Relationship between nurse practice environment and work outcomes: A survey study in the Philippines

Abstract

Aims Challenges in the nurse practice environment greatly affect nurse work outcomes. This study investigated the relationship between nurse practice environment and work outcomes in the Philippines. Methods This cross‐sectional survey involved 549 hospital nurses in the Philippines in 2018. The nurse practice environment was measured using the Practice Environment Scale of the Nursing Work Index (PES‐NWI). Four self‐report scales were used to measure work outcomes: job satisfaction, job burnout, job stress and nurse‐assessed quality of care. Multiple linear regression analysis was used to analyse the data. Results Significant relationships were found between nurse and organizational characteristics and nurse practice environment. Further, multivariate regression analysis revealed that the nurse practice environment had a significant and positive relationship with perceived quality of care and a significant and negative relationship with job burnout and job stress. Conclusion A favourable work environment significantly reduced job burnout and job stress and improved the quality of patient care. With considerable migration abroad, a favourable nurse practice environment may engage a better nurse workforce in the country and subsequently reduce migration. Managers must focus on developing good nurse practice environments that will improve professional work outcomes and quality patient care.

Influence of nurse managers' toxic leadership behaviours on nurse‐reported adverse events and quality of care

“…Here, higher scores indicated a higher quality of care was delivered. This scale demonstrated a satisfactory reliability ( α = .89), which was higher than that previously reported ( α = .80) (Aiken et al., 2017; Falguera et al., 2020).…”

Determinants of emotional exhaustion among nursing workforce in urban Ghana: a cross-sectional study

“…The subject of burnout in a form of emotional exhaustion has become imperative in health organizations because of the emerging trends in employment and its related problems. It is been ascertained that unhealthy practice environment such as increased workloads, absurd nursepatient ratios, and scarce human and material resources is a major threat in the well-being of professionals especially in the incidence of emotional exhaustion among nursing workforce [1][2][3][4]; and any organisational culture that does not support its personnel has burnout costs [4]. Emotional exhaustion, which is one of the pillars of 'Burnout Syndrome' is defined as syndrome characterized by losing enthusiasm for work [5][6][7][8] and it is conceptualised as a response to a discrepancy between job-related strains and resources that is presented through feelings of emotional fatigue [9].…”

Determinants of Emotional Exhaustion among Nursing Workforce in Urban Ghana: A Cross-sectional Study

“…The subject of burnout in a form of emotional exhaustion has become imperative in health organizations because of the emerging trends in employment and its related problems. It is been ascertained that unhealthy practice environment such as increased workloads, absurd nurse-patient ratios, and scarce human and material resources is a major threat in the well-being of professionals especially in the incidence of emotional exhaustion among nursing workforce (1,2,3,4) and any organisational culture that does not support its personnel has burnout costs (4). Emotional exhaustion, which is one of the pillars of 'Burnout Syndrome' is de ned as syndrome characterized by losing enthusiasm for work (5,6,7,8) and it is conceptualised as a response to a discrepancy between job-related strains and resources that is presented through feelings of emotional fatigue (9).…”