Table 2.
Patient and Nurse Outcomes by Nurse Engagement Level
| HCAHPS Outcomes (Mean,b [SD]) | Overall (N=425) |
Least engaged (n=13) |
Somewhat engaged (n=80) |
Moderately engaged (n=155) |
Most engaged (n=177) |
Pa |
|---|---|---|---|---|---|---|
| Patients would definitely recommend the hospital |
64.3 (9.9) | 53.7 (10.3) | 59.5 (9.4) | 63.6 (8.7) | 68.0 (9.4) | <0.001 |
| Patients gave a rating of 9 or 10 (high) | 59.3 (8.9) | 49.1 (10.3) | 54.9 (8.3) | 58.8 (7.7) | 62.4 (8.5) | <0.001 |
| Nurses always communicated well | 68.6 (6.9) | 63 (8.1) | 66.1 (6.8) | 68.8 (6.9) | 70.0 (6.3) | <0.001 |
| Patients always received help as soon as they wanted |
55.0 (7.7) | 49.6 (10.1) | 53.2 (7.7) | 54.8 (7.9) | 56.3 (6.9) | <0.01 |
| Staff always explained medications | 53.5 (6.1) | 47.5 (6.9) | 50.9 (6.5) | 53.5 (6.0) | 55.2 (5.3) | <0.001 |
| Pain was always well controlled | 64.3 (5.8) | 59.1 (6.5) | 62.8 (6.5) | 64.5 (5.8) | 65.2 (5.2) | <0.001 |
|
| ||||||
| Nurse Job Outcomes (n, %)c | Overall (N=20,674) |
Least engaged (n=3,193) |
Somewhat engaged (n=3,536) |
Moderately engaged (n=3,496) |
Most engaged (n=10,449) |
Pa |
|
| ||||||
| Very dissatisfied with job | 4959 (24%) | 1326 (43%) | 1280 (37%) | 1024 (30%) | 1329 (13%) | <0.001 |
| High burnout | 6832 (33%) | 1604 (52%) | 1583 (45%) | 1311 (38%) | 2334 (23%) | <0.001 |
| Do not plan to be with employer in a year | 2738 (13%) | 769 (24%) | 624 (18%) | 490 (14%) | 855 (8%) | <0.001 |
|
| ||||||
| Nurse-Reported Quality of Care (n,%)c | ||||||
|
| ||||||
| Describe quality of care on unit as fair or poor | 3030 (15%) | 974 (33%) | 799 (23%) | 500 (15%) | 757 (8%) | <0.001 |
| Overall grade on patient safety is poor or failing |
1184 (6%) | 463 (15%) | 347 (10%) | 173 (5%) | 201 (2%) | <0.001 |
| Not at all confident patient can manage care when discharged |
8471 (45%) | 1775 (63%) | 1893 (58%) | 1539 (48%) | 3264 (34%) | <0.001 |
| Not confident management will resolve problems in patient care |
11296 (55%) | 2463 (77%) | 2646 (75%) | 2153 (62%) | 4034 (39%) | <0.001 |
Notes:
* P values generated from χ2 for categorical variables, and F-test (analysis of variance) for continuous variables
b
Mean represents hospital-level percentage of patients reporting the given outcome.
c
Percentages represent percent of nurses in each category reporting the given outcome.
Abbreviation: SD, standard deviation.