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Research article summary:

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

Abstract Extract:
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 ... (Full abstract text below)

Published 2003Aug in Journal: J Emerg Nurs (Language : eng)

Full Pubmed Extract

This information was retrieved, real-time, on your behalf from the public area of the Pubmed website:

1. J Emerg Nurs. 2003 Aug;29(4):314-21

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

Wright ER, Linde B, Rau NL, Gayman M, Viggiano T

Department of Sociology, Indiana University-Purdue University Indianapolis, Cavanaugh Hall 303, 425 University Boulevard, Indianapolis, IN 46202-5140, USA. ewright@iupui.edu

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.

PMID : 12874552 [PubMed - Indexed for MEDLINE]


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Full Author Information

First NameLastNameInitials
Eric RWrightER
BeverlyLindeB
N LeelaRauNL
MathewGaymanM
TheresaViggianoT

Affiliation: Department of Sociology, Indiana University-Purdue University Indianapolis, Cavanaugh Hall 303, 425 University Boulevard, Indianapolis, IN 46202-5140, USA. ewright@iupui.edu

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MESH categories and related page links

This article was linked to the MESH categories shown on the left below. The links on the right are related Memletics pages.

Category links from this article:

  • Adult
  • Attitude of Health Personnel
  • Continental Population Groups
  • Emergency Nursing - organization & administration, statistics & numerical data
  • Emergency Service, Hospital - organization & administration, statistics & numerical data
  • Emergency Services, Psychiatric - organization & administration, statistics & numerical data
  • Female
  • Health Care Surveys
  • Health Knowledge, Attitudes, Practice
  • Hospitals, Public - organization & administration
  • Humans
  • Interprofessional Relations
  • Male
  • Mental Disorders - therapy
  • Midwestern United States
  • Organizational Culture
  • Professional Role
  • Psychiatric Nursing - organization & administration, statistics & numerical data
   

Related Memletics topics:

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