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Integrated Employee Occupational Health and Organizational-Level Registered Nurse Outcomes

Mohr, David C. PhD; Schult, Tamara PhD, MPH; Eaton, Jennifer Lipkowitz MD, MPH; Awosika, Ebi MD, MPH; McPhaul, Kathleen M. RN, PhD, MPH, COHN-S

Journal of Occupational and Environmental Medicine: May 2016 - Volume 58 - Issue 5 - p 466–470
doi: 10.1097/JOM.0000000000000696

Objective: The study examined organizational culture, structural supports, and employee health program integration influence on registered nurse (RN) outcomes.

Methods: An organizational health survey, employee health clinical operations survey, employee attitudes survey, and administration data were collected. Multivariate regression models examined outcomes of sick leave, leave without pay, voluntary turnover, intention to leave, and organizational culture using 122 medical centers.

Results: Lower staffing ratios were associated with greater sick leave, higher turnover, and intention to leave. Safety climate was favorably associated with each of the five outcomes. Both onsite employee occupational health services and a robust health promotion program were associated with more positive organizational culture perceptions.

Conclusions: Findings highlight the positive influence of integrating employee health and health promotion services on organizational health outcomes. Attention to promoting employee health may benefit organizations in multiple, synergistic ways.

Center for Healthcare Organization and Implementation Research (CHOIR), the Boston VA Healthcare System (Dr Mohr), Boston University School of Public Health, Massachusetts (Dr Mohr), and Veterans Health Administration, Office of Public Health, Occupational Health (Drs Schult, Eaton, Awosika, McPhaul), Washington, DC.

Address correspondence to: David C. Mohr, PhD, VA Boston Healthcare System, Boston, MA 02130 (

This material is based upon work supported (or supported in part) by the Department of Veterans Affairs, Veterans Health Administration, Office of Research, and Development and Health Services Research and Development (IR 08-067).

The authors report no conflicts of interest. The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the United States government.

Copyright © 2016 by the American College of Occupational and Environmental Medicine