The purpose of this study was to determine the prevalence, origins, and forms of workplace violence reported by nurses working in acute-care settings in the Canadian province of Quebec. The Quebec health-care system is currently undergoing a shortage of qualified nurses that has resulted in an oppressive work environment marked by violence towards nurses.A descriptive study design was used with a sample of 181 nurses (out of a possible 300).The data, collected in 2003 using a French translation of the Workplace Violence Events Questionnaire, show that 86.5% of the nurses were victims of violent incidents on more than 1 occasion.The nature of the abuse was physical (10.6%), psychological (86.4%), or sexual (30.7%), inflicted by a colleague (65.9%), a superior (59.6%), or a physician (59.1%). Nurses should be made aware of the prevalence of workplace violence. Preventive measures are urgently needed for the well-being of the nursing profession.
Quality improvement initiatives have expanded recently within the healthcare sector. Studies have shown that less than 40% of these initiatives are successful, indicating the need for an instrument that can measure the progress and results of quality improvement initiatives and answer questions about how quality initiatives are conducted. The aim of the present study was to develop and test an instrument to measure improvement process and outcome in Swedish healthcare.
A questionnaire, founded on the Minnesota Innovation Survey (MIS), was developed in several steps. Items were merged and answer alternatives were revised. Employees participating in a county council improvement program received the web-based questionnaire. Data was analysed by descriptive statistics and correlation analysis. The questionnaire psychometric properties were investigated and an exploratory factor analysis was conducted.
The Swedish Improvement Measurement Questionnaire consists of 27 items. The Improvement Effectiveness Outcome dimension consists of three items and has a Cronbach's alpha coefficient of 0.67. The Internal Improvement Processes dimension consists of eight sub-dimensions with a total of 24 items. Cronbach's alpha coefficient for the complete dimension was 0.72. Three significant item correlations were found. A large involvement in the improvement initiative was shown and the majority of the respondents were satisfied with their work.
The psychometric property tests suggest initial support for the questionnaire to study and evaluate quality improvement initiatives in Swedish healthcare settings. The overall satisfaction with the quality improvement initiative correlates positively to the awareness of individual responsibilities.
Cites: Qual Manag Health Care. 2003 Oct-Dec;12(4):240-914603786