Effects of nurse work environment on job dissatisfaction, burnout, intention to leave

Abstract

Background The nursing shortage is a critical issue in many countries. High turnover rates among nurses is contributing to the shortage, and job dissatisfaction, intention to leave, and burnout have been identified as some of the predictors of nurse turnover. A well‐established body of evidence demonstrates that the work environment for nurses influences nurse job dissatisfaction, intention to leave, and burnout, but there never has been a study undertaken in Thailand to investigate this relationship. Objectives To investigate how work environment affects job dissatisfaction, burnout, and intention to leave among nurses in Thailand. Methods The study used a cross‐sectional survey to collect data from 1351 nurses working in 43 inpatient units in five university hospitals across Thailand. The participants completed the Practice Environment Scale of the Nursing Work Index, the Maslach Burnout Inventory, and measures of job dissatisfaction and intention to leave. Logistical regression models assessed the association between work environment and nurse‐reported job dissatisfaction, burnout, and intent to leave. Results Nurses working in university hospitals with better work environments had significantly less job dissatisfaction, intention to leave, and burnout. Conclusion The nurse work environment is a significant feature contributing to nurse retention in Thai university hospitals. Implications for nursing and health policy Improving the work environment for nurses may lead to lower levels of job dissatisfaction, intention to leave, and burnout. Focusing on these nurse outcomes can be used as a strategy to retain nurses in the healthcare system. Addressing the challenges of poor work environments requires coordinated action from policymakers and health managers.

The relationship between work environment and career success among nurses with a master's or doctoral degree: A national cross‐sectional study

“…Findings in our study showed that “adequate human and material resources” (M = 2.83, SD = 0.69) and “nurse participation in hospital affairs” (M = 3.16, SD = 0.57) scored lowest by the respondents, which were consistent with the findings of other studies (Nantsupawat et al, ; Panagiotis, Peter, & Ioannis, ). Nursing shortage is a global problem, especially for nurses with a master's or doctoral degree.…”

“…The highest scores for “collegial nurse‐physician relations” (M = 3.36, SD = 0.51) were found in this study, which were consistent with the findings from another study conducted among registered nurses (Nantsupawat et al, ; Zhang et al, ). A systematic review showed positive correlations between collaboration and teamwork with error reduction and patient safety improvement (Kilner & Sheppard, ).…”

“…These characteristics are influenced by managerial support for nursing, nurse participation in hospital affairs, promotion of care quality, staffing and resource adequacy, and doctor‐nurse relations. Several reports have shown that registered nurses' perceptions of work environment are only moderate level (Klopper, Coetzee, Pretorius, & Bester, ; Nantsupawat et al, ). In developed countries, owing to the sound system of development for nurses with a master's or doctoral degree, their work environment was better than that of registered nurses (Doran, Duffield, Rizk, Nahm, & Chu, ).…”

Promoção da alimentação saudável na infância: fragilidades no contexto da Atenção Básica

“…Neste modelo, a predominância do modelo biomédico reforça relações assimé-tricas de subordinação, desvalorizando saberes e ações de outros âmbitos da produção do cuidado (tais como o educativo e o preventivo), que se configuram como periféricos ao trabalho nuclear, ou seja, à assistência médica individual 31 . Embora a submissão de profissionais de saú-de a condições laborais frustrantes e desgastantes tenha sido mais descrita em ambientes hospitalares 32,33 , é possível fazer um paralelo com os resultados deste estudo. Descontinuidade no fornecimento de recursos materiais, inadequabilidade de equipamentos e estrutura física 33 podem potencializar fatores de estresse já bastante presentes na dinâmica de trabalho das equipes em condições estáveis, seja na Atenção Básica ou em ambientes hospitalares.…”

“…A insatisfação profissional, associada a ambientes de trabalho negativos, também tem sido apontada como um dos constituintes da Sín-drome de Burnout 28,30,32,34 , que envolve exaustão (perda ou desgaste dos recursos emocionais), despersonalização (sentimentos e atitudes negativas no trabalho) e baixa realização pessoal.…”