The Productive Ward program™: a longitudinal multilevel study of nurse perceived practice environment, burnout, and nurse-reported quality of care and job outcomes

J Nurs Adm. 2014 Sep;44(9):452-61. doi: 10.1097/NNA.0000000000000100.


Objective: The objective of this study was to investigate the impact of The Productive Ward-Releasing Time to Care™ program implemented in a hospital transformation process on nurse perception related to practice environment, burnout, quality of care, and job outcomes.

Background: To address the continuously evolving complex challenges of patient care, high-performance nursing care is necessary.

Methods: A longitudinal survey design was used to conduct a study in a 600-bed acute care university hospital with 3 measurement periods: T0: base line in 2006, T1 in 2011, and T2 in 2013. As part of the hospital transformation process, the productive ward program was introduced between T1 and T2.

Results: Relevant impact on nurse-physician relations, nurse management, hospital management-organizational support, nurse-reported quality of care, and job outcomes were identified.

Conclusion: Hospital strategies and policies should be aligned with daily practices so that engaged and committed staff can promote excellent outcomes.

MeSH terms

  • Adult
  • Belgium
  • Burnout, Professional / prevention & control*
  • Cross-Sectional Studies
  • Female
  • Hospitals, University
  • Humans
  • Job Satisfaction
  • Longitudinal Studies
  • Male
  • Multilevel Analysis
  • Nurses
  • Nursing Staff, Hospital / organization & administration*
  • Nursing Staff, Hospital / psychology*
  • Organizational Innovation
  • Organizational Objectives
  • Physician-Nurse Relations*
  • Practice Patterns, Nurses' / organization & administration*
  • Program Evaluation
  • Quality of Health Care / organization & administration*
  • Social Environment