Determinants of Adverse Nursing Job and Organizational Outcomes: Using Patient Care Delivery Conceptual Model

Document Type : Original Article

Authors

1 Nursing Administration1, Faculty of Nursing, Matrouh University, Egypt

2 Forensic Medicine and Clinical Toxicology2, Faculty of Medicine, Alexandria University, Egypt

Abstract

Background: Adverse nursing job and organizational outcomes are contributing factors to the shortage of nursing staff and the deterioration of the quality of nursing care in healthcare settings. The patient care delivery conceptual model has been developed to explore the relationship between structure, process, and outcomes of nursing work. Objective: The study aimed to examine the impact of the structure and process of nursing work on the nursing job and its organizational outcomes.  Methods: A cross-sectional correlation survey was implemented in this research. Self-administered questionnaires of structure, process, and outcomes of nursing work were used to collect the study data from 565 nurses.  Attendance nursing records were reviewed to collect absenteeism data. Results: The structure and process elements of nursing work were insufficient. Therefore, nurses reported a lack of enjoyment in their work environment and high psychological distress. Thereby, the absenteeism rate was 15.5 % among nurses. Nurses engaged in their work at a moderate level. The level of quality of care and patient safety was below the satisfactory level. R - Square results indicated that the nursing work structure and process were significant predictors of adverse nursing job and organizational outcomes. The structural equation model explained the direct and indirect effects of the study variables. Conclusion: Adverse nursing job and organizational outcomes in this study were related to the nursing work structure and process shortage.

Keywords

Egyptian Journal of Health Care
Volume 12, Issue 4
December 2021
Pages 911-925

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