Factors Influencing RNs' Perceptions of Quality Geriatric Care in Rural Hospitals

Daniel D. Cline, Victoria Vaughan Dickson, Christine Kovner, Marie Boltz, Ann Kolanowski, Elizabeth Capezuti

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

The rapidly aging population and their frequent use of hospital services will create substantial quality challenges in the near future. Redesigning rural hospital work environments is the key to improving the quality of care for older adults. This study explored how the work environment influences registered nurses' (RNs') perceived quality of geriatric care in rural hospitals. We used an exploratory mixed-methods research design emphasizing the qualitative data (in-depth, semi-structured interviews). Quantitative data (questionnaire) measuring the RN work environment were also collected to augment qualitative data. Four themes emerged: (a) collegial RN relationships, (b) poor staffing/utilization, (c) technology benefits/challenges, and (d) RN-physician interactions, which were identified as key factors influencing the quality of geriatric care. We concluded that rural hospital work environments may not be optimized to facilitate the delivery of quality geriatric care. Targeted interventions are needed to improve overall quality of care for hospitalized older adults in rural settings.

Original languageEnglish (US)
Pages (from-to)748-768
Number of pages21
JournalWestern Journal of Nursing Research
Volume36
Issue number6
DOIs
StatePublished - Jan 1 2014

Fingerprint

Rural Hospitals
Quality of Health Care
Geriatrics
Nurses
Research Design
Interviews
Technology
Physicians
Population

All Science Journal Classification (ASJC) codes

  • Nursing(all)

Cite this

Cline, Daniel D. ; Dickson, Victoria Vaughan ; Kovner, Christine ; Boltz, Marie ; Kolanowski, Ann ; Capezuti, Elizabeth. / Factors Influencing RNs' Perceptions of Quality Geriatric Care in Rural Hospitals. In: Western Journal of Nursing Research. 2014 ; Vol. 36, No. 6. pp. 748-768.
@article{b8bde581cfff4eaab8febeea1f5b04e1,
title = "Factors Influencing RNs' Perceptions of Quality Geriatric Care in Rural Hospitals",
abstract = "The rapidly aging population and their frequent use of hospital services will create substantial quality challenges in the near future. Redesigning rural hospital work environments is the key to improving the quality of care for older adults. This study explored how the work environment influences registered nurses' (RNs') perceived quality of geriatric care in rural hospitals. We used an exploratory mixed-methods research design emphasizing the qualitative data (in-depth, semi-structured interviews). Quantitative data (questionnaire) measuring the RN work environment were also collected to augment qualitative data. Four themes emerged: (a) collegial RN relationships, (b) poor staffing/utilization, (c) technology benefits/challenges, and (d) RN-physician interactions, which were identified as key factors influencing the quality of geriatric care. We concluded that rural hospital work environments may not be optimized to facilitate the delivery of quality geriatric care. Targeted interventions are needed to improve overall quality of care for hospitalized older adults in rural settings.",
author = "Cline, {Daniel D.} and Dickson, {Victoria Vaughan} and Christine Kovner and Marie Boltz and Ann Kolanowski and Elizabeth Capezuti",
year = "2014",
month = "1",
day = "1",
doi = "10.1177/0193945913513505",
language = "English (US)",
volume = "36",
pages = "748--768",
journal = "Western Journal of Nursing Research",
issn = "0193-9459",
publisher = "SAGE Publications Inc.",
number = "6",

}

Factors Influencing RNs' Perceptions of Quality Geriatric Care in Rural Hospitals. / Cline, Daniel D.; Dickson, Victoria Vaughan; Kovner, Christine; Boltz, Marie; Kolanowski, Ann; Capezuti, Elizabeth.

In: Western Journal of Nursing Research, Vol. 36, No. 6, 01.01.2014, p. 748-768.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Factors Influencing RNs' Perceptions of Quality Geriatric Care in Rural Hospitals

AU - Cline, Daniel D.

AU - Dickson, Victoria Vaughan

AU - Kovner, Christine

AU - Boltz, Marie

AU - Kolanowski, Ann

AU - Capezuti, Elizabeth

PY - 2014/1/1

Y1 - 2014/1/1

N2 - The rapidly aging population and their frequent use of hospital services will create substantial quality challenges in the near future. Redesigning rural hospital work environments is the key to improving the quality of care for older adults. This study explored how the work environment influences registered nurses' (RNs') perceived quality of geriatric care in rural hospitals. We used an exploratory mixed-methods research design emphasizing the qualitative data (in-depth, semi-structured interviews). Quantitative data (questionnaire) measuring the RN work environment were also collected to augment qualitative data. Four themes emerged: (a) collegial RN relationships, (b) poor staffing/utilization, (c) technology benefits/challenges, and (d) RN-physician interactions, which were identified as key factors influencing the quality of geriatric care. We concluded that rural hospital work environments may not be optimized to facilitate the delivery of quality geriatric care. Targeted interventions are needed to improve overall quality of care for hospitalized older adults in rural settings.

AB - The rapidly aging population and their frequent use of hospital services will create substantial quality challenges in the near future. Redesigning rural hospital work environments is the key to improving the quality of care for older adults. This study explored how the work environment influences registered nurses' (RNs') perceived quality of geriatric care in rural hospitals. We used an exploratory mixed-methods research design emphasizing the qualitative data (in-depth, semi-structured interviews). Quantitative data (questionnaire) measuring the RN work environment were also collected to augment qualitative data. Four themes emerged: (a) collegial RN relationships, (b) poor staffing/utilization, (c) technology benefits/challenges, and (d) RN-physician interactions, which were identified as key factors influencing the quality of geriatric care. We concluded that rural hospital work environments may not be optimized to facilitate the delivery of quality geriatric care. Targeted interventions are needed to improve overall quality of care for hospitalized older adults in rural settings.

UR - http://www.scopus.com/inward/record.url?scp=84901425745&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84901425745&partnerID=8YFLogxK

U2 - 10.1177/0193945913513505

DO - 10.1177/0193945913513505

M3 - Article

VL - 36

SP - 748

EP - 768

JO - Western Journal of Nursing Research

JF - Western Journal of Nursing Research

SN - 0193-9459

IS - 6

ER -