The Perception of Quality Nursing Work Environment among Hospital Nurses
Keywords:nursing work environment, practice environment, nursing practice quality
Background: Nurses, the more significant health care provider, need an excellent work environment that adequately expresses their skills and knowledge on providing optimum care quality outcomes to the patients. Objective: This study aimed to determine the current state of the nurses’ perceived work environment quality and examine differences in perceived work environment quality among nurses with different characteristics. Method: A descriptive cross-sectional correlation design and a probability sampling method recruit 334 hospital nurses. The self-report questionnaire scale of the Quality Nursing Work Environment (QNWE) was used to collect data. Descriptive statistics, variant analysis (ANOVA), independent-sample t-test, and Pearson correlation were utilized to analyze comprehensive data. Result: The participants reported a perceived moderate level of quality of the work environment. The perceived QNWE levels were found to differ across participants' ages statistically (p<0.05), work experience (p<0.01), and department (p<0.05). Most participants rated their working environment as high quality on the domain "Professional specialization and cooperation" (M=2.81; SD=0.53). Contrarily, the responses to domain 2, "Staff quality," were ranked lower (M= 3.32; SD=0.63). Nurses who worked in the special care units and had three years or more experience perceived lower work environment quality than others did. Recommendation: The finding of this study can be utilized as a guideline to the policymakers, hospital administrators, nurse supervisors, and educators to determine areas to improve nurses' work environment; which could translate into a significant improvement in patient outcome
Drennan VM, Ross F. Global nurse shortages—the facts, the impact and action for change. Br Med Bull [Internet]. 2019 Jun 19 [cited 2021 Aug 12];130(1):25–37. Available from: https://academic.oup.com/bmb/article/130/1/25/5487611
Dewanto A, Wardhani V. Nurse turnover and perceived causes and consequences: a preliminary study at private hospitals in Indonesia. BMC Nurs [Internet]. 2018 Dec 19 [cited 2021 Aug 12];17(2):1–7. Available from: https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-018-0317-8
Mar? M, Bartosiewicz A, Burzy?ska J, Chmiel Z, Januszewicz P. A nursing shortage - a prospect of global and local policies. Int Nurs Rev [Internet]. 2019 Mar 1 [cited 2021 Aug 12];66(1):9–16. Available from: https://pubmed.ncbi.nlm.nih.gov/30039849/
Efendi F, Chen CM, Kurniati A, Nursalam N. The situational analysis of nursing education and workforce in Indonesia. Malaysian J Nurs. 2018;9(4):20–9.
Albougami AS, Almazan JU, Cruz JP, Alquwez N, Alamri MS, Adolfo CA, et al. Factors affecting nurses’ intention to leave their current jobs in Saudi Arabia. Int J Health Sci (Qassim) [Internet]. 2020 [cited 2021 Aug 12];14(3):33. Available from: /pmc/articles/PMC7269627/
Han K, Trinkoff AM, Gurses AP. Work-related factors, job satisfaction and intent to leave the current job among United States nurses. J Clin Nursinga [Internet]. 2015 Nov 1 [cited 2021 Aug 12];24(21–22):3224–32. Available from: https://pubmed.ncbi.nlm.nih.gov/26417730/
Mudallal RH, Othman WM, Al-Hassan NF. Nurses’ burnout: The influence of leader empowering behaviors, work conditions, and demographic traits. Inquiry [Internet]. 2017 [cited 2021 Aug 12];54(17). Available from: https://pubmed.ncbi.nlm.nih.gov/28844166/
Lake ET. Development of the practice environment scale of the Nursing Work Index. Res Nurs Heal [Internet]. 2002 Jun [cited 2021 Aug 12];25(3):176–88. Available from: https://pubmed.ncbi.nlm.nih.gov/12015780/
Lee SE, Scott LD. Hospital nurses’ work environment characteristics and patient safety outcomes: A literature review. West J Nurs Res [Internet]. 2018 Jan 1 [cited 2021 Aug 12];40(1):121–45. Available from: https://pubmed.ncbi.nlm.nih.gov/27586440/
Moisoglou L, Yfantis A, Galanis P, Plspirgou A, Chatzimargaritis E, Theoxari A, et al. Nurses work environment and patients’ quality of care. Int J Caring Sci. 2020;12(1):108–116.
Edet O, Asuquo E, Akpabio I, Samson-Akpan P, Ojong I. Registered nurses’ (RNS) perception of the nursing profession and health care work environment in tertiary and secondary health facilities in Calabar, Nigeria. Glob J Pure Appl Sci [Internet]. 2015 Dec 8 [cited 2021 Aug 12];21(2):197–207. Available from: https://www.ajol.info/index.php/gjpas/article/view/126940
Kieft RA, de Brouwer BB, Francke AL, Delnoij DM. How nurses and their work environment affect patient experiences of the quality of care: a qualitative study. BMC Health Serv Res [Internet]. 2014 Jun 13 [cited 2021 Aug 12];14(249). Available from: https://pubmed.ncbi.nlm.nih.gov/24923663/
AbuAlRub R, El-Jardali F, Jamal D, Abu Al-Rub N. Exploring the relationship between work environment, job satisfaction, and intent to stay of Jordanian nurses in underserved areas. Appl Nurs Res [Internet]. 2016 Aug 1 [cited 2021 Aug 12];31(1):19–23. Available from: https://pubmed.ncbi.nlm.nih.gov/27397813/
Al-Hamdan Z, Manojlovich M, Tanima B. Jordanian nursing work environments, intent to stay, and job satisfaction. J Nurs Scholarsh [Internet]. 2017 Jan 1 [cited 2021 Aug 12];49(1):103–10. Available from: https://pubmed.ncbi.nlm.nih.gov/27899008/
Alshahrani FMM, Baig LA. Effect of leadership styles on job satisfaction among critical care nurses in Aseer, Saudi Arabia. J Coll Physicians Surg Pakistan. 2016;26(5):366–70.
Lundmark VA. Magnet Environments for Professional Nursing Practice In Patient Safety and Quality: An Evidence-Based Handbook for Nurses. United States: Rockville (MD): Agency for Healthcare Research and Quality; 2008.
Al Moosa M, Eweis Hassanein S, Alnems A, Ahmed Abdrbo A, Minguez O, Anwar Al Ghadheeb F. Perception of nurses work environment in tertiary care hospital in Saudi Arabia. Am J Nurs Sci. 2020;9(1):23.
Lin CF, Lu MS, Huang HY. The psychometric properties and the development of the indicators of quality nursing work environments in Taiwan. J Nurs Res. 2016;24(1):9–20.
Almuhsen F, Alkorashy H, Baddar F, Qasim A. Work environment characteristics as perceived by nurses in Saudi Arabia. Int J Adv Nurs Stud. 2017;6(1):44–5.
Amarneh BH. Social support behaviors and work stressors among nurses: A comparative study between teaching and non-teaching hospitals. Behav Sci (Basel). 2017;7(1).
Mrayyan MT. Job stressors and social support behaviors: Comparing intensive Care Units to wards in Jordan. Contemp Nurse. 2009;31(2):163–75.
Melkamu E, Woldemariam S, Haftu A. Inter-professional collaboration of nurses and midwives with physicians and associated factors in Jimma University specialized teaching hospital, Jimma, south West Ethiopia, 2019: Cross sectional study. BMC Nurs. 2020;19(23):1–9.
Aboshaiqah AE. Nursing work environment in Saudi Arabia. Jounal Nurs Manag. 2015;23(4):510–20.
Moradi T, Maghaminejad F, Azizi-Fini I. Quality of working life of nurses and its related factors. Nurs Midwifery Stud. 2014;3(2):19450-19450.
Bhui K, Dinos S, Galant-Miecznikowska M, de Jongh B, Stansfeld S. Perceptions of work stress causes and effective interventions in employees working in public, private and non-governmental organisations: a qualitative study. BJPsych Bull. 2016;40(6):318–25.
Akter N, Akkadechanunt T, Chontawan R, Klunklin A. Factors predicting quality of work life among nurses in tertiary-level hospitals, Bangladesh. Int Nurs Rev. 2018;65(2):182–9.
Leggat SG, Bartram T, Casimir G, Stanton P. Nurse perceptions of the quality of patient care: Confirming the importance of empowerment and job satisfaction. Health Care Manage Rev. 2010;35(4):355–64.
Kuokkanen L, Leino-Kilpi H, Numminen O, Isoaho H, Flinkman M, Meretoja R. Newly graduated nurses’ empowerment regarding professional competence and other work-related factors. BMC Nurs. 2016;15(22).
Tiffen J, Corbridge SJ, Slimmer L. Enhancing clinical decision making: development of a contiguous definition and conceptual framework. J Prof Nurs. 2014;30(5):399–405.
Jang HE, Song Y, Kang HY. Nurses’ perception of patient safety culture and safety control in patient safety management activities. J Korean Acad Nurs Adm. 2017;23(4):450.
Sun N, Li QJ, Lv DM, Lin P, Lu GZ, An XM. The psychometric properties of the Chinese version of the Problem Areas in Psychological Empowerment Scale (PES): Scale development. J Clin Nurs. 2011;20(3–4):369–76.
Lovri? R, Prli? N, Bara? I, Plužari? J, Pušelji? S, Berecki I, et al. Specificities and differences in nursing students’ perceptions of nursing clinical faculties’ competences. J Prof Nurs. 2014;30(5):406–17.
Kuokkanen L, Leino-Kilpi H, Katajisto J. Do nurses feel empowered? Nurses’ assessments of their own qualities and performance with regard to nurse empowerment. J Prof Nurs. 2002;18(6):328–35.