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Western Journal of Nursing Research
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The Nursing Practice Environment and Nurse-Perceived Quality of Geriatric Care in Hospitals

Hongsoo Kim

New York University College of Nursing, hk489{at}nyu.edu

Elizabeth Capezuti

New York University College of Nursing

Marie Boltz

New York University College of Nursing

Susan Fairchild

New York University College of Nursing

The relationships between general and geriatric-specific nursing practice environments (NPEs) and nurse-perceived quality of geriatric care in hospitals were examined using the Nurses Improving Care for Healthsystems Elders benchmarking database. The overall general NPE was negatively related, but the overall geriatric-specific NPE was positively related to quality of geriatric care. Among five subdomains of the general NPE measured by the Practice Environment Scale of the Nursing Work Index, Nurse Participation in Hospital Affairs was positively related to quality of geriatric care, whereas two subdomains were not significant, and another two were negatively related to quality of geriatric care. All three subdomains of the geriatric-specific NPE measured by the Geriatric Nursing Practice Environment scale were positively related to quality of geriatric care when adjusting for general NPE. These findings suggest geriatric-specific organizational support combined with nurse involvement in hospital decision making is critical for delivering quality geriatric care.

Key Words: geriatric care environment • nursing practice environment • quality of geriatric care • hospitals

This version was published on June 1, 2009

Western Journal of Nursing Research, Vol. 31, No. 4, 480-495 (2009)
DOI: 10.1177/0193945909331429
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