THE INFLUENCE OF NURSES’ WORK ENVIRONMENT AND PATIENT-CENTERED CARE PRACTICES ON GLYCATED HEMOGLOBIN
Keywords:Diabetes Mellitus, Work environment, Patient-Centered Care, Outcomes
In this cross-sectional study of 292 type 2 diabetics and their 49 family nurses in Portugal, we have examined the relationship between the nursing work environment and the implementation of patientcentred care practices, and between these practices and the glycated hemoglobin (HbA1c). For this purpose, we used the Structural Equations Model (SEM) in order to test these relationships. The clinical supervision and resource adequacy as assessed by “The Practice Environment Scale of the Nursing Work Index (PES–NWI)” had a direct and positive effect on the quality of patient-centered care as measured by “Diabetes Education Process (DEP)”, which in turn had a negative and direct effect on the gold standard outcome of diabetes (HbA1c). For the sample under study, it has been shown that the care environment affects the development of clinical care practices centered on the patient and that these practices affect the results on patients with diabetes.
Almeida, L., & Freire, T. (2007). Metodologia da Investigação em Psicologia e Educação (4ª ed.). Braga: Psiquilíbrios Edições.
Amaral, A. F. S., Ferreira, P. L., & Lake, E. (2012). Validation of the Practice Environment Scale of the Nursing Work Index (PES-NWI) for the Portuguese nurse population. Internacional Journal of Caring Science, 5(3), 280-288.
Bodenheimer, T., MacGregor, K., & Stothart, N. (2005). Nurses as leaders in chronic care. Bmj, 330(7492), 612-613.
Bryśkiewicz, M. E., & Majkowska, L. (2011). Glycated hemoglobin (HbA1c) as a standard diagnostic criterium for diabetes?. Polski merkuriusz lekarski: organ Polskiego Towarzystwa Lekarskiego, 30(176), 150-154.
Doran, D. M. (2010). Nursing outcomes. United States of America: Jones & Bartlett Publishers. Friese, C. R., Lake, E. T., Aiken, L. H., Silber, J. H., & Sochalski, J. (2008). Hospital nurse practice environments and outcomes for surgical oncology patients. Health services research, 43(4), 1145-1163.
Gardete Correia L, Boavida J M, Fragoso de Almeida JP, Massano Cardoso S, Dores J, Sequeira Duarte J, ...Raposo J (2013). Diabetes: Factos e Números 2013- Relatório Anual do Observatório Nacional da Diabetes. Retrieved from https://www.dgs.pt/paginaRegisto.aspx?back=1&id=25163
Gardner, G., Gardner, A., & O'Connell, J. (2014). Using the Donabedian framework to examine the quality and safety of nursing service innovation. Journal of clinical nursing, 23(1-2), 145-155.
Glasgow, R. E., Tracy Orleans, C., Wagner, E. H., Curry, S. J., & Solberg, L. I. (2001). Does the chronic care model serve also as a template for improving prevention?. Milbank Quarterly, 79(4), 579-612.
Hair Jr, Hult GT, Ringle C, Sarstedt M (2013). A primer on partial least squares structural equation modeling (PLS-SEM). Sage Publications.
IDF (2012). IDF Diabetes Atlas. Retrieved from http://www.idf.org/diabetesatlas/downloadbook
Kirwan M, Matthews A, Scott PA (2013). The impact of the work environment of nurses on patient safety outcomes: a multi-level modelling approach. International journal of nursing studies, 50(2), 253-263.
Lake, E.T. (2002). Development of the practice environment scale of the nursing work index. Research in Nursing & Health, 25(3), 176-188.
Lambrou, P., Merkouris, A., Middleton, N., & Papastavrou, E. (2014). Nurses’ perceptions of their professional practice environment in relation to job satisfaction: a review of quantitative studies. Health Science Journal, 8 (3), 298-317.
Lundstrom, T., Pugliese, G., Bartley, J., Cox, J., & Guither, C. (2002). Organizational and environmental factors that affect worker health and safety and patient outcomes. American journal of infection control, 30(2), 93-106.
McCormack, B., & McCance, T. V. (2006). Development of a framework for person‐centred nursing. Journal of advanced Nursing, 56(5), 472-479.
Menino, E., Dixe, M. A., Louro, M. C. M., & Roque, S. M. B. (2013). Programas de educação dirigidos ao utente com diabetes mellitus tipo 2: revisão sistemática da literatura. Revista de Enfermagem Referência, (10), 135-143.
Milne, D. (2007). An empirical definition of clinical supervision. British Journal of Clinical Psychology, 46(4), 437-447.
Potempa, K., Daly, J., & Titler, M. (2012). Building the clinical Bridge to support Nursing Effectiveness Science. Nursing Research and Practice, 2012, 1-3.
Streiner, D., & Norman, G. (2008). Health Measurement scales: a pratical guide to their development and use. New York: Oxford University Press
Titchener, J. (2014). A patient-centred clinical approach to diabetes care assists long-term reduction in HbA1c. Journal of primary health care, 6 (3), 195-202.
Vilares, M., & Coelho, P. (2005). Satisfação e Lealdade do Cliente. Metodologias de avaliação, gestão e análise. Porto: Escolar Editora.
WHO (2011). Action plan for implementation of the European Strategy for the Prevention and Control of Noncommunicable diseases 2012–2016. Retrieved from http://www.euro.who.int/__data/assets/pdf_file/0003/147729/wd12E_NCDs_111360_revision.pdf
Williams GC, Zeldman A (2002). Patient-centered diabetes self-management education. Current diabetes reports, 2(2), 145-152.
You, L. M., Aiken, L. H., Sloane, D. M., Liu, K., He, G. P., Hu, Y., ... & Sermeus, W. (2013).Hospital nursing, care quality, and patient satisfaction: cross-sectional surveys of nurses and patients in hospitals in China and Europe.International journal of nursing studies, 50(2), 154-161.
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