Commitment and communication: keys to minimizing attrition in multisite longitudinal organizational studies.
Commitment and communication: keys to minimizing attrition in multisite longitudinal organizational studies.
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承诺和沟通：在多地点纵向组织研究中最大限度地减少人员流失的关键。
DOI：
10.1097/00006199-199803000-00012
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发表时间：
1998
期刊：
影响因子：
2.5
通讯作者：
Mark,BA
中科院分区：
文献类型：
--
作者：
Salyer,J;Geddes,N;Smith,CS;Mark,BA
医疗保健环境的快速变化导致组织通过随着时间的推移改变其结构来应对这些变化。因此，纵向研究是研究这些变化对组织及其下属单位的影响的适当方法。然而，小组减员对这些研究结果的内部和外部有效性构成了严重威胁（Menaro，1991; Mohr，1992）。虽然在以个人为分析单位时特别注意防止减员的问题（Given，Keilman，柯林斯，& Given，1990; Weinert & Burman，1996），很少或根本没有注意到组织研究中的问题或解决方案。护理管理结果研究（ORNA）项目是一个联邦政府资助的纵向，一项非实验性因果模型研究，旨在检查医院特征之间的关系（教学状况、规模、组织生命周期和组织技术）、护理单元特征（技能组合、教育、单位生命周期和单位技术）和护理单位组织结构（权力下放、自主权、护士-医生合作以及支持服务的可用性和响应性）与患者结果（福尔斯、用药错误和患者满意度）和管理结果（护士满意度、团队绩效、营业额和成本效率）的关系。该研究在美国东南部、德克萨斯州和哥伦比亚特区的67家经卫生保健组织认证的综合短期、非联邦、非精神病医院进行，这些医院的床位超过150张。入选后承诺和研究团队与研究协调员之间的持续沟通导致除11%外的所有护理单位的护士应答率≥ 70%。只有两家医院和一个其他单位退出了研究后纳入。除4个单位外，所有单位的患者问卷回答率均大于或等于80%。
Rapid changes in the health care environment are causing organizations to respond to these changes by altering their structures over time. Longitudinal studies, therefore, are appropriate methods for studying the impact of these changes on both the organization and its subunits. However, panel attrition poses a serious threat to both internal and external validity of the findings of these studies (Menaro, 1991; Mohr, 1992). Although specific attention has been paid to the problem of preventing attrition when the individual is the unit of analysis (Given, Keilman, Collins, & Given, 1990; Weinert & Burman, 1996), little or no attention has been devoted to the problems or solutions in organizational studies.The Outcomes Research in Nursing Administration (ORNA) Project is a federally funded longitudinal, nonexperimental causal modeling study that examines the relationship among hospital characteristics (teaching status, size, organizational life cycle, and organizational technology), nursing unit characteristics (skill mix, education, unit life cycle, and unit technology), and nursing unit organizational structure (decentralization, autonomy, nurse-physician collaboration, and the availability and responsiveness of support services) with both patient outcomes (falls, medication errors, and patient satisfaction) and administrative outcomes (nurse satisfaction, team performance, turnover, and cost-efficiency). The study is being conducted at 67 Joint Commission on Accreditation of Health Care Organization accredited general short-term, nonfederal, nonpsychiatric hospitals with greater than 150 beds located in the southeastern United States, Texas, and the District of Columbia. Postinclusion commitment and ongoing communication between the research team and the study coordinators resulted in≥ 70% response rates by staff nurses on all but 11% of nursing units. Only two hospitals and one other unit dropped out of the study postinclusion. Greater than or equal to 80% response rates on patient questionnaires were achieved on all but four units.
影响因子：
1.8
作者：
C. Weinert;M. Burman
通讯作者：
M. Burman
最大限度地减少纵向研究中的损耗的策略。
影响因子：
2.5
作者：
B. Given;L. Keilman;C. Collins;C. Given
通讯作者：
C. Given