWVc1SnQf0YIQpirBeXuIjlJaE0LaVqpP6JB1QjAl1AJd3Ji8ejRPOAfcQ84Q8dZkD1PG1kTAZhrwNMcE-DHEOxeiBVyEbdhAwn7Cq7K8ID-jA2fGBF_2c4l-__p5e3ZRXV2fX579uKpsK2SuQDrh-kbYRgjOROdcK6mQoqeguOKD4z3vi09uLTjCLWVK2Y4Q2TXWKAfNEp3ueLdzv4HBFqfRjHob_cbEJx2M1-8vk1_pP-FBc0kZKzRL9G1PEMP9DCnrjU8WxtFMEOakqaK8aWXTigLlO6iNIaUI7lWGEv3cgl7rfQv6uQVNuC4tlL_jtx5fv_7FXgDfdwAoST14iDrZkrmFwUewWQ_B_0fiL5WanU4</recordid><startdate>20171101</startdate><enddate>20171101</enddate><creator>Jarrín, Olga F.</creator><creator>Kang, Youjeong</creator><creator>Aiken, Linda H.</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20171101</creationdate><title>Pathway to better patient care and nurse workforce outcomes in home care</title><author>Jarrín, Olga F. ; Kang, Youjeong ; Aiken, Linda H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c467t-e7f6fb36c3665268ff471676b1e9595df5b5b0045ccef05c1299c800783ca9fe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Burnout, Professional - epidemiology</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Home care</topic><topic>Home Care Services - organization & administration</topic><topic>Home health</topic><topic>Humans</topic><topic>Job Satisfaction</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nursing</topic><topic>Nursing outcomes</topic><topic>Pathway to Excellence</topic><topic>Patient care</topic><topic>Quality of Health Care</topic><topic>Surveys and Questionnaires</topic><topic>United States</topic><topic>Work environment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jarrín, Olga F.</creatorcontrib><creatorcontrib>Kang, Youjeong</creatorcontrib><creatorcontrib>Aiken, Linda H.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Nursing outlook</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jarrín, Olga F.</au><au>Kang, Youjeong</au><au>Aiken, Linda H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pathway to better patient care and nurse workforce outcomes in home care</atitle><jtitle>Nursing outlook</jtitle><addtitle>Nurs Outlook</addtitle><date>2017-11-01</date><risdate>2017</risdate><volume>65</volume><issue>6</issue><spage>671</spage><epage>678</epage><pages>671-678</pages><issn>0029-6554</issn><eissn>1528-3968</eissn><abstract>Unlike the Magnet Recognition Program, the newer Pathway to Excellence Program designed to improve work environments in a broader range of organizations has not yet been the focus of substantial research.
The purpose of the study was to examine the association of Pathway to Excellence Program Standards with better patient care quality and workforce outcomes in home care.
Cross-sectional survey of registered nurses yielded informants from 871 home care agencies in the United States. Variables representing each of the 12 Pathway Standards were entered into logistic regression models to determine associations with better patient care and nurse workforce outcomes.
All Pathway Standards are strongly and significantly associated with better patient care and better workforce outcomes. Home care agencies with better-rated professional work environments consistently had better patient care and nurse workforce outcomes.
This study validates the Pathway to Excellence Standards as important to patient care quality and nursing workforce outcomes in home care.
•American Nurses Credentialing Center Pathway to Excellence Program holds promise for improved home care.•Patient care is better when home care agencies empower and equip nurses.•Nurse retention in home care is likely better when work environments are good.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28662969</pmid><doi>10.1016/j.outlook.2017.05.009</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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source | ScienceDirect Journals |
subjects | Adult Burnout, Professional - epidemiology Cross-Sectional Studies Female Home care Home Care Services - organization & administration Home health Humans Job Satisfaction Male Middle Aged Nursing Nursing outcomes Pathway to Excellence Patient care Quality of Health Care Surveys and Questionnaires United States Work environment |
title | Pathway to better patient care and nurse workforce outcomes in home care |
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