Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway.
Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
BMC Health Serv Res. 2022 Oct 10;22(1):1244. doi: 10.1186/s12913-022-08608-9.
The organizational context in healthcare (i.e., the work environment) is associated with patient outcomes and job satisfaction. Long-term care is often considered to be a challenging work environment, characterized by high job demands, low job control, a fast work pace and job dissatisfaction, which may affect patient care and increase staff turnover.This study aims to investigate the organizational context in nursing homes and the features of favorable or less favorable work environments.
This study is a cross-sectional study of registered nurses and licensed practical nurses in Bergen, Norway (n = 1014). The K-means clustering algorithm was used to differentiate between favorable and less favorable work environments, based on the Alberta Context Tool. Multilevel logistic regression analysis was used to investigate the associations between individual sociodemographic factors, nursing home factors and the probability of experiencing a favorable work environment.
45% of the sample (n = 453) experienced working in a favorable work environment. Contextual features (especially a supportive work culture, more evaluation mechanisms and greater organizational slack resources) and individual features (having a native language other than Norwegian, working day shifts, working full time and belonging to a younger age group) significantly increased the likelihood of experiencing a favorable work environment.
The work environment in nursing homes is composed of modifiable contextual features. Action in relation to less favorable features and their associated factors should be a priority for nursing home management. This survey indicates that specific steps can be taken to reduce the reliance on part-time workers and to promote the work environment among staff working the night shift.
医疗保健中的组织环境（即工作环境）与患者结局和工作满意度相关。长期护理通常被认为是一个具有挑战性的工作环境，其特点是工作要求高、工作控制低、工作节奏快且工作满意度低，这可能会影响患者护理并增加员工流动率。本研究旨在调查养老院的组织环境以及有利或不利工作环境的特征。
这是一项在挪威卑尔根的注册护士和持照实习护士的横断面研究（n=1014）。基于艾伯塔省情境工具，使用 K-均值聚类算法将有利和不利的工作环境区分开来。使用多水平逻辑回归分析来调查个体社会人口统计学因素、养老院因素与经历有利工作环境的概率之间的关联。
样本的 45%（n=453）经历了有利的工作环境。情境特征（尤其是支持性的工作文化、更多的评估机制和更多的组织松弛资源）和个体特征（母语非挪威语、上白班、全职工作和属于较年轻的年龄组）显著增加了经历有利工作环境的可能性。
养老院的工作环境由可修改的情境特征组成。针对不利特征及其相关因素采取行动应成为养老院管理的优先事项。这项调查表明，可以采取具体措施减少对兼职人员的依赖，并促进夜班工作人员的工作环境。
