Technical High School of Campinas (COTUCA), University of Campinas, São Paulo, Brazil.
School of Nursing, University of Campinas, São Paulo, Brazil.
J Adv Nurs. 2021 May;77(5):2398-2406. doi: 10.1111/jan.14764. Epub 2021 Feb 9.
To describe the nurse work environment and its relation to reasons for missed nursing care, safety climate, and job satisfaction.
This was a cross-sectional study.
Two hundred and nineteen nursing professionals by a convenience sample from two teaching hospitals between April 2017 and October 2017. The variables nurse work environment, reasons for missed nursing care, safety climate, and job satisfaction were collected by measuring instruments, and a descriptive, correlation, and comparative analyses were performed.
The nurse work environment was classified as mixed, with three subscales of the instrument resulting in scores that represented a better nurse work environment, namely: nursing foundations for quality care; collegial nurse-physician relations; and nurse manager ability, leadership, and support. The most frequent reasons for missed care were related to labour and material resources. A better work environment was associated with a high level of work satisfaction, better perception of the safety climate, and fewer reasons for missed care.
Better nurse work environments can contribute to improving nurses' perception of job satisfaction and the safety climate, and to reducing reasons for missed care.
Authentic leadership in the nurse work environment has implications in terms of reducing the reasons for missed nursing care, improving the perception of the safety climate, and job satisfaction. Nurse managers should evaluate the nurse work environment and missed nursing care as an important predictors of the quality of patient care.
描述护士工作环境及其与护理差错原因、安全氛围和工作满意度的关系。
这是一项横断面研究。
2017 年 4 月至 10 月，采用便利抽样法从 2 所教学医院选取 219 名护理专业人员。使用测量工具收集护士工作环境、护理差错原因、安全氛围和工作满意度等变量，并进行描述性、相关性和比较性分析。
护士工作环境被归类为混合环境，仪器的 3 个分量表的得分代表了更好的护士工作环境，即：护理质量基础；同事间良好的护患关系；护士长的能力、领导力和支持。护理差错最常见的原因与人力和物力资源有关。更好的工作环境与高水平的工作满意度、对安全氛围的更好感知以及更少的护理差错原因相关。
更好的护士工作环境有助于提高护士对工作满意度和安全氛围的感知，减少护理差错的原因。
护士工作环境中的真实领导对减少护理差错、改善安全氛围和工作满意度有影响。护士管理者应评估护士工作环境和护理差错，作为患者护理质量的重要预测指标。
