Validação da Practice Environment Scale entre técnicos e auxiliares de enfermagem

Gasparino, Renata Cristina; Martins, Maria Carolina Pinto; Alves, Daniela Fernanda dos Santos; Ferreira, Thelen Daiana Mendonça

doi:10.37689/acta-ape/2020ao0243

Cited by 5 publications

(9 citation statements)

References 27 publications

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“…Data were collected from March to December 2021, and two instruments were applied; the first collected personal and working conditions information, and the second was the PES [7][8] . A total of 243 nursing professionals participated in the study; 151 were NA/NT, and 92 (37.9%) were nurses.…”

Section: Methodsmentioning

confidence: 99%

“…Scores below 2.5 indicate that the respondents do not believe the items in the subscale are present in the current practice environment. A score of 2.5 is neutral, and above 2.5 indicates that the environment is favorable to professional practice, i.e., the respondent agrees that the subscale items are present in the current practice environment [7][8] .…”

Section: Methodsmentioning

confidence: 99%

“…Facilities with no scores above 2.5 or with only one subscale scored higher than 2.5 are considered unfavorable environments for nursing practice. Those with scores above 2.5 in two or three subscales are considered to have mixed environments, while those with scores above 2.5 in four or five subscales are considered favorable to nursing practice environments [7][8] .…”

Section: Methodsmentioning

confidence: 99%

“…There are several instruments to assess the nursing practice environment, and the Practice Environment Scale (PES) is one of them. It has been validated for the Brazilian context and can be applied to nursing professionals, nurses, nursing aides (NA), and nursing technicians (NT) [7][8] .…”

Section: Introductionmentioning

confidence: 99%

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The Nursing Practice Environment in a University Hospital During the Covid-19 Pandemic

Paula,

Gasparino,

Bohomol

2024

Texto contexto - enferm.

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Objective: to assess the environment of nursing professional practice during the COVID-19 pandemic. Method: cross-sectional study addressing a sample comprising nursing workers from a university hospital. The Brazilian version of the Practice Environment Scale was used, with 24 items distributed into five subscales. The analyses were performed in Statistical Package for the Social Sciences, version 25; the statistical significance was set at 5% (p≤0.05), and the internal consistency was assessed with Cronbach’s alpha. Results: 243 workers participated in the study: 62.1% of nursing technicians and aides and 37.9% of nurses. The mean score on the Practice Environment Scale was 2.58 (standard deviation=0.69). Three of the five subscales were poorly assessed: “Nursing foundations for quality of care” (mean 2.58 and SD ± 0.73), “Nursing manager, ability, leadership, and support of nurses” (mean 2.74 and SD ± 0.82), and “Collegial nurse-physician relations” (mean 2.78 and SD ± 0.76). The perception of the professionals who received training to care for Covid-19 patients was more favorable than those who did not receive any training. Conclusion: The nursing work environment during the pandemic was considered mixed; therefore, improvements are required to make nursing working conditions as adequate as possible.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Nursing Practice Environment in a University Hospital During the Covid-19 Pandemic

Paula,

Gasparino,

Bohomol

2024

Texto contexto - enferm.

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“…Há diversos instrumentos que avaliam o ambiente da prática profissional da enfermagem, e, a escala Practice Environment Scale (PES) é um deles. Sua versão foi validada para a cultura brasileira, podendo ser aplicada para a categoria de profissionais da enfermagem, tanto enfermeiros, auxiliares de enfermagem (AE) quanto técnicos de enfermagem (TE) [7][8] .…”

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Ambiente Da Prática Profissional Da Enfermagem Em Hospital Universitário Frente À Covid-19

Paula,

Gasparino,

Bohomol

2024

Texto contexto - enferm.

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RESUMO Objetivo: avaliar o ambiente da prática profissional da enfermagem durante a pandemia da Covid-19. Método: estudo transversal, conduzido em uma amostra constituída pela equipe de enfermagem que atuava em um hospital universitário. Utilizou-se a escala Practice Environment Scale (versão brasileira) com 24 itens distribuídos em cinco subescalas. As análises foram realizadas no Statistical Package for the Social Sciences, versão 25, e aplicou-se significância estatística de 5% (p≤0,05). A consistência interna do instrumento foi avaliada pelo alfa de Cronbach. Resultados: participaram da pesquisa 243 profissionais, sendo 62,1% técnicos e auxiliares de enfermagem e 37,9% enfermeiros. A média do escore para a Practice Environment Scale foi de 2,58 (desvio-padrão = 0,69) e os participantes consideraram três das cinco subescalas favoráveis: “Fundamentos de enfermagem voltados para a qualidade do cuidado” (média 2,58 e dp ± 0,73); “Habilidade, liderança e suporte dos coordenadores/supervisores de enfermagem aos enfermeiros/equipe de enfermagem” (média 2,74 e dp ± 0,82) e “Relações colegiais entre enfermeiros e médicos” (média 2,78 e dp ± 0,76). Os profissionais capacitados para o cuidado dos pacientes com COVID-19 tiveram percepção mais favorável em relação àqueles que não o foram. Conclusão: o ambiente de trabalho da enfermagem foi considerado misto, na pandemia, portanto, necessita de melhorias para que as condições de trabalho da enfermagem sejam as mais adequadas possíveis.

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Leadership, adequate staffing and material resources, and collegial nurse–physician relationships promote better patients, professionals and institutions outcomes

Gasparino

Ferreira

Oliveira

et al. 2021

Journal of Advanced Nursing

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Aim To test a theoretical model aiming to understand which characteristics of the professional nursing practice environment most affect patients, professionals and institution outcomes. Design A cross‐sectional and correlational study, using a structural equation model. Methods One thousand seven hundred and seventy‐three staff nurses were recruited using convenience sampling in five Brazilian hospitals from November 2017 to July 2018. Structural equation modelling was used to assess the relationship between the characteristics of the nursing work environment and patients (climate of safety and quality of care), nursing professionals (job satisfaction and emotional exhaustion) and institutions (intention to leave the job) outcomes. The model was tested using the partial least squares method, considering the bootstrapping technique to estimate the results. The path coefficients and their respective 95% confidence intervals were calculated. The quality of fit of the structural model was assessed by calculating the coefficient of determination (R2), the predictive validity coefficient (Q2) and the effect size (f2). Results The characteristics that most affected the outcomes for patients were Nurse manager ability, leadership and support of nurses (λ=0.27), and Staffing and resource adequacy (λ=0.26); for nursing professionals, Staffing and resource adequacy (λ=−0.19), and Collegial nurse–physician relations (λ=0.19); and for institutions, Nurse manager ability, leadership and support of nurses (λ=−0.10), and Collegial nurse–physician relations (λ=−0.10). Conclusion The characteristics of the professional nursing practice environment that most contribute to achieving better outcomes include nurse manager ability, leadership and support of nurses, staffing and resource adequacy, and collegial nurse–physician relations. Impact This study allowed us to assess which strategies should be prioritized in the professional nursing practice environment to achieve better results. Thus, investment in the training of leadership, in the adequacy of resources, and in physician–nurse relations will bring better results for patients, nursing professionals, and institutions.

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Validação da Practice Environment Scale entre técnicos e auxiliares de enfermagem

Cited by 5 publications

References 27 publications

The Nursing Practice Environment in a University Hospital During the Covid-19 Pandemic

The Nursing Practice Environment in a University Hospital During the Covid-19 Pandemic

Ambiente Da Prática Profissional Da Enfermagem Em Hospital Universitário Frente À Covid-19

Leadership, adequate staffing and material resources, and collegial nurse–physician relationships promote better patients, professionals and institutions outcomes

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