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
Hauptverfasser: Santos Alves, Daniela Fernanda, Silva, Dirceu, Brito Guirardello, Edinêis
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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
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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. 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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. 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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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