Analysis of the intervening characteristics of the environment of nurses' practice in the hospital space

Authors

DOI:

https://doi.org/10.33448/rsd-v11i11.33411

Keywords:

Workplace; Environment of health institutions; Nurse and nurse; Hospital services; Professional practice.

Abstract

Objective: To analyze the association between the practice environment and sociodemographic and professional characteristics among nurses. Method: study with a cross-sectional, analytical design, quantitative approach, in a public hospital. The population consisted of professional nurses. To investigate the intervening characteristics in the practice environment, we used the Practice Environment Scale instrument adapted and validated for the Brazilian culture. Results: 103 (88.04%) professional nurses participated in the study. The data revealed that 62.14% of the professional nurses perceived their professional practice environment as unfavorable. Correlation was identified with the variables: marital status, nature of the bond, nature of the function, staffing unit and working time in the institution. Conclusions: Increasing evidence on the reflection of unfavorable environments for professional nursing practice will result in an improvement in the quality of work while providing conditions for managers to plan and implement programs aimed at working environments that are favorable to professional practice.

Author Biographies

Kamilla Rodrigues Leite Maciel, Faculdade de Enfermagem

Graduated in Nursing; Master's in Nursing; Member of the TRIPALIUM Research Group - Structure, Organization and Management of Work in Health and Nursing.

Antônio César Ribeiro, Faculdade de Enfermagem

Graduated in Nursing and Midwifery and Licensed in Nursing (FAEn/UFMT); Specialist in Human Resources in the Health Area (ENSP/FIOCRUZ); Master in Health and Environment (ISC/UFMT); and Doctor in Sciences (DE/UNIFESP). Associate Professor III, Faculty of Nursing/UFMT; Collaborating Professor of the Graduate Program in Nursing, Faculty of Nursing/UFMT; Leader of the TRIPALIUM Research Group - Structure, Organization and Management of Work in Health and Nursing.

Matheus Ricardo Cruz Souza, Grupo Pesquisa TRIPALIUM; Faculdade de Enfermagem

Graduated in Nursing; Member of the TRIPALIUM Research Group - Structure, Organization and Management in Health and Nursing - FAEn/UFMT.

References

Aiken, L. H., & Patrician, P. A. (2000). Measuring organization altraits of hospitals: the Revised Nursing Work Index. Nurs Res. 49(3), 146-53. https://journals.lww.com/nursingresearchonline/Abstract/2000/05000/Measuring_Organizational_Traits_of_Hospitals__The.6.aspx

Aiken, L. H., Clarke, S. P., Sloane, D. M., Lake, E. T., & Cheney, T. (2008). Effects of hospital care environment on patient mortality and nurse outcomes. The Journal of nursing administration. 38(5), 223-232. http://dx.doi.org/10.1097/01.NNA.0000312773.42352.d7

Aiken, L. H., Sloane, D. M., & Lake, E. T. (1997). Satisfaction within patientac quiredim muno deficiency syndrome care a national comparison of dedicated and scattered-bedunits. Med Care. 35 (9), 948-962. https://www.jstor.org/stable/3767459?seq=1#page_scan_tab_contents

Aiken, L. H., Sean, P., Clarke, S. P., & Sloane, D. M. (2002). Hospital staffing, organization, andquality of care: cross-national findings. International Journal for quality in Health care. 14(1), 5-14. http://dx.doi.org/10.1067/mn.2002.126696

Alves, D. F. S., & Guirardello, E. B. (2016). Ambiente de trabalho da enfermagem, segurança do paciente e qualidade do cuidado em hospital pediátrico. Rev Gaúcha Enfem. 37(2), 1-7. http://dx.doi.org/10.1590/1983- 1447.2016.02.58817

Balsanelli, A. P., & Cunha, I. C. K. (2013). O ambiente de trabalho em unidades de terapia intensiva privadas e públicas. Acta Paulista de Enfermagem. 26(6), 561-8. https://doi.org/10.1590/S0103-21002013000600009

Boaretto, F., Haddad, M. C. F. L., Rossaneis, M. A., Gvozd, R., & Pissinati, P. D. S. C. (2016). The work environment of nurses who perform care activities in a university hospital. Cogitare Enferm. 21(2), 1-10. https://pdfs.semanticscholar.org/98a5/427eac7d78ebb97df48fb1f15cd5eda35525.pdf

Choi, S., & Boyle, D. K. (2014). Differences in nursing practice environment among US acute care unit types: a descriptive study. International Journal of Nursing Studies. 51(11), 1441-1449. https://doi.org/10.1016/j.ijnurstu.2014.03.001

Dorigan, G. H., & Guirardello, E. B. (2017). Ambiente da prática, satisfação e clima de segurança: percepção dos enfermeiros. Acta Paul Enferm. 30(1), 129-35. https://doi.org/10.1590/1982-0194201700021

Dos Santos, J. L. G., Da Silva Copelli, F. H., De Oliveira, R. J. T., Magalhães, A. L. P., Gregório, V. R. P., & Erdmann, A. L. (2018). Ambiente de trabalho do enfermeiro na divisão de enfermagem materno-infantil de um hospital universitário. Revista de Enfermagem do Centro-Oeste Mineiro. 8(1), 2-8. https://doi.org/10.19175/recom.v8i0.2099

Estrela, C. (2018). Metodologia Científica: Ciência, Ensino, Pesquisa. Editora Artes Médicas.

Estryn-Béhar, M., Van der Heijden, B. I., Ogińska, H., Camerino, D., Le Nézet, O., Conway, P. M., & Hasselhorn, H. M. (2007) The impact of social work environment, teamwork characteristics, burnout, and personal factors upon intent to leave among European nurses. Medical care. 45(10), 939-950.https://doi.org/10.1097/MLR.0b013e31806728d8

Fatma, E. R., & Sokmen, S. (2018). Investigation of the working conditions of nurses in public hospital son the basisof nurse-friendly hospital criteria. International Journal of Nursing Sciences. 5(2), 206-212. https://doi.org/10.1016/j.ijnss.2018.01.001

Friese, C. R. (2005). Nurse practice environments and outcomes: Implications for oncology nursing. Oncology Nursing Forum. 32(4), 765–772. https://deepblue.lib.umich.edu/bitstream/handle/2027.42/94160/Nurse%20practice%20environments%20and%20outcomes%20Implications%20for%20oncology%20nursing.pdf?sequence=1&isAllowed=y

Friese, C. R., Lake, E. T., Aiken, L. H., Silber, J. H., & Sochalski, J. (2008). Hospital nurse practice environments and outcomes for surgical oncology patients. Health services research. 43(4), 1145-1163. https://doi.org/10.1111/j.1475-6773.2007.00825.x

Gasparino, R. C., & Guirardello, E. B. (2017). Validation of the practice environment scaleto the brazili an culture. Journal of Nursing Management. 25(5), 375- 383. 10.1111/jonm.12475

Gasparino, R. C., & Guirardello, E. B. (2009). Tradução e adaptação para a cultura brasileira do "NursingWork Index-Revised". Acta Paulista de Enfermagem. 22(3), 281-7. https://doi.org/10.1590/S0103-21002009000300007

Gasparino, R. C., Guirardello, E. B., & Aiken, L. H. (2011) Validação da versão brasileira do NursingWork Index ‐ Revised (B ‐ NWI ‐ R). Journal of Clinical Nursing. 20(23), 3494-3501. http://dx.doi.org/10.1590/1982- 0194201400052

Gunnarsdóttir, S., Clarke, S. P., Rafferty, A. M., & Nutbeam, D. (2009). Front-line management, staffing and nurse–doctor relationships as predictors of nurse and patient outcomes. A survey of Icelandic hospital nurses. International journal of nursing studies. 46(7), 920-927. https://doi.org/10.1016/j.ijnurstu.2006.11.007

Hanrahan, N. P., Aiken, L. H., McClaine, L., & Hanlon, A. L. (2010). Relationship between psychiatric nurse work environments and nurse burnout in acute care general hospitals. Issues in mental health nursing. 31(3), 198-207. http://dx.doi.org/10.3109/01612840903200068

Jesus, E. H., Roque, S., & Amaral, A. F. (2015). Estudo RN4Cast em Portugal: ambientes de prática de enfermagem. Revista Investigação em Enfermagem. 26-44. https://www.researchgate.net/publication/289537196

Lake, E. T., & Friese, C. R. (2006). Variations in nursing practice environments: relation to staffing and hospital characteristics. Nursing research. 55(1), 1-9. https://doi.org/10.1097/00006199-200601000-00001

Lake, E. T. (2002). Develop mentof the practice em vironments cale of the Nursing Work Index. Research in nursing & health. 25(3), 176-188. https://doi.org/10.1002/nr.10032

Laschinger, H. K. S. (2008). Effect of empowerment on professional practice environments, work satisfaction, and patient care quality: Further testing the nursing worklife model. Journal of Nursing Care Quality. 23(4), 322–330. http://dx.doi.org/10.1097/01.NCQ.0000318028.67910.6b

Liou, S. R., & Grobe, S. J. (2008). Perception of practice environment, organizational commitment, and intention to leave among Asian nurses working in US hospitals. Journal for Nurses in Professional Development. 24(6), 276-282. http://dx.doi.org/10.1097/01.NND.0000342235.12871.ba

Ludke, M., & Andre, M. E. D. A. (2013). Pesquisas em educação: uma abordagem qualitativa. São Paulo: E.P.U.

Maurício, L. F. S., Okuno, M. F. P., Campanharo, C. R. V., Lopes, M. C. B. T., Belasco, A. G. S., & Batista, R. E.A. (2017). Prática profissional do enfermeiro em unidades críticas: avaliação das características do ambiente de trabalho. Rev. Latino-am. Enfermagem. 25(2), 1-7. http://www.redalyc.org/articulo.oa?id=281449566023

McClure, M. L., Poulin, M. A., Sovie, M. D., & Wandelt, M. A. (1983). Magnet hospitals: attraction and retention of professional nurses. American Academy of Nursing. Task Force on Nursing Practice in Hospitals. http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.487.3161

Olds, D. M., Aiken, L. H., Cimiotti, J. P., & Lake, E. T. (2017). Association of nurse work environment and safety climate on patient mortality: A cross-sectional study. International journal of nursing studies, 74, 155-161. http://dx.doi.org/10.1016/j.ijnurstu.2017.06.004

Oliveira, E. M. D., Barbosa, R. L., Andolhe, R., Eiras, F. R. C. D., & Padilha, K. G. (2017). Ambiente das práticas de enfermagem e satisfação profissional em unidades críticas. Revista Brasileira de Enfermagem. 70(1), 79-86. http://dx.doi.org/10.1590/0034-7167-2016-0211

Oliveira, J. L. C. D., Souza, V. S. D., Pereira, A. C. S., Haddad, M. D. C. F. L., Marcon, S. S., & Matsuda, L. M. (2018). Ambiente de trabalho e acreditação: análise pelo método misto explanatório sequencial. Escola Anna Nery. 22(4), 1-8. https://doi.org/10.1590/2177-9465-EAN-2017-0379

Oliveira, P. B. D., Spiri, W. C., Dell’Acqua, M. C. Q., & Mondini, C. C. D. S. D. (2016). Comparison between the accredited and non-accredited public hospital working environments. Acta Paulista de Enfermagem. 29(1), 53-59. https://doi.org/10.1590/1982-0194201600008

Panunto, M. R., & Guirardello, E. D. (2013). Ambiente da prática profissional e exaustão emocional entre enfermeiros de terapia intensiva. Rev. Latino-am. Enfermagem. 21(3), 1-8. http://www.scielo.br/pdf/rlae/v21n3/pt_0104-1169-rlae-21-03-0765.pdf

Parisi, T. C. H., & Melleiro, M. M. (2016). Magnet recognition program: revisão integrativa de literatura. Revista Baiana de Enfermagem. 30 (4), 1-13. https://doi.org/10.18471/rbe.v30i4.16705

Patrician, P. A., Shang, J., & Lake, E. T. (2010). Organizational determinants of work outcomes and classifications of quality care among nurses in the army medical department. Research in nursing & health. 33(2), 99-110. http://dx.doi.org/10.1002/nr.20370

Pires, B. S. M., Oliveira, L. Z. F. D., Siqueira, C. L., Feldman, L. B., Oliveira, R. A., & Gasparino, R. C. (2018) Ambiente de trabalho do enfermeiro: comparação entre hospitais privados e público. Einstein journal. 16(4), 1-6. https://doi.org/10.31744/einstein_journal/2018AO4322

Ribeiro, A. C., Souza, J. F., & Silva, J. L. (2014). A precarização do trabalho no SUS na perspectiva da enfermagem hospitalar. Cogitare Enferm. 19(3), 569-75. http://dx.doi.org/10.5380/ce.v19i3.33034

Santos, J. L. G. D., Erdmann, A. L., Peiter, C. C., Alves, M. P., Lima, S. B. S. D., & Backes, V. M. S. (2017). Comparação entre ambiente de trabalho de enfermeiros gerentes e assistenciais no contexto hospitalar. Revista da Escola de Enfermagem da USP. 51(3), 1-8. http://dx.doi.org/10.1590/S1980-220X2017017103300

Santos, J. L. G., Menegon, F. H. A., Schneider, D. G., Higashi, G. D. C., Copelli, F. H., & Erdmann, A. L. (2018). Ambiente de trabalho do enfermeiro em unidades de clínica médica e cirúrgica. Revista de Enfermagem da UFSM. 8(1), 72-87. https://doi.org/10.5902/2179769229506

Swiger, P. A., Patrícia, P. A., Miltner, R. S. S., Raju, D., Breckenridge-Sproat, S., & Lori, A. E. (2017). The Practice Environment Scale of the Nursing Work Index: an update drevie wand recommendations for use. Rev. Internacional de estudos em enfermagem. 74(1), 76-84. https://doi.org/10.1016/j.ijnurstu.2017.06.003

Warshawsky, N. E., & Havens, D. S. (2011). Global use of the practice environment Scale of the Nursing Work Index. Nurs Research. 60 (1), 17-31. https://doi.org/10.1097/NNR.0b013e3181ffa79c

Published

14/08/2022

How to Cite

MACIEL, K. R. L.; RIBEIRO, A. C.; SOUZA, M. R. C. Analysis of the intervening characteristics of the environment of nurses’ practice in the hospital space. Research, Society and Development, [S. l.], v. 11, n. 11, p. e31111133411, 2022. DOI: 10.33448/rsd-v11i11.33411. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/33411. Acesso em: 12 dec. 2024.

Issue

Section

Health Sciences