Rural hospital nursing

Results of a national survey of nurse executives

Robin Newhouse, Laura Morlock, Peter Pronovost, Sara Breckenridge Sproat

Research output: Contribution to journalReview article

15 Citations (Scopus)

Abstract

OBJECTIVE: The objective of the study was to describe nursing characteristics in small and larger rural hospitals and determine whether differences exist in market, hospital, and nursing characteristics. BACKGROUND: A better description of nursing in rural settings is needed to understand the work context. METHODS: A national sample of rural hospital nurse executives (n ≤ 280) completed the Nurse Environment Survey and Essentials of Magnetism instrument. RESULTS: Larger rural hospitals are more likely than small hospitals to have a clinical ladder (32.4% vs 19.4%), more baccalaureate-prepared RNs (20.8% vs 17.1%), greater perceived economic (mean, 9.5 vs 8.5) and external influences (mean, 41.1 vs 39.8), lower shared vision among hospital staff (mean, 18.4 vs 19.4), and higher levels of quality and safety engagement (mean, 16.9 vs 16.1). Most nurses employed in rural hospitals are educated at the associate degree (77.4%) level. CONCLUSIONS: Contextual differences exist between small and larger rural hospitals. To promote the best patient outcomes, attention to contextual differences is needed to tailor nursing interventions to fit the resources, environment, and patient needs in a given healthcare setting.

Original languageEnglish (US)
Pages (from-to)129-137
Number of pages9
JournalJournal of Nursing Administration
Volume41
Issue number3
DOIs
StatePublished - Mar 2011
Externally publishedYes

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Rural Nursing
Rural Hospitals
Nurse Administrators
Nursing
Career Mobility
Nurses
Economics
Surveys and Questionnaires
Delivery of Health Care
Safety

ASJC Scopus subject areas

  • Leadership and Management

Cite this

Rural hospital nursing : Results of a national survey of nurse executives. / Newhouse, Robin; Morlock, Laura; Pronovost, Peter; Breckenridge Sproat, Sara.

In: Journal of Nursing Administration, Vol. 41, No. 3, 03.2011, p. 129-137.

Research output: Contribution to journalReview article

Newhouse, Robin ; Morlock, Laura ; Pronovost, Peter ; Breckenridge Sproat, Sara. / Rural hospital nursing : Results of a national survey of nurse executives. In: Journal of Nursing Administration. 2011 ; Vol. 41, No. 3. pp. 129-137.
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