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RD 6 Results of the Nursing Staff Satisfaction survey over the last four years and describe
trends, interventions implemented, and their impact on nursing practice.
As noted in Force 1.8, once the Professional Practice Model was developed for Patient Care
Services (PCS), evaluating its effectiveness became an important goal and led to the creation of the
first version of the Staff Perceptions of the Professional Practice Environment Survey (SPPPE). In
1999, the SPPPE (refer to OOD 16 for a copy of the survey tool) was first administered to provide
an assessment of eight organizational characteristics determined to be important to clinician
satisfaction; allow clinicians an opportunity to participate in setting the strategic direction for Patient
Care Services (PCS); trend information; receive feedback on PCS goals; identify frequency,
preparation and access to resources in managing common patient problems (nursing only) and
identify opportunities to improve the environment for clinical practice. The survey data is used to
identify strengths, as well as, opportunities, to continuously improve the environment of care for
MGH clinicians, patients and families.
Survey results for Nursing from 2002 – 2006 are presented in the table below. Detailed
information about the analysis of these data is discussed in Force 1.8.
Nursing: Organizational Characteristics and Mean Scores
2002 Mean
Scores
2003 Mean
Scores
2005 Mean
Scores
2006 Mean
Scores
Characteristic N=705 N=763 N=1128 N=1608
Autonomy* ** 3.1 3.2 3.2 3.1
Clinician/MD Relationships*** 3.0 3.1 3.1 3.0
Control Over Practice* ** *** 2.9 3.0 3.1 3.0
Communication* ** 2.9 3.1 3.1 3.1
Teamwork/Leadership* ** 2.8 2.9 2.9 2.9
Conflict Management NS 2.7 2.7 2.7 2.7
Internal Motivation* ** 3.4 3.5 3.5 3.5
Cultural Sensitivity* ** 3.1 3.2 3.2 3.2
*= p<.05 between 2002 & 2003
** = p<.05 between 2002 & 2005
*** =p<.05 between 2003 & 2005
The Senior Vice President for Patient Care andChief Nurse views the SPPPE as a “report
card” for Patient Care Services and uses data to inform the strategic direction for PCS. Data are
reported at three organizational levels: Patient Care Services, discipline-specific and unit-level data.
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