How does nursing work engagement effect patient and hospital outcomes?

“The vital connection of nurse engagement to the experience of care, and ultimately to nurse and patient outcomes, is clear. Quality improvement efforts that equally emphasize initiatives to improve the patient experience and create and sustain a highly engaged nursing workforce are key to achieving desired safety and quality outcomes.”

Dempsey C, Assi MJ. The Impact of Nurse Engagement on Quality, Safety, and the Experience of Care: What Nurse Leaders Should Know. Nurs Adm Q. 2018 Jul/Sep; 42(3):278-283.

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BUILDING A CULTURE OF ENGAGEMENT (From Dempsey C, Assi MJ)

While every organization is unique, agreements by survey participants with the following statements have been identified as key drivers of engagement:

  1. This organization provides high-quality care and service.
  2. This organization treats employees with respect.
  3. I like the work I do.
  4. The environment at this organization makes employees in my work unit want to go above and beyond what is expected of them.
  5. This organization provides career development opportunities.
  6. My job makes good use of my skills and abilities.
  7. I get the tools and resources I need to provide the best care/service for our clients/patients.
  8. My pay is fair compared with other health care employers in this area.
  9. This organization conducts business in an ethical manner.
  10. I respect the abilities of the person to whom I report.

Additional resources:

Zadvinskis, I., et al. (2019). The Impact of Nursing Work and Engagement on Patient Falls. Journal of Nursing Administration., 49(11), 531-537.
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Bogaert, P. V., et al. (2018). Staff empowerment and engagement in a magnet® recognized and joint commission international accredited academic centre in Belgium: a cross-sectional survey. BMC health services research, 18(1), 756.
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Flanders, S., et al. (n.d.). Effectiveness of a Staff Resilience Program in a Pediatric Intensive Care Unit. Journal of Pediatric Nursing., 50, 1-4. Full text for Emory users

Tomietto, M., et al. Work engagement and perceived work ability: An evidence-based model to enhance nurses’ well-being. Journal of Advanced Nursing., 75(9), 1933-1942.
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Havens, D., Gittell, J., & Vasey, J. (n.d.). Impact of Relational Coordination on Nurse Job Satisfaction, Work Engagement and Burnout: Achieving the Quadruple Aim. Journal of Nursing Administration., 48(3), 132-140.
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Saito, Y., et al. Work values and their association with burnout/work engagement among nurses in long-term care hospitals. Journal of Nursing Management., 26(4), 393-402.
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Deetz, J., et al. Exploring correlation of nurse manager meaning and joy in work with employee engagement. Applied Nursing Research., 151297.Full text for Emory users

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