Pereira Soraia, Ribeiro Marlene, Mendes Mariana, Ferreira Rosilene, Santos Eduardo, Fassarella Cintia, Ribeiro Olga
Abel Salazar Biomedical Sciences Institute, University of Porto, 4050-313 Porto, Portugal.
Northern Health School of the Portuguese Red Cross, 3720-126 Oliveira de Azeméis, Portugal.
Nurs Rep. 2024 Oct 17;14(4):3052-3068. doi: 10.3390/nursrep14040222.
In recent years, research has increasingly highlighted the significance of nursing practice environments, linking positive settings with enhanced job satisfaction, professional autonomy, and care quality. Such environments can decrease turnover, stress, and costs while improving patient safety. Despite this extensive literature, there is limited consensus on defining a 'positive nursing practice environment', highlighting the need for a systematic analysis to advance understanding and application. This study aims to explore and clarify the concept of a 'Positive Nursing Practice Environment'. This study applied Walker and Avant's approach for concept analysis, conducting a comprehensive database search to gather relevant evidence. To review the available evidence on the concept of nursing practice environments, we followed the methodology proposed by JBI for scoping reviews. The inclusion of 166 studies meeting the criteria provided a broad understanding of the topic, revealing 10 key attributes of a 'positive nursing practice environment' and identifying various antecedents and consequences affecting clients, nurses, and institutions. The concept analysis of a 'Positive Nursing Practice Environment' offers valuable insights into nurses' working conditions, systematically identifying characteristics that impact professionals, patients, and institutions. This analysis lays the groundwork for future research and practical improvements in nursing practice environments. This study was not registered.
近年来,研究越来越多地强调护理实践环境的重要性,将积极的环境与更高的工作满意度、专业自主性和护理质量联系起来。这样的环境可以减少人员流动、压力和成本,同时提高患者安全。尽管有大量此类文献,但对于如何定义“积极的护理实践环境”,人们的共识有限,这凸显了进行系统分析以增进理解和应用的必要性。本研究旨在探索并阐明“积极的护理实践环境”这一概念。本研究采用沃克和阿万特的概念分析方法,进行全面的数据库检索以收集相关证据。为了回顾关于护理实践环境概念的现有证据,我们遵循了循证卫生保健国际协作网(JBI)提出的范围综述方法。纳入的166项符合标准的研究提供了对该主题的广泛理解,揭示了“积极的护理实践环境”的10个关键属性,并确定了影响客户、护士和机构的各种前因和后果。“积极的护理实践环境”的概念分析为护士的工作条件提供了有价值的见解,系统地识别了影响专业人员、患者和机构的特征。这一分析为未来护理实践环境的研究和实际改进奠定了基础。本研究未进行注册。