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Investigating the Relationship Between Nursing Unit Educational Composition, Teamwork and Missed Nursing Care

Abstract Details

2019, PHD, Kent State University, College of Nursing.
Strong and consistent evidence supports that increasing the number of baccalaureate prepared registered nurses (RN) working in hospitals effects patient outcomes associated with quality care (Aiken, Clarke, Cheung, Sloan, & Silber, 2003; Aiken et al., 2011), however there is a lack of evidence determining what factors lead to these findings. A descriptive, correlational design was used to examine the relationship between educational composition of the nursing unit on RNs perceived teamwork and perceived missed nursing care. To uncover the relationship of unit educational composition on the teamwork and missed nursing care of associate degree nurses (ADN), the study examined the relationship between educational composition of the nursing unit on perceived teamwork and missed nursing care of ADNs. Regression analysis were conducted to answer the research questions. All three analyses revealed a negative correlation between BSN percent, teamwork, and missed nursing care. No statistically significant relationships were found between nursing unit percent BSNs, teamwork or missed nursing care. A statistically significant relationship between length of time at current institution and nurses’ perception of teamwork, suggesting that nurses who are employed longer at a hospital have a higher perception of teamwork. Missed nursing care scores and years worked at the institution had a moderating effect on teamwork. Teamwork scores and number of nurses working on the unit had a moderating effect on missed nursing care. The relationship between teamwork and number of nurses working on the unit was negative, suggesting that larger nursing units have a lower perception of teamwork. Smaller, rural hospitals had overall higher perceptions of teamwork and perceptions of less missed nursing care, suggesting that hospital size and geographic location impact the nurses’ perception of teamwork and missed nursing care. Nurses play an important role in patient outcomes. Consistent literature exists to support a relationship between nurse education, teamwork, and missed nursing care. Further research is needed to determine what factors impact nursing care when considering nursing units educational composition.
Patricia Vermeersch (Committee Chair)
Yvonne Smith (Committee Member)
Christine Graor (Committee Member)
Jeffrey Ciesla (Committee Member)
Ding Kele (Other)
168 p.

Recommended Citations

Citations

  • Sarver, W. L. (2019). Investigating the Relationship Between Nursing Unit Educational Composition, Teamwork and Missed Nursing Care [Doctoral dissertation, Kent State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=kent1559824988124493

    APA Style (7th edition)

  • Sarver, Wendy. Investigating the Relationship Between Nursing Unit Educational Composition, Teamwork and Missed Nursing Care . 2019. Kent State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=kent1559824988124493.

    MLA Style (8th edition)

  • Sarver, Wendy. "Investigating the Relationship Between Nursing Unit Educational Composition, Teamwork and Missed Nursing Care ." Doctoral dissertation, Kent State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=kent1559824988124493

    Chicago Manual of Style (17th edition)