Nursing personnel's perceptions of the organizational climate in public and private hospitals in Spain

García‐García, Inés; Ramos, Valentín; Serrano, José Luis Cobos; Cobos, Manuel; Souza, Adenícia Custódia Silva e

doi:10.1111/j.1466-7657.2010.00871.x

Cited by 12 publications

(7 citation statements)

References 16 publications

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“…However, in public hospitals, the subscales associated with 'managerial support' and 'staff participation and autonomy' obtain higher scores than in the private sector. The subscales that obtained the poorest scores in private hospitals were 'working under pressure' and 'management control over nursing practices' (García-García et al, 2011). Other studies that compared the working environment in primary care under private and public management did not detect significant differences either in healthcare staff's perception of the working environment (Gea-Caballero et al, 2019).…”

Section: Discussionmentioning

confidence: 90%

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Association of Nursing Practice Environment on reported adverse events in private management hospitals: A cross‐sectional study

Plaza

Gea-Caballero

Martí-Ejarque

et al. 2021

Journal of Clinical Nursing

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Aims and objectives:To examine the relationships between nurses' perceptions of their practice environment, other working conditions and reported adverse events in two private management hospitals.Background: Patient safety is influenced by knowledge, available resources and the context in which nursing care is provided. In this sense, it has been found that certain work environments (e.g., workload, nurse turnover level, patient-to-nurse ratio, nurse staffing, nurse manager ability) influence patient outcomes. The association between nursing practice environment and reported adverse events has not been explored in private management hospitals. Design:A cross-sectional study. The STROBE was selected as the checklist in this study.Methods: A total of 219 nurses were included in the study. This study was conducted from June 2018-June 2019 in Spain. Data were collected through questionnaires focusing on work conditions, reported adverse events (falls, medication errors, catheter-related sepsis and pressure ulcer) and Practice Environment Scale of the Nursing Work Index. Binary logistic regression analysis was performed to determine the factors influencing the occurrence of errors.Results: Nurses reported poor perception of the professional environment, and 62.1% reported having made at least one error in the previous year. Manager support and leadership and nurse-physician relations were the most favourable aspects of work environment. Medical-surgical units, rotating in the same shift and favourable work environment, were associated with more reporting of adverse events. Conclusion:The factors of nursing practice (hospital area workload, staff rotating and perception of work environment) associated with reporting adverse events can be worked upon from the organisation and provided an opportunity for safety culture improvement and safer healthcare services.

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Section: Discussionmentioning

confidence: 90%

“…It is a much rarer practice among healthcare staff in the public sector, due to their status of civil official (García-García et al, 2011).…”

Section: Discussionmentioning

confidence: 99%

Association of Nursing Practice Environment on reported adverse events in private management hospitals: A cross‐sectional study

Plaza

Gea-Caballero

Martí-Ejarque

et al. 2021

Journal of Clinical Nursing

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“…Consequently, the Spanish government has had to invest substantially in healthcare activities, improve internal operations and increase operational control (Nelson and Sen, 2014). In this context, Spanish healthcare professionals have worked subject to overload, decreased time for patient care, increased working hours, temporary employment, intense pressure, and all of this within organizational structures that are resistant to change (Garcia-Garcia et al , 2011; Ruiz-Fernandez et al , 2020); these factors generate a loss of energy and emotional exhaustion.…”

Section: Literature Reviewmentioning

confidence: 99%

Is public healthcare healthy? The role of emotional exhaustion

López‐Cabarcos

López-Carballeira

Ferro‐Soto

2021

BJM

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PurposeThis study analyzes the mediating effect of emotional exhaustion between certain job demands (workload, role conflict, and influence at work) and employees' work attitudes (affective commitment and turnover intention) in public healthcare. Furthermore, it analyzes the moderating effect of possibilities for development and the degree of freedom at work between the above-mentioned job demands and emotional exhaustion.Design/methodology/approachA total of 512 healthcare professionals participated in the study. The data were analyzed using structural equation modeling and a hierarchical multiple regression analysis.FindingsThe results show that emotional exhaustion fully mediates the relationship between job demands (workload and role conflict) and work attitudes (affective commitment and turnover intention). Moreover, the possibilities for development and degree of freedom at work moderate the relationship between role conflict and emotional exhaustion.Practical implicationsStrategies should be designed to prevent employees from becoming emotionally exhausted and lead them to feel more motivated, which results in a more effective public healthcare service.Originality/valueThis study stresses the importance of analyzing the role of emotional exhaustion in the public healthcare context. It demonstrates the mediating role of this variable between several antecedents and consequences, and it analyzes whether other relevant variables can moderate the negative effects of emotional exhaustion.

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“…Organizational climate is regarded as a meaningful construct with significant implications in human resource management and organizational behavior (Glisson and James, 2002;Campbell et al, 1970;James and Jones, 1974;Litwin and Stringer, 1968). Furthermore, organizational climate is one of the most significant determinants of individual and group attitudes and behaviors in institutions (Garcia-Garcia et al, 2011).…”

Section: Organizational Climatementioning

confidence: 99%

Organizational climate and job satisfaction: do employees’ personalities matter?

Ahmad

Jasimuddin

Kee

2018

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Purpose The purpose of this paper is to provide some insights on the interplay of organizational climate and job satisfaction, taking personality traits as a moderator. Design/methodology/approach The paper reviews the extant literature from which it develops a theoretical model which is then tested empirically in the Malaysian context, using hierarchical regression methodology. Findings The results imply that there are moderating effects of personality traits on the relationship between certain aspects of organizational climate and job satisfaction. Research limitations/implications The cross-sectional nature of this study inhibits the testing of causality between the variables. The research model and hypotheses were tested, using data drawn only from companies operating in a single country. Practical implications The paper provides valuable information to leaders and managers in understanding which personality works better in the potential casual linkage between organizational climate and overall job satisfaction. This paper also helps practitioners to understand better why the same climate can have different impacts on different people. Originality/value It contributes to the conceptualization of the organizational climate by emphasizing Litwin and Stringer’s (1968) dimensions of organizational climate as the important determinants of the job satisfaction. Moreover, it expands the traditional discussion by incorporating the personal traits that moderates the relationship between organizational climate and the job satisfaction.

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Nursing personnel's perceptions of the organizational climate in public and private hospitals in Spain

Abstract: Based on these findings, it is suggested that nurse managers should introduce strategies to set conditions for a better work environment in public and private hospitals.

Cited by 12 publications

References 16 publications

Association of Nursing Practice Environment on reported adverse events in private management hospitals: A cross‐sectional study

Association of Nursing Practice Environment on reported adverse events in private management hospitals: A cross‐sectional study

Is public healthcare healthy? The role of emotional exhaustion

Organizational climate and job satisfaction: do employees’ personalities matter?

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