PURPOSE: To test the relationship between nurses' perceptions of the geriatric nurse practice environment (GNPE) and perceptions of geriatric-care delivery, and geriatric nursing knowledge. DESIGN: A secondary analysis of data collected by the New York University Hartford Institute Benchmarking Service staff using a retrospective, cross-sectional, design. METHODS: Responses of 9,802 direct-care registered nurses from 75 acute-care hospitals in the US that administered the GIAP (Geriatric Institutional Assessment Profile) from January 1997 to December 2005 were analyzed using linear mixed effects modeling to explore associations between variables while controlling for potential covariates. FINDINGS: Controlling for hospital and nurse characteristics, a positive geriatric nurse practice environment was associated with positive geriatric care delivery (F=4,686, p<.0001) but not geriatric nursing knowledge. The independent contribution of all three dimensions of the geriatric nurse practice environment (resource availability, institutional values, and capacity for collaboration) influences care delivery for hospitalized older-adult patients. CONCLUSIONS: Organizational support for geriatric nursing is an important influence upon quality of geriatric care. CLINICAL RELEVANCE: Hospitals that utilize an organizational approach addressing the multifaceted nature of the GNPE are more likely to improve the hospital experience of older adults.
PURPOSE: To test the relationship between nurses' perceptions of the geriatric nurse practice environment (GNPE) and perceptions of geriatric-care delivery, and geriatric nursing knowledge. DESIGN: A secondary analysis of data collected by the New York University Hartford Institute Benchmarking Service staff using a retrospective, cross-sectional, design. METHODS: Responses of 9,802 direct-care registered nurses from 75 acute-care hospitals in the US that administered the GIAP (Geriatric Institutional Assessment Profile) from January 1997 to December 2005 were analyzed using linear mixed effects modeling to explore associations between variables while controlling for potential covariates. FINDINGS: Controlling for hospital and nurse characteristics, a positive geriatric nurse practice environment was associated with positive geriatric care delivery (F=4,686, p<.0001) but not geriatric nursing knowledge. The independent contribution of all three dimensions of the geriatric nurse practice environment (resource availability, institutional values, and capacity for collaboration) influences care delivery for hospitalized older-adult patients. CONCLUSIONS: Organizational support for geriatric nursing is an important influence upon quality of geriatric care. CLINICAL RELEVANCE: Hospitals that utilize an organizational approach addressing the multifaceted nature of the GNPE are more likely to improve the hospital experience of older adults.
Authors: Marie Boltz; Elizabeth Capezuti; Joseph Shuluk; Julianna Brouwer; Deirdre Carolan; Shirley Conway; Sue DeRosa; Rita LaReau; Denise Lyons; Sue Nickoley; Tyleen Smith; James E Galvin Journal: Nurs Health Sci Date: 2013-05-09 Impact factor: 1.857
Authors: Linda H Aiken; Jeannie P Cimiotti; Douglas M Sloane; Herbert L Smith; Linda Flynn; Donna F Neff Journal: Med Care Date: 2011-12 Impact factor: 2.983
Authors: João Paulo de Almeida Tavares; Alcione Leite da Silva; Pedro Sá-Couto; Marie Boltz; Elizabeth Capezuti Journal: Rev Lat Am Enfermagem Date: 2017-10-19
Authors: João Paulo de Almeida Tavares; Alcione Leite da Silva; Pedro Sá-Couto; Marie Boltz; Elizabeth Capezuti Journal: Curr Gerontol Geriatr Res Date: 2013-05-28
Authors: Elizabeth Capezuti; Marie Boltz; Daniel Cline; Victoria Vaughn Dickson; Marie-Claire Rosenberg; Laura Wagner; Joseph Shuluk; Cindy Nigolian Journal: J Clin Nurs Date: 2012-11 Impact factor: 3.036