Workplace culture and patient outcomes: What's the connection?

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It's a given that unit-level workplace culture influences patient care, but research is lacking on how culture connects with nursing-sensitive patient outcomes.1,2 Previous studies suggest that better patient outcomes are influenced by positive characteristics of the work environment and adequate staffing.3-6 The most studied patient outcomes are pressure injuries, falls, patient satisfaction, healthcare-associated infections, medical errors, mortality, and failure-to-rescue.7-9 Adverse outcomes not only increase the cost of care, but also inflict unnecessary harm to patients and relatives.10
The term workplace culture is defined as the unit-level culture that patients and staff experience every day.1 Nursing-sensitive outcomes are “those that are relevant, based on nurses' scope and domain of practice, and for which there is empirical evidence linking nursing inputs and interventions to the outcomes.”11 This study aims to investigate the connections between workplace culture and nursing-sensitive patient outcomes—specifically, those related to self-care, patient-centered care, complications, and adverse events.
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