School of Nursing, Federal University of Juiz de Fora, Juiz de Fora, Brazil.
School of Nursing, University of Campinas, Campinas, Brazil.
J Nurs Manag. 2021 Oct;29(7):2183-2188. doi: 10.1111/jonm.13371. Epub 2021 May 31.
The association between Magnet recognition and nursing work environment is well established; however, little is known about hospital accreditation and its relationship to the nursing work environment.
To describe the Brazilian nurses' perceptions of the work environment and their relationship with hospital accreditation.
A cross-sectional survey study was carried out in three Brazilian hospitals. Nurses who delivered direct patient care and worked for at least 6 months were invited to participate. Those who were on vacation or leave for any reason during data collection were excluded. The participants were asked to fill out the personal and professional characterization form and the Brazilian version of the Revised Nursing Work Index.
The work environment was evaluated as favourable by Brazilian nurses. Linear regression analysis evidenced that hospital accreditation is associated with the nursing work environment, affecting the nurse-physician relationship (OR = 0.266, p < .001), organisational support (OR = 0.256, p < .001), control over the practice setting (OR = 0.229, p < .001) and autonomy (OR = 0.227, p < .001).
The findings suggest that there is a positive influence of hospital accreditation on nurses' perceptions of the work environment concerning autonomy, nurse-physician relationship, control over the practice setting and organisational support.
Nurse managers can apply the recommendations of certification programmes in practice settings to improve the nursing work environment.
磁性识别与护理工作环境之间的关联已得到充分证实；然而，对于医院认证及其与护理工作环境的关系知之甚少。
描述巴西护士对工作环境的看法及其与医院认证的关系。
本横断面调查研究在巴西的三家医院进行。邀请直接为患者提供护理且工作时间至少为 6 个月的护士参加。在数据收集期间因休假或其他原因请假的护士被排除在外。参与者被要求填写个人和专业特征表以及修订后的护理工作指数巴西版。
巴西护士对工作环境的评价是有利的。线性回归分析表明，医院认证与护理工作环境相关，影响护士与医生的关系（OR=0.266，p<.001）、组织支持（OR=0.256，p<.001）、对实践环境的控制（OR=0.229，p<.001）和自主权（OR=0.227，p<.001）。
研究结果表明，医院认证对护士对自主性、护士与医生的关系、对实践环境的控制和组织支持方面的工作环境的看法有积极影响。
护理管理人员可以将认证计划的建议应用于实践环境中，以改善护理工作环境。
