Nursing practice environment, job outcomes and safety climate: a structural equation modelling analysis
Aim To assess correlations between the characteristics of the nursing practice environment, job outcomes and safety climate. Background The nursing practice environment is critical to the well‐being of professionals and to patient safety, as highlighted by national and international studies; however...
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Veröffentlicht in: | Journal of nursing management 2017-01, Vol.25 (1), p.46-55 |
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container_title | Journal of nursing management |
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creator | Santos Alves, Daniela Fernanda Silva, Dirceu Brito Guirardello, Edinêis |
description | Aim
To assess correlations between the characteristics of the nursing practice environment, job outcomes and safety climate.
Background
The nursing practice environment is critical to the well‐being of professionals and to patient safety, as highlighted by national and international studies; however, there is a lack of evidence regarding this theme in paediatric units.
Methods
A cross‐sectional study, in two paediatric hospitals in Brazil, was conducted from December 2013 to February 2014. For data collection, we used the Nursing Work Index – Revised, Safety Attitudes Questionnaire – Short Form 2006 and the Maslach Burnout Inventory, and for analysis Spearman's correlation coefficient and structural equation modelling were used.
Results
Two hundred and sixty‐seven professional nurses participated in the study. Autonomy, control over the work environment and the relationship between nursing and medical staff are factors associated with job outcomes and safety climate and can be considered their predictors.
Conclusions
Professional nurses with greater autonomy, good working relationships and control over their work environment have lower levels of emotional exhaustion, higher job satisfaction, less intention of leaving the job and the safety climate is positive.
Implications for nursing management
Initiatives to improve the professional practice environment can improve the safety of paediatric patients and the well‐being of professional nurses. |
doi_str_mv | 10.1111/jonm.12427 |
format | Article |
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To assess correlations between the characteristics of the nursing practice environment, job outcomes and safety climate.
Background
The nursing practice environment is critical to the well‐being of professionals and to patient safety, as highlighted by national and international studies; however, there is a lack of evidence regarding this theme in paediatric units.
Methods
A cross‐sectional study, in two paediatric hospitals in Brazil, was conducted from December 2013 to February 2014. For data collection, we used the Nursing Work Index – Revised, Safety Attitudes Questionnaire – Short Form 2006 and the Maslach Burnout Inventory, and for analysis Spearman's correlation coefficient and structural equation modelling were used.
Results
Two hundred and sixty‐seven professional nurses participated in the study. Autonomy, control over the work environment and the relationship between nursing and medical staff are factors associated with job outcomes and safety climate and can be considered their predictors.
Conclusions
Professional nurses with greater autonomy, good working relationships and control over their work environment have lower levels of emotional exhaustion, higher job satisfaction, less intention of leaving the job and the safety climate is positive.
Implications for nursing management
Initiatives to improve the professional practice environment can improve the safety of paediatric patients and the well‐being of professional nurses.</description><identifier>ISSN: 0966-0429</identifier><identifier>EISSN: 1365-2834</identifier><identifier>DOI: 10.1111/jonm.12427</identifier><identifier>PMID: 27730709</identifier><language>eng</language><publisher>England: Hindawi Limited</publisher><subject>Adult ; Brazil ; burnout ; Burnout, Professional - psychology ; Cross-Sectional Studies ; Female ; health facility environment ; Humans ; Job Satisfaction ; Male ; Middle Aged ; nurses ; Nurses - psychology ; Nurses - statistics & numerical data ; Nursing ; patient safety ; Patient Safety - standards ; Patient Safety - statistics & numerical data ; Personnel Turnover - statistics & numerical data ; professional ; Statistics as Topic ; Surveys and Questionnaires ; Workplace - psychology ; Workplace - standards ; Workplace - statistics & numerical data</subject><ispartof>Journal of nursing management, 2017-01, Vol.25 (1), p.46-55</ispartof><rights>2016 John Wiley & Sons Ltd</rights><rights>2016 John Wiley & Sons Ltd.</rights><rights>Copyright © 2017 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3417-f29cbcbe37e9ace525e1f1e3b1cda75fc9f1ee3dc86b224bada52a5e2d046a0a3</citedby><cites>FETCH-LOGICAL-c3417-f29cbcbe37e9ace525e1f1e3b1cda75fc9f1ee3dc86b224bada52a5e2d046a0a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjonm.12427$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjonm.12427$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,30999,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27730709$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Santos Alves, Daniela Fernanda</creatorcontrib><creatorcontrib>Silva, Dirceu</creatorcontrib><creatorcontrib>Brito Guirardello, Edinêis</creatorcontrib><title>Nursing practice environment, job outcomes and safety climate: a structural equation modelling analysis</title><title>Journal of nursing management</title><addtitle>J Nurs Manag</addtitle><description>Aim
To assess correlations between the characteristics of the nursing practice environment, job outcomes and safety climate.
Background
The nursing practice environment is critical to the well‐being of professionals and to patient safety, as highlighted by national and international studies; however, there is a lack of evidence regarding this theme in paediatric units.
Methods
A cross‐sectional study, in two paediatric hospitals in Brazil, was conducted from December 2013 to February 2014. For data collection, we used the Nursing Work Index – Revised, Safety Attitudes Questionnaire – Short Form 2006 and the Maslach Burnout Inventory, and for analysis Spearman's correlation coefficient and structural equation modelling were used.
Results
Two hundred and sixty‐seven professional nurses participated in the study. Autonomy, control over the work environment and the relationship between nursing and medical staff are factors associated with job outcomes and safety climate and can be considered their predictors.
Conclusions
Professional nurses with greater autonomy, good working relationships and control over their work environment have lower levels of emotional exhaustion, higher job satisfaction, less intention of leaving the job and the safety climate is positive.
Implications for nursing management
Initiatives to improve the professional practice environment can improve the safety of paediatric patients and the well‐being of professional nurses.</description><subject>Adult</subject><subject>Brazil</subject><subject>burnout</subject><subject>Burnout, Professional - psychology</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>health facility environment</subject><subject>Humans</subject><subject>Job Satisfaction</subject><subject>Male</subject><subject>Middle Aged</subject><subject>nurses</subject><subject>Nurses - psychology</subject><subject>Nurses - statistics & numerical data</subject><subject>Nursing</subject><subject>patient safety</subject><subject>Patient Safety - standards</subject><subject>Patient Safety - statistics & numerical data</subject><subject>Personnel Turnover - statistics & numerical data</subject><subject>professional</subject><subject>Statistics as Topic</subject><subject>Surveys and Questionnaires</subject><subject>Workplace - psychology</subject><subject>Workplace - standards</subject><subject>Workplace - statistics & numerical data</subject><issn>0966-0429</issn><issn>1365-2834</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkctu1DAUhi1ERacDGx4AWWKDKlJ8ie2YHaq4qrQbWEcnzglklMRTX0DzNn0WnqwepmXBAnEWPrL06ZP9_4Q85eyMl3m18ct8xkUtzAOy4lKrSjSyfkhWzGpdsVrYY3IS44YxLoVUj8ixMEYyw-yKfL_MIY7LN7oN4NLokOLyYwzFiEt6STe-oz4n52eMFJaeRhgw7aibxhkSvqZAYwrZpRxgonidIY1--XUz-x6nae-FBaZdHONjcjTAFPHJ3V6Tr-_efjn_UF1cvf94_uaicrLmphqEdZ3rUBq04FAJhXzgKDvuejBqcLbcUPau0Z0QdQc9KAEKRc9qDQzkmrw4eLfBX2eMqZ3H6MpjYEGfY8sbrbVqjOL_gUolbWPKuSbP_0I3PofytT2ltLVWlkjX5PRAueBjDDi021ByCruWs3ZfVbuvqv1dVYGf3SlzN2P_B73vpgD8APwcJ9z9Q9V-urr8fJDeAhadoZs</recordid><startdate>201701</startdate><enddate>201701</enddate><creator>Santos Alves, Daniela Fernanda</creator><creator>Silva, Dirceu</creator><creator>Brito Guirardello, Edinêis</creator><general>Hindawi Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201701</creationdate><title>Nursing practice environment, job outcomes and safety climate: a structural equation modelling analysis</title><author>Santos Alves, Daniela Fernanda ; Silva, Dirceu ; Brito Guirardello, Edinêis</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3417-f29cbcbe37e9ace525e1f1e3b1cda75fc9f1ee3dc86b224bada52a5e2d046a0a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Brazil</topic><topic>burnout</topic><topic>Burnout, Professional - psychology</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>health facility environment</topic><topic>Humans</topic><topic>Job Satisfaction</topic><topic>Male</topic><topic>Middle Aged</topic><topic>nurses</topic><topic>Nurses - psychology</topic><topic>Nurses - statistics & numerical data</topic><topic>Nursing</topic><topic>patient safety</topic><topic>Patient Safety - standards</topic><topic>Patient Safety - statistics & numerical data</topic><topic>Personnel Turnover - statistics & numerical data</topic><topic>professional</topic><topic>Statistics as Topic</topic><topic>Surveys and Questionnaires</topic><topic>Workplace - psychology</topic><topic>Workplace - standards</topic><topic>Workplace - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Santos Alves, Daniela Fernanda</creatorcontrib><creatorcontrib>Silva, Dirceu</creatorcontrib><creatorcontrib>Brito Guirardello, Edinêis</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of nursing management</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Santos Alves, Daniela Fernanda</au><au>Silva, Dirceu</au><au>Brito Guirardello, Edinêis</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nursing practice environment, job outcomes and safety climate: a structural equation modelling analysis</atitle><jtitle>Journal of nursing management</jtitle><addtitle>J Nurs Manag</addtitle><date>2017-01</date><risdate>2017</risdate><volume>25</volume><issue>1</issue><spage>46</spage><epage>55</epage><pages>46-55</pages><issn>0966-0429</issn><eissn>1365-2834</eissn><abstract>Aim
To assess correlations between the characteristics of the nursing practice environment, job outcomes and safety climate.
Background
The nursing practice environment is critical to the well‐being of professionals and to patient safety, as highlighted by national and international studies; however, there is a lack of evidence regarding this theme in paediatric units.
Methods
A cross‐sectional study, in two paediatric hospitals in Brazil, was conducted from December 2013 to February 2014. For data collection, we used the Nursing Work Index – Revised, Safety Attitudes Questionnaire – Short Form 2006 and the Maslach Burnout Inventory, and for analysis Spearman's correlation coefficient and structural equation modelling were used.
Results
Two hundred and sixty‐seven professional nurses participated in the study. Autonomy, control over the work environment and the relationship between nursing and medical staff are factors associated with job outcomes and safety climate and can be considered their predictors.
Conclusions
Professional nurses with greater autonomy, good working relationships and control over their work environment have lower levels of emotional exhaustion, higher job satisfaction, less intention of leaving the job and the safety climate is positive.
Implications for nursing management
Initiatives to improve the professional practice environment can improve the safety of paediatric patients and the well‐being of professional nurses.</abstract><cop>England</cop><pub>Hindawi Limited</pub><pmid>27730709</pmid><doi>10.1111/jonm.12427</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; Access via Wiley Online Library; Applied Social Sciences Index & Abstracts (ASSIA) |
subjects | Adult Brazil burnout Burnout, Professional - psychology Cross-Sectional Studies Female health facility environment Humans Job Satisfaction Male Middle Aged nurses Nurses - psychology Nurses - statistics & numerical data Nursing patient safety Patient Safety - standards Patient Safety - statistics & numerical data Personnel Turnover - statistics & numerical data professional Statistics as Topic Surveys and Questionnaires Workplace - psychology Workplace - standards Workplace - statistics & numerical data |
title | Nursing practice environment, job outcomes and safety climate: a structural equation modelling analysis |
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