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Western Journal of Nursing Research
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Article

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

Hongsoo Kim*, Elizabeth Capezuti, Marie Boltz, and Susan Fairchild

New York University College of Nursing

* To whom correspondence should be addressed. E-mail: hk489{at}nyu.edu.


  Abstract
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 sub-domains 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.

First published on March 11, 2009, doi:10.1177/0193945909331429

Western Journal of Nursing Research 2009;31:480.

A more recent version of this article appeared on June 1, 2009

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