Abstract
Background: Nurse play a primary care role, although existing research about improving nurse well-being mainly focus on the workplace environment, there is controversy regarding the underlying factors. The purpose of this study was to investigate the relationship between organizational and patient behaviors with nurse well-being.Methods: A cross-sectional quantitative study was carried out in 77 hospitals in China between July 2014 and April 2015.Results: Of the 4885 respondents, 58.78% nurses reported being satisfied with their life; however, only 36.14% nurses were satisfied with their work, and 79.85% nurses reported they would not choose nursing again if given the opportunity. Within the organizational behaviors, nurses reporting very poor pay justice tended to report a higher turnover intention (OR = 2.03, 95% CI:1.29-3.21) and lower life happiness (OR = 0.67, 95% CI:0.45-0.98). Similarly, very poor attention to staff interests (OR = 1.79, 95% CI:1.15–2.77) and opinions (OR = 2.41, 95% CI: 1.55–3.73) were strongly associated with higher turnover intention. Within the patient behaviors, a low level of patient trust was more strongly and negatively associated with job satisfaction (OR = 0.44, 95% CI: 0.32–0.61) and life happiness (OR = 0.53, 95% CI: 0.37–0.75) compared with unreasonable demands by patients, and more positively associated with turnover intention (OR = 5.61, 95% CI: 3.66–8.60).Conclusion: Given the widespread distress among nurses, these findings suggest that interventions targeting improved nurse well-being should be expanded from individual nurses to hospital organization and patients, reflected the internal and external hospital environment, respectively.