Predictive factors influencing nursing outcomes perceived by registered nurses in cardiothoracic surgery intensive care units

Abstract

     This research aimed to study nursing outcomes perceived by Registered Nurses (RNs) working in Cardiothoracic Surgery Intensive Care Units (ICU-CVT) at seven tertiary hospitals of northeastern Thailand and to study the predictive power of personal factors, nurse competency, and teamwork on nursing outcomes. The study sample was 131 RNs working in ICU-CVT and having work experience of at least one year. The research instruments consisted of three questionnaires which were nurse competency, teamwork, and nursing outcomes of ICU-CVT. Data were analyzed by calculating percentage, mean, standard deviation, Pearson’s product-moment correlation, and stepwise multiple regression analysis.

     Results found from this study were that in the ICU-CVT, overall scores of nursing outcomes perceived by RNs were at the highest level (M=4.56, S.D.=0.50). The total competency of RNs was at a high level (M= 4.25, S.D.= 0.45). Teamwork perceived by RNs was at the highest level (M=4.55, S.D.=0.40). The nurse competency and the teamwork factors were able to predict nursing outcomes perceived by RNs in the ICU-CVT at the significant level of 0.05 (p-value< 0.05). The model’s degree of explaining variance in the perceived nursing outcomes was 42.6% (R = .648, R2= .419, R2 Adjusted = .410, F= 45.62, p value<0.05)

     This study suggests that nurse administrators should apply these factors to improve nurses’ competency to enhance nursing outcomes in Cardiothoracic Surgery Intensive Care Units.