The effect of organizational climate on the clinical care of patients with mental health problems

Eric R. Wright, Beverly Linde, N. Leela Rau, Mathew Gayman, Theresa Viggiano

    Research output: Contribution to journalArticle

    21 Citations (Scopus)

    Abstract

    Introduction: During the past 3 decades, the number of patients with serious mental health problems seeking care in general hospital emergency departments has increased exponentially, with special clinical challenges. This study examines the effect of organizational climate - the subjective perceptions of staff regarding the work environment - on ED staff members' attitudes toward patients with mental health problems, as well as the effect on the clinical care of these patients. Methods: The data for this study came from a written survey of 109 emergency nurses and other clinical staff employed in a general public hospital emergency department in a midwestern city (response rate = 67.9%). Results: The findings indicate that the emergency nurses and other clinical staff who view their working conditions positively report having more frequent contact and providing a greater variety of interventions to patients with psychiatric problems. Staff members who believed that their clinical work roles and expectations are poorly defined were those least likely to interact with this patient population. Discussion: The findings indicate that organizational processes seem to have an impact on the delivery of clinical care, as well as caregivers' attitudes about this patient population. This finding underlines the importance of addressing organizational climate in emergency departments as part of an effort to improve the quality of care for patients with mental health problems.

    Original languageEnglish
    Pages (from-to)314-321
    Number of pages8
    JournalJournal of Emergency Nursing
    Volume29
    Issue number4
    DOIs
    StatePublished - Aug 2003

    Fingerprint

    Patient Care
    Mental Health
    Hospital Emergency Service
    Hospital Departments
    General Hospitals
    Emergencies
    Nurses
    Attitude of Health Personnel
    Quality of Health Care
    Public Hospitals
    Caregivers
    Population
    Psychiatry

    ASJC Scopus subject areas

    • Nursing(all)

    Cite this

    The effect of organizational climate on the clinical care of patients with mental health problems. / Wright, Eric R.; Linde, Beverly; Rau, N. Leela; Gayman, Mathew; Viggiano, Theresa.

    In: Journal of Emergency Nursing, Vol. 29, No. 4, 08.2003, p. 314-321.

    Research output: Contribution to journalArticle

    Wright, Eric R. ; Linde, Beverly ; Rau, N. Leela ; Gayman, Mathew ; Viggiano, Theresa. / The effect of organizational climate on the clinical care of patients with mental health problems. In: Journal of Emergency Nursing. 2003 ; Vol. 29, No. 4. pp. 314-321.
    @article{05633b20a952422cbc1db1216f478123,
    title = "The effect of organizational climate on the clinical care of patients with mental health problems",
    abstract = "Introduction: During the past 3 decades, the number of patients with serious mental health problems seeking care in general hospital emergency departments has increased exponentially, with special clinical challenges. This study examines the effect of organizational climate - the subjective perceptions of staff regarding the work environment - on ED staff members' attitudes toward patients with mental health problems, as well as the effect on the clinical care of these patients. Methods: The data for this study came from a written survey of 109 emergency nurses and other clinical staff employed in a general public hospital emergency department in a midwestern city (response rate = 67.9{\%}). Results: The findings indicate that the emergency nurses and other clinical staff who view their working conditions positively report having more frequent contact and providing a greater variety of interventions to patients with psychiatric problems. Staff members who believed that their clinical work roles and expectations are poorly defined were those least likely to interact with this patient population. Discussion: The findings indicate that organizational processes seem to have an impact on the delivery of clinical care, as well as caregivers' attitudes about this patient population. This finding underlines the importance of addressing organizational climate in emergency departments as part of an effort to improve the quality of care for patients with mental health problems.",
    author = "Wright, {Eric R.} and Beverly Linde and Rau, {N. Leela} and Mathew Gayman and Theresa Viggiano",
    year = "2003",
    month = "8",
    doi = "10.1067/men.2003.103",
    language = "English",
    volume = "29",
    pages = "314--321",
    journal = "Journal of Emergency Nursing",
    issn = "0099-1767",
    publisher = "Mosby Inc.",
    number = "4",

    }

    TY - JOUR

    T1 - The effect of organizational climate on the clinical care of patients with mental health problems

    AU - Wright, Eric R.

    AU - Linde, Beverly

    AU - Rau, N. Leela

    AU - Gayman, Mathew

    AU - Viggiano, Theresa

    PY - 2003/8

    Y1 - 2003/8

    N2 - Introduction: During the past 3 decades, the number of patients with serious mental health problems seeking care in general hospital emergency departments has increased exponentially, with special clinical challenges. This study examines the effect of organizational climate - the subjective perceptions of staff regarding the work environment - on ED staff members' attitudes toward patients with mental health problems, as well as the effect on the clinical care of these patients. Methods: The data for this study came from a written survey of 109 emergency nurses and other clinical staff employed in a general public hospital emergency department in a midwestern city (response rate = 67.9%). Results: The findings indicate that the emergency nurses and other clinical staff who view their working conditions positively report having more frequent contact and providing a greater variety of interventions to patients with psychiatric problems. Staff members who believed that their clinical work roles and expectations are poorly defined were those least likely to interact with this patient population. Discussion: The findings indicate that organizational processes seem to have an impact on the delivery of clinical care, as well as caregivers' attitudes about this patient population. This finding underlines the importance of addressing organizational climate in emergency departments as part of an effort to improve the quality of care for patients with mental health problems.

    AB - Introduction: During the past 3 decades, the number of patients with serious mental health problems seeking care in general hospital emergency departments has increased exponentially, with special clinical challenges. This study examines the effect of organizational climate - the subjective perceptions of staff regarding the work environment - on ED staff members' attitudes toward patients with mental health problems, as well as the effect on the clinical care of these patients. Methods: The data for this study came from a written survey of 109 emergency nurses and other clinical staff employed in a general public hospital emergency department in a midwestern city (response rate = 67.9%). Results: The findings indicate that the emergency nurses and other clinical staff who view their working conditions positively report having more frequent contact and providing a greater variety of interventions to patients with psychiatric problems. Staff members who believed that their clinical work roles and expectations are poorly defined were those least likely to interact with this patient population. Discussion: The findings indicate that organizational processes seem to have an impact on the delivery of clinical care, as well as caregivers' attitudes about this patient population. This finding underlines the importance of addressing organizational climate in emergency departments as part of an effort to improve the quality of care for patients with mental health problems.

    UR - http://www.scopus.com/inward/record.url?scp=0041508901&partnerID=8YFLogxK

    UR - http://www.scopus.com/inward/citedby.url?scp=0041508901&partnerID=8YFLogxK

    U2 - 10.1067/men.2003.103

    DO - 10.1067/men.2003.103

    M3 - Article

    VL - 29

    SP - 314

    EP - 321

    JO - Journal of Emergency Nursing

    JF - Journal of Emergency Nursing

    SN - 0099-1767

    IS - 4

    ER -