Evidence map›Paper›PMID 37994224›Full record

ReviewJournal of advanced nursing2024

A dimensional analysis of nursing unit culture.

Kathryn Leep-Lazar, Amy Witkoski Stimpfel

Abstract readReview
In one paragraph

Review in Journal of advanced nursing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Kathryn Leep-LazarNew York University, Rory Meyers College of Nursing, New York City, New York, USA.ORCID https://orcid.org/0000-0002-7946-3694
Amy Witkoski StimpfelNew York University, Rory Meyers College of Nursing, New York City, New York, USA.ORCID https://orcid.org/0000-0001-5724-0601

Funding

Pilot Projects/Mt. SinaiT42OH008422 · OH · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI MEYER, JOHN D · 2005 to 2025
$28.6M
NIOSH CDC HHS T42 OH008422NIOSH CDC HHS T42-OH-008422
6 · The paper itself

Abstract

AIM(S): Organizational culture has been studied for over four decades among nurses, across countries and contexts. However, wide variation exists in how the concept has been defined and at what level of the organization it is measured. The aim of this study was to use a dimensional analysis to conduct a conceptual synthesis of unit culture from a nursing perspective.

designDimensional analysis, rooted in grounded theory methodology, was used to describe unit culture from a nursing perspective.

methodsA literature search was conducted in April 2022. Inclusion criteria were (1) peer review publications, (2) used the term 'unit culture' or 'ward culture', (3) references nurses' role in unit culture, (4) published in the last 20 years and (5) written in English. One hundred fifteen articles met inclusion criteria, but dimensional saturation was researched after coding 24 articles.

resultsFindings were synthesized into four core dimensions and 10 subdimensions. Dimensions of unit culture included customs (practice norms, communication and prioritization), shared beliefs (assumptions, values and attitudes), hierarchy (social and informational) and atmosphere (emotional climate and collaboration). Conditions that shape unit culture include individual nurse characteristics, working conditions, unit policies/procedures and leadership. Unit culture impacts nurse work experiences and decision-making processes, which can affect outcomes including nurse wellbeing, practice behaviours and adherence to unit policies.

conclusionsIdentifying the dimensions of unit culture helps to bring clarity to a concept that is not well defined in existing literature. IMPACT: This model of unit culture can be used to guide development of new instruments to measure unit culture or guide researchers in utilizing existing measures. Developing measures specific to unit culture are warranted to strengthen researchers' ability to assess how changing conditions of a unit (e.g. leadership, workload) changes unit culture and its related outcomes. PATIENT OR PUBLIC CONTRIBUTION: No Patient or Public Contribution.

Indexed as

Nursing Staff, HospitalOrganizational CultureAttitude of Health PersonnelGrounded TheoryHumansLeadership

Identifiers

PMID37994224
PMCPMC11109012

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.