TY - JOUR
T1 - Hospital nurses' perception of the geriatric nurse practice environment
AU - Boltz, Marie
AU - Capezuti, Elizabeth
AU - Bowar-Ferres, Susan
AU - Norman, Robert
AU - Secic, Michelle
AU - Kim, Hongsoo
AU - Fairchild, Susan
AU - Mezey, Mathy
AU - Fulmer, Terry
PY - 2008/9
Y1 - 2008/9
N2 - Purpose: To test the relationship between nurses' perceptions of the geriatric nurse practice environment (GNPE) and perceptions of geriatric-care delivery, and geriatric nursing knowledge. Design: A secondary analysis of data collected by the New York University Hartford Institute Benchmarking Service staff using a retrospective, cross-sectional, design. Methods: Responses of 9,802 direct-care registered nurses from 75 acute-care hospitals in the US that administered the GIAP (Geriatric Institutional Assessment Profile) from January 1997 to December 2005 were analyzed using linear mixed effects modeling to explore associations between variables while controlling for potential covariates. Findings: Controlling for hospital and nurse characteristics, a positive geriatric nurse practice environment was associated with positive geriatric care delivery (F=4,686, p<.0001) but not geriatric nursing knowledge. The independent contribution of all three dimensions of the geriatric nurse practice environment (resource availability, institutional values, and capacity for collaboration) influences care delivery for hospitalized older-adult patients. Conclusions: Organizational support for geriatric nursing is an important influence upon quality of geriatric care. Clinical Relevance: Hospitals that utilize an organizational approach addressing the multifaceted nature of the GNPE are more likely to improve the hospital experience of older adults.
AB - Purpose: To test the relationship between nurses' perceptions of the geriatric nurse practice environment (GNPE) and perceptions of geriatric-care delivery, and geriatric nursing knowledge. Design: A secondary analysis of data collected by the New York University Hartford Institute Benchmarking Service staff using a retrospective, cross-sectional, design. Methods: Responses of 9,802 direct-care registered nurses from 75 acute-care hospitals in the US that administered the GIAP (Geriatric Institutional Assessment Profile) from January 1997 to December 2005 were analyzed using linear mixed effects modeling to explore associations between variables while controlling for potential covariates. Findings: Controlling for hospital and nurse characteristics, a positive geriatric nurse practice environment was associated with positive geriatric care delivery (F=4,686, p<.0001) but not geriatric nursing knowledge. The independent contribution of all three dimensions of the geriatric nurse practice environment (resource availability, institutional values, and capacity for collaboration) influences care delivery for hospitalized older-adult patients. Conclusions: Organizational support for geriatric nursing is an important influence upon quality of geriatric care. Clinical Relevance: Hospitals that utilize an organizational approach addressing the multifaceted nature of the GNPE are more likely to improve the hospital experience of older adults.
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U2 - 10.1111/j.1547-5069.2008.00239.x
DO - 10.1111/j.1547-5069.2008.00239.x
M3 - Article
C2 - 18840213
AN - SCOPUS:50249178193
SN - 1527-6546
VL - 40
SP - 282
EP - 289
JO - Journal of Nursing Scholarship
JF - Journal of Nursing Scholarship
IS - 3
ER -