Working environment of nurses in public referral hospitals of West Amhara, Ethiopia, 2021

Abstract

Background Healthy working environment for nurses is a foundation for promoting patients’ and nurses’ safety in hospitals. However, in Ethiopia, there is scarcity of data on this issue. Therefore, the objective of this study was to assess the working environment of nurses in Public Referral Hospitals in Public Referral Hospitals of West Amhara Regional State, Ethiopia, 2021. Methods An institution based cross-sectional study was conducted among 423 nurses from January to February 2021. Systematic random sampling was used to select nurses from each hospital. Structured, self-administered questionnaires were used to collect the data. EPI- DATA and SPSS were used for data entry and analysis respectively. Frequency, percentages, and means were calculated. Practice Environment Scale of the Nursing Work Index tool was used to measure the outcome variable. Binary and multivariable logistic regression analyses were computed to identify associated factors. Finally, texts, tables and graphs were used to report findings. Results The response rate for the study was 96.2%. Around 210 (51.6%) of the study participants were male. One hundred eighty eight (46.2%) nurses reported that their working environment was healthy, while 219 (53.8%,) reported it as not healthy. Nurses who were working in pediatrics wards (AOR = 0.13, 0.02, 0.1) and nurses who gave care for 7–12 patients per day (AOR = 0.21, 0.05, 0.98) were less likely to have a healthy working environment, respectively. Nurses who reported the Ministry of Health to give focus to the nursing profession were 73% more likely to have a healthy work environment (AOR = 0.27; 0.09, .82). Conclusion and recommendations. More than half of nurses reported that their working environment was not healthy to appropriate practice. Hence, introducing systems to improve participation of nurses in hospital affairs and patient care is essential. It is also important to give attention to nurses who are working at pediatrics wards, and for nurses who give care more than the standards.

Entorno laboral de enfermería en un hospital de Bogotá, 2022

“…En esta investigación, más de la mitad de los encuestados consideran el entorno laboral no saludable, un resultado similar al obtenido en un estudio sobre entornos laborales saludables efectuado en Etiopía, en donde el 53,1 % de las enfermeras encuestadas consideró el entorno no saludable y en España, en donde el 48,0 % consideró desfavorable el entorno (4). Aun con la limitación de la diferencia en los instrumentos seleccionados y en el criterio para calicar el entorno laboral como no saludable, los estudios coinciden en que hay mayor número de enfermeros que reconocen el entorno como no saludable (5). Lo anterior sugiere, tal como se menciona en la revisión realizada por Lu y cols., que el ambiente de trabajo se encuentra estrechamente relacionado con la satisfacción laboral de los enfermeros y a su vez, con la percepción de los pacientes sobre la calidad de la atención (6).…”

“…Dentro de ella, dos subdimensiones registran los puntajes más bajos tras la aplicación del cuestionario: políticas de recursos y planeación de recursos de enfermería. Estos asuntos han sido reportados como problemáticos en estudios similares recientes, en los que lo que guarda relación con la disponibilidad de personal de enfermería recibe puntajes bajos en las escalas aplicadas (5,(7)(8). Sobre ellos se han pronunciado organizaciones y gremios de enfermería que destacan entre otros la alta rotación y la sobrecarga de los profesionales (9).…”

“…Destaca también que en este estudio no se encontró relación entre las variables sociodemográcas de las enfermeras y el entorno laboral, a diferencia de otros que lo han asociado con edad, experiencia laboral (5) y nivel educativo (15). Tampoco entre el número de pacientes asignados a la enfermera y el entorno laboral, a diferencia de lo que otros muestran, como el de Etiopía en el que, paradójicamente, tener más pacientes a cargo se asoció con mejor ambiente (5). La asociación con la intención de cambiar de trabajo reportada en otras investigaciones en las que el entorno laboral recibió una calicación más negativa entre las enfermeras que habían pensado en hacerlo (7) no se evidenció en este estudio, lo que puede estar relacionado con la situación económica pos pandemia por la que atraviesa el país.…”

Education of Entrepreneurial Innovation Mediation among Marketing Strategies and Business Sustainability in Ethiopia

“…According to a study by Kassahun (2022) titled "Working Environment of Nurses in Public Referral Hospitals of West Amhara, Ethiopia," there is a positive and significant correlation between the work environment and business sustainability. The work environment is defined as the assessment of a company's internal and external business environment that demonstrates the behavior of the workforce in terms of organizational culture and work attitude.…”

Entrepreneurial Innovation Mediation among Marketing Strategies and Business Sustainability in Ethiopia

“…2.1.3. Mediation of commitment:Kassahun (2022) study on "commitment as of nurses in public referral hospitals of West Amhara, Ethiopia" positive and significant association between the work environment as a Marketing Strategy Predicators and Organization Performance.2.1.4 Hypothesis: H1a: Market Strategies have significant relation with Organizational performance. H2a: Market Strategies have significant relation with Entrepreneurial Innovation.…”