PICOTStatement

PICOTStatement

Evidence has linked poor hospital working environments to a highturnover rate among nurses. Nursing turnover is an expensive affairfor hospitals since it results in shortage of nurses. Hospitals areexamining ways through which they can change the environment toimprove the outcome of nurses as they execute duties assigned tothem.

PICOT question

Among (P) nurses providing services in a typical healthcare center(I) how does a healthy work environment (C) compared to a non-healthywork environment (O) reduce high nurse turnover (T) over aneight-month trial period?

Annotated Bibliography Summaries

Applebaum, D.,Fowler, S., Fiedler, N., Osinubi, O., &amp Robson, M. (2010). TheImpact of

EnvironmentalFactors on Nursing Stress, Job Satisfaction, and Turnover Intention.

TheJournal of Nursing Administration, 40(0),323–328.

http://doi.org/10.1097/NNA.0b013e3181e9393b

Accesspath

In searching for the source, the words “PubMed Central” weretyped in Google search engine. The link was opened and while inPubMed Central, the keywords “relationship between work environmentand nurse turnover rates” were typed in the search dialog box.Numerous results were provided, and the source was chosen since ithad the primary key terms.

The title relates to the topic since it brings out the relationshipbetween the work environment and turnover intention among nurses.

The researchers selected one hundred and sixteen nurses toparticipate in the study. They provided a questionnaire withthirty-six items that addressed aspects of noise, light, color, odor,job satisfaction, turnover intention and perceived stress to beanswered.

TraceAnalysis

The author seeks to illustrate the impact of the working environmentof nurses to turnover intentions.

The intended audience could be the policy makers especially thegovernment through the ministry of health, hospital administratorsand nurses affected by the same. The author uses a table to summarizethe results of the study.

The researchers are experts in the field with each of them holdingdoctorate degrees in the respective areas of specialization. Dr.Robson is a Professor of Entomology at The State University of NewJersey.

The article was easy to read and understand. It has been publishedwithin a timeframe of six years making it an up-to-date paper.

The researchers have included the purpose of their study, methodsused, results and conclusions based on their findings.

The authors highlight the problem statement by acknowledging thepositive or negative influence on a nurse’s stress condition andjob satisfaction on their decision to quit service.

They conclude that the physical environment dictates the decision bya nurse to leave or change jobs. Researchers identify need toeliminate stressful environmental factors to reduce turnover amongnurses.

Conclusion

The article is relevant since it explains the relationship betweenthe working environment of nurses and turnover intention. It isessential in solving the PICOT question because of its relevance.

BAERNHOLDT,M., &amp MARK, B. A. (2009). The nurse work environment, job

satisfactionand turnover rates in rural and urban nursing units. Journalof Nursing

Management,17(8), 994–1001.http://doi.org/10.1111/j.1365-2834.2009.01027.x

AccessPath

In searching for the source, the words “pubmed central” weretyped in Google search engine. The link was opened and while inpubmed Central, the keywords “relationship between work environmentand nurse turnover rates” were typed in the search dialog box.Numerous results were provided, and the source was chosen since ithad the primary key terms.

The title links to the topic since it brings out the relationshipbetween the work environment and turnover intention among nurses.

The researchers conduct a study on both rural and urban nurses todetermine the relationship between the work environment, nursingcharacteristics, and turnover rates.

TraceAnalysis

The author seeks to illustrate effects of working environment ofnurses, nurse characteristics and turnover rates.

The intended audience is government health officials both at County,State, and Federal levels.

The researchers are experts in the field. They both hold doctoratedegrees are indicating the level of their expertise.

The article was easy to read. It was published in the year 2009meaning it is not entirely up-to-date but could be relevant.

The researchers have included the background, method, and results oftheir study. No conclusions were presented.

The authors highlight do not state the problem statement but statethat little research has been conducted in the rural hospitals.

They do not offer conclusive remarks since the article ends with theresults of their findings.

Conclusion

The article is relevant to solving the PICOT question since itfocuses on the aspect of the work environment and the effect it hason nurse turnover rate. It can be used extensively for the insightsit offers on the subject.

Liu, K., You,L.-M., Chen, S.-X., Hao, Y.-T., Zhu, X.-W., Zhang, L.-F., &ampAiken, L. H.

(2012). Therelationship between hospital work environment and nurse outcomes in

Guangdong,China: a nurse questionnaire survey. Journal of ClinicalNursing, 21(9-

10),1476–1485. http://doi.org/10.1111/j.1365-2702.2011.03991.x

Accesspath

In searching for the source, the words “PubMed Central” weretyped in Google search engine. The link was opened and while inpubmed Central, the keywords “relationship between work environmentand nurse turnover rates” were typed in the search dialog box.Numerous results were provided, and the source was chosen since ithad the primary key terms.

The title relates to the topic since it brings out the relationshipbetween the work environment and nursing outcomes.

The researchers conduct a study to determine the relationship betweenthe work environment, job satisfaction, burnout and the intention ofnurses to leave.

TraceAnalysis

The authors examine the impact of job satisfaction, workingenvironment of nurses, burnout, and nursing outcomes.

The intended audience could be the Chinese government healthofficials both at national and provincial level. The authors usetables when presenting their results.

The researchers are experts in the field. They hold doctorate degreesand are Associate Professor`s meaning they have experience in thearea of study.

The article was easy to comprehend. It was published in the year 2012indicating that it is current.

The researchers have included the aims, background, design, methods,results and conclusions of their study.

The authors state that nursing shortage is a global problem and anissue of concern, especially in China. It is a matter of significancenegating the need to come up with ways of addressing the same.

They conclude that the nursing work environments should be improvedfor positive outcomes in service delivery. Further, researchers statethe need to introduce measures to improve job satisfaction among thenurses.

Conclusion

The article is relevant to solving the PICOT question because itfocuses on the topic which is understanding the impact of workenvironment on nurse turnover rate. It can be used extensively forthe insights it offers on the subject.

References

Applebaum, D., Fowler, S., Fiedler, N., Osinubi, O., &amp Robson, M.(2010). The Impact of Environmental Factors on Nursing Stress, JobSatisfaction, and Turnover Intention. The Journal of NursingAdministration, 40(0), 323–328.http://doi.org/10.1097/NNA.0b013e3181e9393b

BAERNHOLDT, M., &amp MARK, B. A. (2009). The nurse work environment,job satisfaction and turnover rates in rural and urban nursing units.Journal of Nursing Management, 17(8), 994–1001.http://doi.org/10.1111/j.1365-2834.2009.01027.x

Liu, K., You, L.-M., Chen, S.-X., Hao, Y.-T., Zhu, X.-W., Zhang,L.-F., &amp Aiken, L. H. (2012). The relationship between hospitalwork environment and nurse outcomes in Guangdong, China: a nursequestionnaire survey. Journal of Clinical Nursing, 21(9-10),1476–1485. http://doi.org/10.1111/j.1365-2702.2011.03991.x