Background
Methods
Design and study population
N
| Cronbach’s α | % of Total | ||
---|---|---|---|---|
Caregiver Type Name | Registered Nurse | 2797 | .867 | 35.3% |
Technologist/Technician (e.g., Surg., Lab, Rad) | 1036 | .852 | 13.1% | |
Clinical Support (CMA, EMT, Nurses Aide, etc.) | 890 | .853 | 11.2% | |
Admin Support (Clerk/Secretary/Receptionist) | 664 | .846 | 8.4% | |
Therapist (RT, PT, OT, Speech) | 555 | .869 | 7.0% | |
Other | 455 | .875 | 5.7% | |
Nurse Manager/Charge Nurse | 318 | .849 | 4.0% | |
LVN/LPN | 233 | .808 | 2.9% | |
Attending/Staff Physician | 230 | .859 | 2.9% | |
Other Manager (e.g., Clinic Manager) | 110 | .835 | 1.4% | |
Pharmacist | 101 | .882 | 1.3% | |
Resident Physician | 54 | .882 | .7% | |
Physician Assistant/Nurse Practitioner | 52 | .914 | .7% | |
Clinical Social Worker | 48 | .913 | .6% | |
Environmental Support (Housekeeper) | 42 | .865 | .5% | |
Dietician/Nutritionist | 41 | .893 | .5% | |
Fellow Physician | 4 | .860 | .1% | |
Missing | 293 | .868 | 3.7% | |
Gender | Male | 1658 | 20.9% | |
Female | 5906 | 74.5% | ||
Missing | 359 | 4.5% | ||
Shift | Days | 4648 | 58.7% | |
Evenings | 415 | 5.2% | ||
Nights | 1303 | 16.4% | ||
Variable Shifts | 705 | 8.9% | ||
Missing | 852 | 10.8% | ||
Years in Specialty | less than 6 months | 293 | 3.7% | |
6–11 months | 345 | 4.4% | ||
1–2 years | 1022 | 12.9% | ||
3–4 years | 997 | 12.6% | ||
5–10 years | 1701 | 21.5% | ||
11–20 years | 1618 | 20.4% | ||
21 or more years | 1530 | 19.3% | ||
Missing | 417 | 5.3% | ||
Total | 7923 |
Measurements
-
I am encouraged to express spirituality in this clinical area.
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My spiritual views are respected in this clinical area.
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My spirituality has a comfortable home in this clinical area.
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A diverse set of spiritual views are accepted in this clinical area.
Statistical analysis
Ethics statement
Results
Respondent demographics
Spiritual climate scale internal reliability and correlations with teamwork climate, safety climate, intention to leave, burnout, and disruptive behaviors
Variation in spiritual climate by healthcare worker role, hospital and clinical area
Associations with quality, outcomes and interventions: clinical areas in the top and bottom quartiles of spiritual climate
Variable | 1st spiritual climate quartile M(SD) | 4th spiritual climate quartile M(SD) |
t
|
p
|
d
|
---|---|---|---|---|---|
% reporting good Teamwork Climate | 60.39(17.73) | 80.55(16.40) | −7.63 | <.001 | 1.11 |
% reporting good Safety Climate | 58.02(17.71) | 81.58(12.53) | −9.88 | <.001 | 1.30 |
% reporting one or more people in their clinical area often “Intentionally exclude others from the group.” | 25.60(14.79) | 13.80(13.76) | 5.31 | <.001 | −0.65 |
% reporting one or more people in their clinical area often “Make comments with sexual, racist, or ethnic slurs.” | 8.85(8.20) | 3.49(6.21) | 4.72 | <.001 | −0.30 |
% disagree “I feel burned out from my work.” | 58.79(19.71) | 68.01(17.60) | −3.18 | .002 | 0.51 |
% agree “I would like to find a better job.” | 18.69(12.75) | 13.10(11.36) | 2.99 | .003 | −0.31 |
% Participated in WalkRounds at least once | 13.94(12.25) | 24.86(18.66) | −4.50 | <.001 | 0.60 |
% Received feedback about patient safety risks that were reduced as a result of WalkRounds | 14.46(13.16) | 30.01(20.62) | −5.84 | <.001 | 0.86 |