The relationship between working environment and quality of nursing care: an integrative literature review

Background/Aims There is evidence that work environment is positively related to quality of care in different healthcare professions, but the nature of this relationship needs further exploration. This study aimed to synthesise the evidence about the relationship between work environment and quality of care in nursing. Methods An integrative literature search was conducted to identify articles and studies investigating work environment and quality of care in nursing. Studies that were published between January 2000 and February 2020 in PubMed and EBSCOhost databases were included in the review. Results A total of 12 studies were included in the final analysis, of which four used an explicit theoretical framework to guide their research. Sample sizes were generally large. Work environmental was classified as consisting of physical, psychological, environmental and organisational factors. Most studies reported a direct positive correlation between work environment and quality of nursing care. Only one study found that work environment indirectly influenced quality of care through job satisfaction and burnout. Conclusions There is clear evidence that the quality of care delivered by nurses is influenced by the work environment. Particularly important factors were support from management and adequate staffing. To improve quality of care, healthcare leaders should focus on improving the work environment.

Download Full-text

Perception of care quality and ethical sensitivity in surgical nurses

Nursing Ethics ◽

10.1177/0969733020901830 ◽

2020 ◽

Vol 27 (3) ◽

pp. 673-685

Author(s):

Selda Mert Boğa ◽

Aylin Aydin Sayilan ◽

Özlem Kersu ◽

Canan Baydemİr

Keyword(s):

Nursing Care ◽

Holistic Approach ◽

Care Quality ◽

Working Environment ◽

Ethical Sensitivity ◽

Cross Sectional ◽

Surgical Nurses ◽

The Relationship ◽

Quality Of Nursing

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.

Download Full-text

The Effect of Nurses’ Individual, Professional and Work Environment Characteristics on Their Perception of Quality of Nursing Care

Sağlık ve Hemşirelik Yönetimi Dergisi ◽

10.5222/shyd.2021.54366 ◽

2021 ◽

Author(s):

Nilgün Göktepe ◽

Emine Türkmen ◽

İbrahim Fener ◽

Begüm Yalçın ◽

Seda Sarıköse

Keyword(s):

Regression Analysis ◽

Quality Of Care ◽

Work Environment ◽

Nursing Care ◽

Professional Experience ◽

Nursing Work Environment ◽

Perception Of Quality ◽

Individual Professional ◽

Quality Of Nursing

Aim: The aim of this study is to examine the effect of nurses’ individual, professional and work environment characteristics on their perceptions of quality of care. Method: This cross-sectional study was conducted in a university hospital where 400 nurses were employed, and conducted with 154 nurses who have been working in this hospital for at least one year and volunteered to participate in the study. The data were collected with an online questionnaire consisting of three parts. The survey form contained questions about the personal, professional characteristics, and workplace environment of the nurses, and their satisfaction levels about their perceptions of quality of nursing care, the Practice Environment Scale of the Nursing Work Index. Descriptive statistics and logistic regression analysis were used in data analysis. Results: Nurses rated their perceptions of quality of nursing care (mean score: 7.53±1.85; range: 0-10). The mean score of nursing work environment scale was 2.77±0.54. In the logistic regression analysis, it was determined that nurses’ perception of quality of nursing care was affected by “provision of necessary funding sources for quality of nursing care, competency level, staffing and resource adequacy total professional experience, nurse participation in hospital affairs (Nagelkerke R2=58%, p<.05). Conclusion: The nurses’ perception of the quality of care is closely related with nursing work environment in the hospital, their perceived self-competence and duration of their professional experience. Support provided by the managers about participation in management processes, providing opportunities for employees to develop their competencies, as well as providing adequate human and other resources in the working environment, will contribute and increase the quality of care.

Download Full-text

Kepuasan Orang Tua Terhadap Pelayanan Keperawatan di Ruang Perinatologi

Indonesian Journal of Nursing Research (IJNR) ◽

10.35473/ijnr.v1i2.182 ◽

2019 ◽

Vol 1 (2) ◽

Author(s):

Erna Julianti ◽

Fajar Tri Waluyanti ◽

Allenidekania Allenidekania

Keyword(s):

Quality Of Care ◽

Nursing Care ◽

Sampling Technique ◽

Parental Satisfaction ◽

Nursing Service ◽

Consecutive Sampling ◽

Premature Babies ◽

Pearson Test ◽

Quality Of Nursing

The Parents' satisfaction of premature babies is very important as one of the basic steps in determining the quality of nursing service. This study aims to identify parental satisfaction in the perinatology. Consecutive sampling technique was conducted to select 59 parents of premature babies as research respondents. Instrument in this study uses EMPATHIC N. The data was analyzed with Pearson test. The results showed that the average of premature babies’ care score was 161.93 and the average of parents’ satisfaction score was 280.07. Nursing care should be evaluated to improve the performance of nurses and the quality of care of premature babies and parents’ satisfaction.

Download Full-text

Correlation between Job Burnout and Fear of COVID-19 among ICU and CCU Nurses

10.21203/rs.3.rs-1040376/v2 ◽

2021 ◽

Author(s):

F. Golabi ◽

M. B. Alizadeh Aghdam ◽

H. Akbarian ◽

M. M. Hosseini Mazraehshadi

Keyword(s):

Nursing Care ◽

Emotional Exhaustion ◽

Maslach Burnout Inventory ◽

Job Burnout ◽

Personal Accomplishment ◽

Occupational Burnout ◽

Major Factors ◽

The Relationship ◽

Quality Of Nursing

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.

Download Full-text

The relationship between autonomy, optimism, work engagement and organisational citizenship behaviour among nurses fighting COVID-19 in Wuhan: a serial multiple mediation

BMJ Open ◽

10.1136/bmjopen-2020-039711 ◽

2020 ◽

Vol 10 (9) ◽

pp. e039711

Author(s):

Hui Zhang ◽

Yi Zhao ◽

Ping Zou ◽

Yang Liu ◽

Shuanghong Lin ◽

...

Keyword(s):

Nursing Care ◽

Work Engagement ◽

Cross Sectional Study ◽

Mediation Model ◽

Mediating Effects ◽

Multiple Mediation ◽

Cross Sectional ◽

The Relationship ◽

Quality Of Nursing

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.

Download Full-text

Correlation between job burnout and Fear of COVID-19 among ICU and CCU Nurses (Case study: Shahid Madani Cardiac Hospital, Tabriz, Iran)

Archives of Nursing Practice and Care ◽

10.17352/2581-4265.000057 ◽

2021 ◽

pp. 024-028

Author(s):

Golabi Fatemeh ◽

Alizadeh Aghdam Mohammad Bagher ◽

Akbarian Hamed ◽

Hosseini Mazraehshadi Mir Mojtaba

Keyword(s):

Nursing Care ◽

Emotional Exhaustion ◽

Maslach Burnout Inventory ◽

Job Burnout ◽

Personal Accomplishment ◽

Occupational Burnout ◽

Major Factors ◽

The Relationship ◽

Quality Of Nursing

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 the 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.

Download Full-text

The relationships between moral distress and quality of nursing care in oncology nurses

The Journal of Korean Academic Society of Nursing Education ◽

10.5977/jkasne.2020.26.4.366 ◽

2020 ◽

Vol 26 (4) ◽

pp. 366-373

Author(s):

Sae Mi Kim ◽

Yong Soon Shin

Keyword(s):

Nursing Care ◽

Moral Distress ◽

Correlation Study ◽

Oncology Nursing ◽

Cross Sectional ◽

Factors Affecting ◽

Distress Scale ◽

The Relationship ◽

Quality Of Nursing

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, p=.007). The factors affecting the quality of oncology nursing care were religion (β=-.22, p=.001), clinical experience in oncology units (β=.27, p=.007), and moral distress (β=-.16, p=.018). Moral distress showed a statistically significant predictive power of 13% in the regression model (F=8.70, p=<.001).Conclusion: The findings of this study suggest that management of moral distress is important to increase the quality of oncology nursing care.

Download Full-text

Individual and Social Factors Affecting Nurses’ Attitudes Toward and Quality of Care Given to Patients Who Attempted Suicide

Internal Medicine And Medical Investigation Journal ◽

10.24200/imminv.v2i4.121 ◽

2018 ◽

Vol 3 (2) ◽

pp. 82

Author(s):

Fariba Bolourchifard ◽

Fatemeh Basaadat Kavkouhi ◽

Ali Darvishpoor Kakhaki ◽

Maliheh Nasiri

Keyword(s):

Quality Of Care ◽

Nursing Care ◽

Significant Relationship ◽

Work Experience ◽

Attempted Suicide ◽

Factors Affecting ◽

The Social ◽

Critical Patients ◽

Quality Of Nursing

Introduction: Nurses are the first healthcare professionals who meet patients who attempt suicide, and their attitudes toward these patients may be important. The purpose of this study was to evaluate the effect of demographic factors on nurses’ attitudes toward patients who attempt suicide and the quality of nursing care that these patients receive.Materials and Methods: This descriptive-correlational study was performed using the convenience sampling method on 182 nurses working at selected hospitals of medical universities in Tehran, Iran. Data were collected using questionnaires that gathered information about demographics, nurses’ attitudes toward patients who attempted suicide, and the quality of nursing care provided. Data were analyzed by the Statistical Package for the Social Sciences v.20 software and by the Pearson test and t-tests.Results: Regarding social and mental aspects, we found no significant statistical relationship between age and work experience with respect to nurses’ attitudes toward and the quality of care provided to patients who attempted suicide, but women provided higher-quality nursing care than men (P=0.046). Although the relationship between education and quality of nursing care was statistically significant (P=0.007), we found no significant relationship between education and attitude.Conclusion: We found no significant relationship between age and work experience with respect to nurses’ attitudes toward, and the quality of care provided to, patients who attempted suicide, but women provided higher-quality nursing care than men. Furthermore, quality of care was higher from nurses who had a bachelor-level education, suggesting that higher-educated nurses should be recruited to care for critical patients.

Download Full-text

Impacts of nursing work environment and burnout on turnover intentions among nurses in Ghana

10.21203/rs.3.rs-151653/v1 ◽

2021 ◽

Author(s):

Collins Atta Poku ◽

Ernestina Donkor ◽

Florence Naab

Keyword(s):

Work Environment ◽

Professional Practice ◽

Nursing Care ◽

Turnover Intention ◽

Turnover Intentions ◽

Practice Environment ◽

Nursing Work Environment ◽

Professional Practice Environment ◽

Quality Of Nursing

Abstract Background Professional practice environment supports excellence and decent work and has the influence to entice and retain quality-nursing workforce. In high-resourced settings, significant number of studies exist to prove that professional practice environment with low levels of burnout play important role in enhancing patients’ and staff job outcomes. Appreciating the dynamics that affect turnover intention of nurses offer reasonable solutions to the challenges of nursing shortage, which directly influence quality of nursing care. Few studies undertaken on the subject in Ghana, however focused on miners, workers in the hotel industry, and worker telecommunication. There is evidently paucity of information on the impacts of nursing practice environment on turnover intentions among nurses in Sub-Saharan African. The study therefore aimed at determining the predictors of turnover intentions among nurses in Ghana. Methods A cross-sectional approach using a simple random and proportionate stratified sampling with a sample of 232 nurses completed validated instruments measuring work environment, burnout and turnover intentions. Descriptive and regression analysis were done on the various variables. Results While most nurses had positive perception about their work environment, greater number of them had turnover intentions. There was also significant associations between nursing work environment facets and turnover intention. The age of the nurse, years in nursing and the personal accomplishment of the nurse were significant predictors of turnover intentions of the nurse. Conclusion Burnout in any dimension results from unhealthy workplace; and unduly influences nurses’ turnover intention. This phenomenon can potentially affect the human resource management and the consequentially poor quality of nursing care provided to patients. Ensuring positive work setting and reduced burnout can therefore improves retention of nurses at their workplace.

Download Full-text