Systematic review of interventions to improve nurses’ work environments

Paguio, Jenniffer Torralba; Yu, Doris S.F.; Su, Jing Jing

doi:10.1111/jan.14462

Cited by 28 publications

(42 citation statements)

References 55 publications

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“…Measures to foster nurse work environment include the following: providing sufficient staffing levels and hospital resources, developing mechanisms to encourage nurses to be involved in hospital affairs, offering advancement opportunities to nurses, developing workplace policies that foster communication and interaction between and among health care teams, providing adequate leadership and management skills to nurse managers and implementing nursing care models in patient care management (Cho et al, 2016;Nascimento & Jesus, 2020;Wei et al, 2018). Interventions focusing on process improvement within units and involving staff nurses and nurse administrators were found to improve nurses' overall work conditions and patient safety outcomes (Paguio et al, 2020). Obtaining hospital accreditation and or certification, such as the Magnet recognition, was associated with improved work environment status, resulting in improved professional autonomy, nurse-physician relationship, task control and organisational support (Dutra & Guirardello, 2021).…”

Section: Implications For Nursing Managementmentioning

confidence: 99%

Interprofessional collaboration as a mediator in the relationship between nurse work environment, patient safety outcomes and job satisfaction among nurses

Labrague

Sabei

AL-Rawajfah

et al. 2021

J Nursing Management

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Background: As an important organisational feature, the nurse work environment has been associated with increased work effectiveness, reduced patient safety issues and improved care quality. However, the mechanism underlying this association remains unexplored. Aim: This study aims to assess the mediating role of interprofessional collaboration in the relationships between nurse work environment, select patient safety outcomes and job satisfaction. Methods: This cross-sectional, descriptive study used five standardized scales and included 881 clinical nurses employed in select teaching hospitals in Oman. Results: Nurses who worked in teaching hospitals in Oman perceived their work environment as highly favourable. Nurse work environment was directly and indirectly associated with nurse-assessed quality of care, adverse patient events and job satisfaction, through interprofessional collaborations. Conclusion: Findings of the study suggest that enhancing nurse work environments can be a potential strategy to foster interprofessional collaboration and improve job satisfaction and patient safety outcomes. Implications for Nursing Management: Organisational strategies to improve patient safety outcomes and job satisfaction in nurses can be facilitated by improving nurses' work conditions and enhancing interprofessional collaboration through supportive leadership, theory-driven approaches, obtaining hospital accreditation/certification and relevant workplace policies.

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Section: Implications For Nursing Managementmentioning

confidence: 99%

Interprofessional collaboration as a mediator in the relationship between nurse work environment, patient safety outcomes and job satisfaction among nurses

Labrague

Sabei

AL-Rawajfah

et al. 2021

J Nursing Management

View full text Add to dashboard Cite

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“…In 2 years of the pandemic, research on the effects of COVID-19 on health professionals has focused on the need for supporting them (14) and on identifying interventions introduced to limit the impact of the pandemic on organizational wellbeing, such as redistribution of workloads, reorganization of care models, control of burnout, training on the use of personal protective equipment, health surveillance and the establishment of psychological support desks (15)(16)(17)(18). There has also been a focus on nurses' physical and psychological health, in terms of stress, anxiety, post-traumatic stress disorder and insomnia (15,(19)(20)(21)(22)(23).…”

Section: Introductionmentioning

confidence: 99%

The Wounded Healer: A Phenomenological Study on Hospital Nurses Who Contracted COVID-19

Piredda

Fiorini²,

Marchetti³

et al. 2022

Front. Public Health

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Since the pandemic began nurses were at the forefront of the crisis, assisting countless COVID-19 patients, facing unpreparedness, social and family isolation, and lack of protective equipment. Of all health professionals, nurses were those most frequently infected. Research on healthcare professionals' experience of the pandemic and how it may have influenced their life and work is sparse. No study has focused on the experiences of nurses who contracted COVID-19 and afterwards returned to caring for patients with COVID-19. The purpose of this study was therefore to explore the lived personal and professional experiences of such nurses, and to describe the impact it had on their ways of approaching patients, caring for them, and practicing their profession. A phenomenological study was conducted with 54 nurses, through 20 individual interviews and 4 focus groups. The main finding is that the nurses who contracted COVID-19 became “wounded healers”: they survived and recovered, but remained “wounded” by the experience, and returned to caring for patients as “healers,” with increased compassion and attention to basic needs. Through this life-changing experience they strengthened their ability to build therapeutic relationships with patients and re-discovered fundamental values of nursing. These are some of the ways in which nurses can express most profoundly the ethics of work done well.

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“…Much is already known about the work environment of nurses, but its importance is still under-recognised by leaders. Nurse leaders can play an important role in establishing better work environments for nurses by adjusting process improvements that require active involvement of frontline nurses and nurse executives [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

How nurses’ job characteristics affect their self-assessed work environment in hospitals— Slovenian use of the practice environment scale of the nursing work index

et al. 2023

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Background Nurses’ work environment influences nursing practice. Inappropriate working conditions are the result of underdeveloped workplace infrastructure, poor work organisation, inadequate education, and inappropriate staffing norms. The aim of this study was to describe and examine the predictors that affect nurses’ work environment using the Practice Environment Scale of the Nursing Work Index (PES-NWI). Methods The validation of the PES-NWI was made. Nurse-reported job characteristics were used as independent variables. The sample included 1,010 nurses from adult surgical and medical units at 10 Slovenian hospitals. The Nurse Forecasting (RN4CAST) protocol was used. Permission to conduct the study was obtained from the National Medical Ethics Committee. Results The PES-NWI mean (2.64) was low, as were job and career satisfaction at 2.96 and 2.89, respectively. The PES-NWI can be explained in 48% with ‘Opportunities for advancement’, ‘Educational opportunities’, ‘Satisfaction with current job’, ‘Professional status’, ‘Study leave’, and ‘Level of education’. A three-factor solution of PES-NWI yielded eight distinct variables. Conclusions The obtained average on the Nursing Work Index was one of the lowest among previously conducted surveys. Nurses should be recognized as equals in the healthcare workforce who need to be empowered to develop the profession and have career development opportunities. Inter-professional relations and equal involvement of nurses in hospital affairs are also very important. Trial registration This is a non-intervention study – retrospectively registered.

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Systematic review of interventions to improve nurses’ work environments

Abstract: Aims: To evaluate the current evidence that examined the effects of nurses' work environment interventions on nurse, patient, and hospital outcomes; and the key intervention characteristics. Design: Quantitative systematic review without meta-analysis.

Cited by 28 publications

References 55 publications

Interprofessional collaboration as a mediator in the relationship between nurse work environment, patient safety outcomes and job satisfaction among nurses

Interprofessional collaboration as a mediator in the relationship between nurse work environment, patient safety outcomes and job satisfaction among nurses

The Wounded Healer: A Phenomenological Study on Hospital Nurses Who Contracted COVID-19

How nurses’ job characteristics affect their self-assessed work environment in hospitals— Slovenian use of the practice environment scale of the nursing work index

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