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RN Workgroup Job Satisfaction and Patient Falls in Acute Care Hospital Units

Choi, JiSun PhD, RN; Boyle, Diane K. PhD, RN

Journal of Nursing Administration: November 2013 - Volume 43 - Issue 11 - p 586–591
doi: 10.1097/01.NNA.0000434509.66749.7c

OBJECTIVE: The aim of this study was to examine the relationship between registered nurse (RN) workgroup job satisfaction and patient falls on 4 types of acute care hospital units.

BACKGROUND: Although a link has been found between nurse job satisfaction and quality of patient care, little research has been conducted to examine the effect of RN job satisfaction on patient clinical outcomes in acute care hospitals.

METHODS: Random-intercept negative binomial regression analyses were performed using 2009 unit-level data from 2,763 units in 576 National Database of Nursing Quality Indicators hospitals.

RESULTS: Controlling for unit (nurse staffing, RN education, and RN unit tenure) and hospital (Magnet® status, hospital size, and teaching status) characteristics, RN workgroup job satisfaction was inversely associated with patient falls (incident rate ratio, 0.941, 95% confidence interval, 0.911-0.972).

CONCLUSIONS: Higher RN workgroup job satisfaction is significantly related to fewer patient falls on acute care hospital units.

Author Affiliations: Research Assistant Professor (Dr Choi), National Database of Nursing Quality Indicators, School of Nursing, University of Kansas; Wyoming Excellence Chair in Nursing and Professor (Dr Boyle), Fay W. Whitney School of Nursing, University of Wyoming, Laramie.

This study was conducted under a contact with the American Nurses Association

The authors declare no conflicts of interest.

Correspondence: Dr Choi, National Database of Nursing Quality Indicators, School of Nursing, University of Kansas 3901 Rainbow Blvd, MS 3060, Kansas City, KS 66160 (

© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins