The relationship between nurse practice environment, nurse work characteristics, burnout and job outcome and quality of nursing care: A cross-sectional survey

2013 ◽  
Vol 50 (12) ◽  
pp. 1667-1677 ◽  
Author(s):  
Peter Van Bogaert ◽  
Christoph Kowalski ◽  
Susan Mace Weeks ◽  
Danny Van heusden ◽  
Sean P. Clarke
BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e039711
Author(s):  
Hui Zhang ◽  
Yi Zhao ◽  
Ping Zou ◽  
Yang Liu ◽  
Shuanghong Lin ◽  
...  

ObjectivesHigh levels of organisational citizenship behaviour can enable nurses to cooperate with coworkers effectively to provide a high quality of nursing care during the outbreak of COVID-19. However, the association between autonomy, optimism, work engagement and organisational citizenship behaviour remains largely unexplored. This study aimed to test if the effect of autonomy on organisational citizenship behaviour through the mediating effects of optimism and work engagement.Study designThis was a cross-sectional study.SettingThe study was conducted in the Wuhan Jinyintan Hospital in China.ParticipantsIn total, 242 nurses who came from multiple areas of China to work at the Wuhan Jinyintan hospital during the COVID-19 epidemic participated in this study.MethodsA serial mediation model (model 6) of the PROCESS macro in SPSS was adopted to test the hypotheses, and a 95% CI for the indirect effects was constructed by using Bootstrapping.ResultsThe autonomy–organisational citizenship behaviour relationship was mediated by optimism and work engagement, respectively. In addition, optimism and work engagement mediated this relationship serially.ConclusionThe findings of this study may have implications for improving organisational citizenship behaviour. The effects of optimism and work engagement suggest a potential mechanism of action for the autonomy–organisational citizenship behaviour linkage. A multifaceted intervention targeting organisational citizenship behaviour through optimism and work engagement may help improve the quality of nursing care among nurses supporting patients with COVID-19.


2020 ◽  
Vol 26 (4) ◽  
pp. 366-373
Author(s):  
Sae Mi Kim ◽  
Yong Soon Shin

Purpose: The study aimed to investigate the relationship between moral distress and the quality of nursing care.Methods: This cross-sectional correlation study included nurses working at oncology nursing units of two secondary general hospitals in Seoul and Gyeonggi-do, Korea. A total of 207 nurses participated. Moral distress was measured by the Moral Distress Scale-Revised Nurse Questionnaire and quality of nursing care was evaluated by the Quality of Oncology Nursing Care Scale. Data were collected from October 5 to 31, 2018. Data analysis included descriptive statistics, independent t-test, ANOVA, Pearson’s correlation coefficient and multiple regression analysis.Results: The quality of oncology nursing care showed a negative correlation with moral distress (r=-.19, <i>p</i>=.007). The factors affecting the quality of oncology nursing care were religion (β=-.22, <i>p</i>=.001), clinical experience in oncology units (β=.27, <i>p</i>=.007), and moral distress (β=-.16, <i>p</i>=.018). Moral distress showed a statistically significant predictive power of 13% in the regression model (F=8.70, <i>p</i>=<.001).Conclusion: The findings of this study suggest that management of moral distress is important to increase the quality of oncology nursing care.


2020 ◽  
Vol 27 (3) ◽  
pp. 673-685
Author(s):  
Selda Mert Boğa ◽  
Aylin Aydin Sayilan ◽  
Özlem Kersu ◽  
Canan Baydemİr

Background: It is stated that high ethical sensitivity positively affects the quality of nursing care. However, the relationship between nursing care quality and ethical sensitivity has not been clearly demonstrated in researches. Aim: This study was carried out to determine the relationship between surgical nurses’ care behaviors and their ethical sensitivity. Method: The sample of this cross-sectional, descriptive-correlational study consists of 308 nurses who worked at the surgical departments in four Turkish hospitals. The data were collected using the “Nurse Description Form” developed by the researcher, “Caring Behaviours Inventory-24” and “Ethical Sensitivity Questionnaire.” Data were evaluated by the Mann Whitney U test, Kruskal Wallis one-way analysis of variance and Spearman correlation analysis. Ethical considerations: The study was approved by the ethics committee. Verbal and written consent was received from the nurses. Results: It was found in the study that nurses’ Caring Behaviours Inventory-24 total score median was 5.25 (4.83–5.58), nurses’ perception level of caring quality was high, median of Ethical Sensitivity Questionnaire total score was 89.00 (75.00–101.00) and nurses’ ethical sensitivity was moderate. A negative significant relation was found between nurses’ Caring Behaviours Inventory-24 total score and Ethical Sensitivity Questionnaire total score (r = -0.162; p = 0.009). A negative relation was also detected between nurses’ working period at the current clinic and providing benefit (r = -0.147; p = 0.012), holistic approach (r = -0.139; p = 0.018) and orientation (r = -0.175; p = 0.003) scores of Ethical Sensitivity Questionnaire sub-scales. Conclusion: Nurses’ perception levels of caring quality were high and their ethical sensitivity levels were moderate. It was found out that nurses’ ethical sensitivity increased together with their perception of caring quality, and as their working period at the current clinic increased, the ethical sensitivity also increased in terms of the sub-scales of providing benefit, holistic approach, and orientation. The factors that adversely affect the quality of nursing care and ethical sensitivity should be examined and attempts should be made to improve the working environment.


e-NERS ◽  
2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Angela Christin Tiwa ◽  
Jimmy Posangi ◽  
Herman Warouw

Abstract: A service although can be counted satisfy to patient but the aplication do not according to the ethical code and atandart, it is not a quality service. It is, therefore very important the role of  nursing care is very important the affect the patient's satisfaction. The purpose of research know is to the relationship of quality nursing care to the level of satisfaction of hospitalized patients at the department of Irina A Prof Dr R D Kandou Manado. The study design is using observational analytic cross-sectional approach. The Population of the patients who cared at department of Irina A Prof Dr R D Kandou Manado with the average of 180 patients a month. Sixtyvive samples were used in this research . The data is processed by using univariate and bivariate chi square calculations. The results show the relationship of quality nursing care to inpatient satisfaction majority of good quality (58.5%) and poor (41.5%) and to the satisfaction of the majority of the patients were less satisfied (50.8%) and the satisfied (49.2%). As a Conclusion, there is a significant correlation between the quality of nursing care with the patient satisfaction and quality of serviceis assumed as good. As a suggestion the quality of nursing care services of hospital management should be further enhance which can support the profesionalism of the nurses, so the patient satisfaction archieved can be maximized. Keywords: nursing service, patient satisfaction.     Abstrak: Suatu pelayanan sekalipun di nilai dapat memuaskan pasien tetapi penyelenggaraannya tidak sesuai dengan kode etik dan standar bukanlah pelayanan yang bermutu. Oleh karena itu perawat sangat berperan penting dalan pelayanan keperawatan karena berpengaruh dengan kepuasan pasien. Tujuan penelitin mengetahui hubungan kualitas pelayanan keperawatan dengan tingkat kepuasan pasien rawat inap di Irina A RSUP Prof Dr R D Kandou Manado. Desain penelitian observasional analitik dengan pendekatan cross sectional. Populasi seluruh pasien yang berada di ruang rawat inap Irina A RSUP Prof Dr R D Kandou Manado dengan rata-rata pasien per bulan sebanyak 180. Sampel penelitian 65 pasien. Data diolah secara univariat dan bivariat dengan menggunakan perhitungan chi square. Hasil penelitian menunjukkan hubungan kualitas pelayanan keperawatan dengan tingkat kepuasan pasien rawat inap mayoritas kuaitas pelayanan keperawatan yang baik (58,5%) dan yang kurang baik (41,5%) dan untuk kepuasan mayoritas pasien kurang puas (50,8%) dan yang puas (49,2%). Kesimpulan terdapat hubungan  yang bermakna antara kualitas pelayanan keperawatan dengan tingkat kepuasan pasien dan kualitas pelayanannya sudah baik. Saran pihak manajemen rumah sakit hendaknya lebih meningkatkan lagi kualitas pelayanan keperawatan yang dapat menunjang profesionalitas seorang perawat sehingga tingkat kepuasan  pasien bisa maksimal. Kata Kunci: pelayanan keperawatan,  kepuasan pasien.


Author(s):  
Cokorda Istri Ariwidyastuti ◽  
P.P. Januraga ◽  
Dyah Pradnyaparamita Duarsa

Background and purpose: Patient satisfaction, including on radiography services, is an important component of health care provision. Surveys on patient satisfaction have been carried out particularly in government hospitals, but a more detailed study to determine the relationship between patient satisfaction with the responsiveness of service providers has yet to be carried out. This study aims to determine the relationship between the six domains of responsiveness of service providers and outpatient satisfaction at three conventional radiography facilities in Denpasar.Methods: Study was conducted by cross-sectional survey of 158 respondents selected consecutively in three conventional radiography services, namely a government hospital, a private hospital and a private radiology clinic. Data were collected through interviews using modified questionnaires on responsiveness from WHO. Data were analyzed by univariate, bivariate (chi-square test) and multivariate logistic regression method.Results: Univariate analysis indicated that patient satisfaction was 69% but still below the minimum service standards (>80,0%). Multivariate analysis showed that factors associated with satisfaction were the domain of attention (AOR= 3.77; 95%CI: 1.62-8.76), the quality of infrastructure (AOR=4.57; 95%CI: 1.61-12.93) and communication (AOR=6.30; 95%CI: 1.75-22.64).Conclusion: Patient satisfaction was generally still below the standard. Domains of responsiveness associated with patient satisfaction were the quality of infrastructure, level of attention and communication skills of service providers.


2021 ◽  
Author(s):  
F. Golabi ◽  
M. B. Alizadeh Aghdam ◽  
H. Akbarian ◽  
M. M. Hosseini Mazraehshadi

Abstract Background: Occupational burnout among nurses is one of the major factors which affect the quality of nursing care. Assessing the relationship between burnout and its associated factors is one of the most basic things that should be done so that later, actions can be taken to reduce burnout. Fear of COVID-19 is one of the factors that can increase burnout of nurses during the Coronavirus Disease 2019(COVID-19) pandemic.Aim: To investigate the relationship between job burnout and fear of COVID-19 among ICU and CCU nurses.Methods: The Maslach Burnout Inventory (MBI) and the Fear of COVID-19 Scale (FCV-19S) were distributed to ICU and CCU nurses (n = 170) at Shahid Madani Cardiac Hospital, Tabriz, Iran, and the correlation between job burnout and fear of COVID-19 was calculated.Results: The results show that the level of emotional exhaustion and reduced personal accomplishment among participants of this study is average, and depersonalization is at a low level. Also, the level of fear of coronavirus is below average among the respondents. The research showed that emotional exhaustion and fear of COVID-19 were positively correlated (p < 0.05), but there was not any significant correlation between depersonalization and fear of Coronavirus; as the relationship between reduced personal accomplishment and fear of COVID-19. In addition, there were significant correlations between age and reduced personal accomplishment, as well as marital status and reduced personal accomplishment (p < 0.05). On the other hand, the results showed that there were not any significant correlations between gender and burnout dimensions, nor between educational degree and burnout dimensions.Conclusion: As job burnout reduces the quality of nursing care, managers must take strategies that reduce job burnout. One of the strategies that they can take is to reduce the fear of COVID-19 by taking wise strategies.


2019 ◽  
Vol 18 (1) ◽  
pp. 55-62 ◽  
Author(s):  
Meryem Yilmaz ◽  
Hatice Öner Cengiz

AbstractObjectiveTo evaluate the relationship between spiritual well-being (SpWB) and quality of life (QoL) in cancer (CA) survivors.MethodsThe current study was conducted in the oncology center at a university hospital in Central Anatolia/Turkey. In this study, a descriptive cross-sectional survey design was used. The data collected included: a questionnaire form, the current study was conducted in the oncology center at a university hospital in Central Anatolia/Turkey. In this study, a descriptive cross-sectional survey design was used. SpWB was assessed by the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale, version 4 (FACIT-Sp12, v. 4), including Meaning, Peace, and Faith subscales. The QoL was evaluated using the Functional Assessment of Cancer Therapy-General scale (FACT-G, v. 4). The results were analyzed using descriptive statistics, Pearson correlations, independent sample t-test, Kruskal-Wallis, and Mann-Whitney U test.ResultsOne hundred fifty patients participated in this study: 61.30% female, 78% 45 years of age or older, 94.70% married, 46% had finished, and 69% had gastrointestinal tract CA. The mean age was 53.48 (SD = 9.43). The majority of participants (96.7%) endorsed “a force pushing them a will to live” while 59.3% supported “the power of relationships with others.” There was a positive, strong correlation between overall QoL and SpWB (r = 0.619, p < 0.01). The Meaning dimensions of SpWB with Functional Well-Being (FWB) and overall QoL (r = 0.512; 0.595, p < 0.000 respectively), Peace with Emotional Well-Being (EWB) and FWB (r = 0.598; 0.540, p < 0.000 respectively) dimensions of FACT-G and overall QoL (r = 0.609, p < 0.001) were strong correlated. Faith and QoL were not significantly correlated.Significance of resultsThis study demonstrates that SpWB positively contributed to the QoL of CA survivors. SpWB is not necessarily limited to any specific types of beliefs or practices. For some people, faith in self, others and/or God constitutes, in large part, the meaning, purpose, and fulfillment they find in life.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
N Skhvitaridze ◽  
T Lobjanidze ◽  
A Papidze ◽  
E Barjadze ◽  
N Landia

Abstract Aim To evaluate patients' satisfaction with the quality of nursing care and examine factors which affect their decision. Design A retrospective, cross-sectional, descriptive survey study. Methods Data were collected using a structured questionnaire in Georgian language was administered to the patients. The response rate was 93% and the final sample was composed of 173 patients who enrolled consequently after taking written informed consent. One hospital and one outpatient department in the capital city of Georgia were selected for the study setting. Data were collected during one month. Data on demography was collected. Descriptive and inferential statistics were applied accordingly using STATA version 17. Eligible criteria: Adults, capable of independent communication and who talk Georgian language, did not have any severe process or complications, were in the recovery stage, with no referral and discharging to home. Results Majority of respondents were aged between 56-65 years (50%), males (52.5%), residents of the capital city (70%), having higher education (80%) and employed (75%). Overall, 89% of patients described provided nursing care as an excellent. The most important factors, which affect patients' satisfaction are the waiting time before admission, safety of services, comfortable environment along with the proper level of care and attentiveness. These results can be generalized and may be useful in comparative studies of patient satisfaction. Key messages Permanent evaluation of nursing care is important to evaluate patients satisfaction. Factors as waiting time, safety of services, comfortable and friendly environment, and attentiveness are key for high level of satisfaction.


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