Improved nurse job satisfaction and job retention with the transition from a "mandatory consultation" model to a "semiclosed" surgical intensive care unit: A 1-year prospective evaluation

Critical Care Medicine

Volumn 34, Issue 2, 2006, Pages 387-395

  Haut, Elliott R ^a   Sicoutris, Corinna P ^c   Meredith, Denise M ^c   Sonnad, Seema S ^b   Reilly, Patrick M ^b   Schwab, C William ^b   Hanson, C William ^b   Gracias, Vicente H ^b  

^a JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b UNIVERSITY OF PENNSYLVANIA   (United States)

^c HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

Attitude of health personnel; Intensive care; Intensivist; Intensivist model; Job satisfaction; Nursing staff; Personnel turnover; Physician nurse relations

Indexed keywords

COMPARATIVE STUDY; CONSULTATION; CONTROLLED STUDY; DOCTOR NURSE RELATION; EMPLOYEE ATTITUDE; EXPERIENCE; HEALTH SURVEY; HOSPITAL COST; HUMAN; INTENSIVE CARE UNIT; JOB ADAPTATION; JOB SATISFACTION; MONEY; NURSE; PRIORITY JOURNAL; RATING SCALE; REVIEW; SCORING SYSTEM; STAFF NURSE; SURGICAL WARD;

EID: 31344436921     PISSN: 00903493     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.CCM.0000198104.28666.C0     Document Type: Article

References (60)

1. American Hospital Association: The hospital workforce shortage: Immediate and future. TrendWatch 2001; 3(2). http://www.ahapolicy-forum.org/ ahapolicyforum/trendwatch/content/twjune2001.pdf. Accessed December 13, 2005
2. US Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, National Center for Health Workforce Analysis: Projected Supply, Demand, and Shortages of Registered Nurses: 2000-2020. July 2002. Available online at: http://bhpr.hrsa.gov/ healthworkforce/reports/rnproject/report.htm. Accessed August 26, 2004
3. First Consulting Group for the American Hospital Association: The Healthcare Workforce Shortage and its Implications for America's Hospitals. Fall 2001. http://www.aha.org/aha/keyissues/workforce/resources/content/ fcgworkforcereport. pdf. Accessed December 13, 2005
4. Aiken LH, Clarke SP, Sloane DM, et al: Nurses' reports on hospital care in five countries. Health Aff 2001; 20(3):43-53
5. Attracting and Retaining Registered Nurses: Survey Results. New York, William M. Mercer, 1999
6. Hanson CW, Deutschman CS, Anderson HL, et al: Effects of an organized critical care service on outcomes and resource utilization: A cohort study. Crit Care Med 1999;27:270-274
7. Brilli RJ, Spevetz A, Branson RD, et al., American College of Critical Care Medicine Task Force on Models of Critical Care Delivery: The American College of Critical Care Medicine guidelines for the definition of an intensivist and the practice of critical care medicine: Critical care delivery in the intensive care unit: defining clinical roles and the best practice model. Crir Care Med 2001; 29:2007-2019
8. Brown JJ, Sullivan G: Effect on ICU mortality of a full-time critical care specialist. Chest 1989;96:127-129
9. Dimick JB, Pronovost PJ, Heitmiller RF, et al: Intensive care unit physician staffing is associated with decreased length of stay, hospital cost, and complications after esophageal resection. Crit Care Med 2001; 29: 753-758
10. Li TCM, Phillips MC, Shaw L, et al: On-site physician staffing in a community hospital intensive care unit. JAMA 1984; 252: 2023-2027
11. Manthous CA, Amoateng-Adjepong Y, Al-Kharrat T, et al: Effects of a medical intensivist on patient care in a community teaching hospital. Mayo Clin Proc 1997;72: 391-399
12. Pollack MM, Katz RW, Ruttimann UE, et al: Improving the outcome and efficiency of intensive care: The impact of an intensivist. Crit Care Med 1988; 16(1):11-17
13. Pronovost PJ, Angus DC, Dorman T, et al: Physician staffing patterns and clinical outcomes in critically ill patients: A systematic review. JAMA 2002; 288:2151-2162
14. Pronovost P, Jenckes MW, Dorman T, et al: Organizational characteristics of intensive care units related to outcomes of abdominal aortic surgery. JAMA 1999; 281:1310-1317
15. Reynolds HN, Haupt MT, Thill-Baharozian MC, et al: Impact of critical care physician staffing on patients with septic shock in a university hospital medical intensive care unit. JAMA 1988; 260:3446-3450
16. Multz AS, Chalfin DB, Samson IM, et al: A "closed" medical intensive care unit (MICU) improves resource utilization when compared with an "open" MICU. Am J Respir Crit Care Med 1998;157:1468-1473
17. Carson SS, Stocking C, Podsadecki T, et al: Effects of organizational change in the med ical intensive care unit of a teaching hospital: A comparison of "open" and "closed" formats. JAMA 1996;276:322-328
18. Ghorra S, Reinert S, Cioffi W, et al. Analysis of the effect of conversion from open to closed surgical intensive care unit. Ann Surg 1999; 229:163-171
19. Haupt MT, Bekes CE, Brilli RJ, et al., Task Force of the American College of Critical Care Medicine, Society of Critical Care Medicine: Guidelines on critical care services and personnel: Recommendations based on a systern of categorization of three levels of care. Crit Care Med 2003; 31:2677-2683
20. Shortell SM, Zimmerman JE, Rousseau DM, et al: The performance of intensive care units: Does good management make a difference? Med Care 1994; 32:508-525
21. Zimmerman JE, Shortell SM, Rousseau DM, et al: Improving intensive care: observations based on organizational case studies in nine intensive care units: A prospective, multicenter study. Crit Care Med 1993; 21: 1443-1451
22. Zimmerman JE, Shortell SM, Knaus WA, et al. Value and cost of teaching hospitals: a prospective, multicenter, inception cohort study. Crit Care Med 1993; 21:1432-1442
23. Song R, Daly BJ, Rudy EB, et al: Nurses' job satisfaction, absenteeism, and turnover after implementing a special care unit practice model. Res Nurs Health 1997; 20:443-452
24. Bratt MM, Broome M, Kelber S, et al. Influence of stress and nursing leadership on job satisfaction of pediatric intensive care unit nurses. Am J Crit Care 2000; 9:307-317
25. Baggs JG, Schmitt MH, Mushlin AI, et al: Association between nurse-physician collaboration and patient outcomes in three intensive care units. Crit Care Med 1999; 27: 1991-1998
26. Kalliath T, Morris R: Job satisfaction among nurses: a predictor of burnout levels. J Nurs Adm 2002; 32:648-654
27. Larrabee JH, Janney MA, Ostrow CL, et al: Predicting registered nurse job satisfaction and intent to leave. J Nurs Adm 2003; 33: 271-283
28. Lu KY, Lin PL, Wu CM, et al: The relationships among turnover intentions, professional commitment, and job satisfaction of hospital nurses. J Prof Nurs 2002; 18: 214-219
29. Irvine DM, Evans MG. Job satisfaction and turnover among nurses: integrating research findings across studies. Nurs Res 1995; 44: 246-253
30. Vahey DC, Aiken LH, Sloane DM, et al: Nurse burnout and patient satisfaction. Med Care 2004; 42(2 Suppl II):57-66
31. Trunkey DD: An unacceptable concept. Ann Surg 1999; 229:172-173
32. Marik PE: Open versus closed units: Chaos versus a well-oiled machine. Crit Care Med 2003; 31:2567-2568; author's reply, 2568
33. Rosenstein AH: Original research: Nurse-physician relationships: impact on nurse satisfaction and retention. Am J Nurs 2002; 102(6):26-34
34. Kramer M, Schmalenberg C: Securing "good" nurse/physician relationships. Nurs Manage 2003; 34(7):34-38
35. Baggs JG, Schmitt MH, Mushlin AI, et al: Nurse-physician collaboration and satisfaction with the decision-making process in three critical care units. Am J Crit Care 1997; 6:393-399
36. Amos MA, Hu J, Herrick CA: The impact of team building on communication and job satisfaction of nursing staff. J Nurses Staff Dev 2005; 21(1):10-16; quiz, 17-18
37. DiMeglio K, Padula C, Piatek C, et al: Group cohesion and nurse satisfaction: Examination of a team-building approach. J Nurs Adm 2005; 35:110-120
38. Heyland DK, Rocker GM, Dodek PM, et al: Family satisfaction with care in the intensive care unit: Results of a multiple center study. Crit Care Med 2002; 30:1413-1418
39. Shannon SE, Mitchell PH, Cain KC. Patients, nurses, and physicians have differing views of quality of critical care. J Nurs Scholarsh 2002; 34:173-179
40. Mitchell PH, Shannon SE, Cain KC, et al: Critical care outcomes: linking structures, processes, and organizational and clinical outcomes. Am J Crit Care 1996; 5:353-363; quiz, 364-365
41. Thomas EJ, Sexton JB, Helmreich RL: Discrepant attitudes about teamwork among critical care nurses and physicians. Crit Care Med 2003; 31:956-959
42. The Costs and Benefits of Safe Staffing Ratios: Available online at: http://www.dpeaflcio.org/policy/factsheets/fs_2004_staffratio.htm. Accessed September 13, 2004
43. Colosi ML: Rules of engagement for the nursing shortage: More registered nurses on staff leads to lower hospital costs. JONAS Healthc Law Ethics Regul 2002; 4(3):50-54
44. Curtin L: An integrated analysis of nurse staffing and related variables: Effects on patient outcomes. Online Journal of Issues in Nursing. September 30, 2003. Available at: www.nursingworld.org/ojin/topic22/tpc22_5.htm. Accessed June 3, 2004
45. Kosel KC, Olivo T: The Business Case for Workforce Stability. VHA Research Series, Volume 7. Washington, DC, Veterans Health Administration, 2002
46. Gelinas L, Bohlen C: The business case for retention. Journal of Clinical Systems Management 2002; 4(78):14-16
47. Aiken LH, Clarke SP, Sloane DM, et al: Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA 2002; 288:1987-1993
48. Needleman J, Buerhaus P, Mattke S, et al: Nurse-staffing levels and the quality of care in hospitals. N Engl J Med 2002; 346: 1715-1722
49. Thorens JB, Kaelin RM, Jolliet P, et al: Influence of the quality of nursing on the duration of weaning from mechanical ventilation in patients with chronic obstructive pulmonary disease. Crit Care Med 1995; 23: 1807-1815
50. Dugan J, Lauer E, Bouquot Z, et al: Stressful nurses: The effect on patient outcomes. J Nurs Care Qual 1996; 10:46-58
51. Tarnow-Mordi WO, Hau C, Warden A, et al: Hospital mortality in relation to staff workload: A 4-year study in an adult intensive-care unit. Lancet 2000;356:185-189
52. Tucker J, UK Neonatal Staffing Study Group: Patient volume, staffing, and workload in relation to risk-adjusted outcomes in a random stratified sample of UK neonatal intensive care units: A prospective evaluation. Lancet 2002; 359:99-107
53. Sackett DL, Spitzer WO, Gent M, et al: The Burlington randomized trial of the nurse practitioner: Health outcomes of patients. Ann Intern Med 1974; 80(2):137-142
54. Spitzer WO, Sackett DL, Sibley JC, et al: The Burlington randomized trial of the nurse practitioner. N Engl J Med 1974; 290: 251-256
55. Ackerman MH, Norsen L, Martin B, et al: Development of a model of advanced practice. Am J Crit Care 1996; 5(1):68-73
56. Counsell C, Gilbert M: Implementation of a nurse practitioner role in an acute care setting. Crit Care Nurs Clin North Am 1999; 11:277-282
57. Mick DJ, Ackerman MH: Advanced practice nursing role delineation in acute and critical care: Application of the strong model of advanced practice. Heart Lung 2000; 29: 210-221
58. Jensen L, Scherr K: Impact of the nurse practitioner role in cardiothoracic surgery. Dynamics 2004; 15(3):14-19
59. Rudy EB, Davidson LJ, Daly B, et al: Care activities and outcomes of patients cared for by acute care nurse practitioners, physician assistants, and resident physicians: A comparison. Am J Crit Care 1998; 7:267-281
60. Hoffman LA, Tasota FJ, Zullo TG, et al: Outcomes of care managed by an acute care nurse practitioner/attending physician team in a subacute medical intensive care unit. Am J Crit Care 2005; 14:121-130