Work environment of nurses in a public colombian hospital
Abstract
Introduction: The work environment of hospital nurses and its impact on results have not been explored in Colombia. This research seeks to describe the characteristics of the work environment of nurses in a Colombian public hospital and to determine their association with sociodemographic characteristics and with results for the nurse, the patient and the institution.
Method: Exploratory descriptive study. The 139 clinical nurses from the institution were invited to participate. The form was sent by RedCap, with sociodemographic and employment questions, the ENLASA-Nursing instrument, and results questions. Frequencies and percentages were obtained from the sociodemographic and employment data. The Dalenius-Hodges method was used to determine the score in which the healthy work environment was considered. To analyze the associations between sociodemographic and occupational characteristics, ENLASA-Nursing scores, and outcomes, the contingency coefficient, Phi, and Cramer's V were used.
Results: The response rate was 84%. The overall score suggests that the work environment is healthy. The dimension of organizational structural components is considered unhealthy (58.3048/100); that of organizational processes is considered healthy (68.1256/100). The subdimensions with the lowest scores were: human resources policies (62.2960/100), nursing resource planning (42.9487), and remuneration (52.7778). In the organizational process dimension, clinical autonomy obtained the lowest and the only score that classifies it as an unhealthy aspect (52.6709).
Conclusions: There is a need to promote healthy work environments, work on policies and planning of human resources in nursing, and advance research on this matter, to support national and organizational policy decisions.
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References
Kester K, Pena H, Shuford C, Hansen C, Stokes J, Brooks K, et al. Implementing AACN’s Healthy Work Environment Framework in an Intensive Care Unit. Am J Crit Care (Internet) 2021;30(6):426–33. Available from: https://aacnjournals.org/ajcconline/article/30/6/426/31605/Implementing-AACN-s-Healthy-Work-Environment
Peña Alfaro BS, Arango Bayer GL. Percepción de enfermeros colombianos sobre un entorno laboral saludable para la práctica asistencial en el ámbito hospitalario. Salud UIS. 2023;55(e23014):10. https://doi.org/10.18273/saluduis.55.e:23014
Copanitsanou P, Fotos N, Brokalaki H. Effects of work environment on patient and nurse outcomes. Br J Nurs (Internet) 2017;26(3):172–6. Available from: https://doi.org/10.12968/bjon.2017.26.3.172
Elbejjani M, Abed Al Ahad M, Simon M, Ausserhofer D, Dumit N, Abu-Saad Huijer H, et al. Work environment-related factors and nurses’ health outcomes: a cross-sectional study in Lebanese hospitals. BMC Nurs (Internet) 2020;19(1):95. Available from: https://doi.org/10.1186/s12912-020-00485-z
Enns V, Currie S, Wang J. Professional autonomy and work setting as contributing factors to depression and absenteeism in Canadian nurses. Nurs Outlook (Internet) 2015;63(3):269–77. Available from: https://www.sciencedirect.com/science/article/pii/S0029655414002930
Leone C, Bruyneel L, Anderson JE, Murrells T, Dussault G, Henriques de Jesus É, et al. Work environment issues and intention-to-leave in Portuguese nurses: A cross-sectional study. Health Policy (New York) (Internet) 2015;119(12):1584–92. Available from: https://www.sciencedirect.com/science/article/pii/S0168851015002432
Asamblea Mundial de la Salud. Estrategia mundial de recursos humanos para la salud : personal sanitario 2030. 2016;132(2014):1–5. Available from: https://apps.who.int/iris/bitstream/handle/10665/254600/A69_R19-sp.pdf?sequence=1&isAllowed=y
Alzahrani MS. Impact of Work Environment on Nurse’s Retention at Hospital: Scoping Review. Evidence-Based Nurs Res (Internet) 2022;4(2):39–53. Available from: http://eepublisher.com/index.php/ebnr/article/view/239
Ministerio de Salud y Protección Social. Resolución 755 (Internet). Bogotá, Colombia: 2022. Available from: Por la cual se adoptan la Política Nacional de Talento Humano de Enfermería y el Plan Estratégico 2022-2031 para el fortalecimiento del talento humano en salud.
Peña Alfaro BS. Desarrollo y validación del instrumento ENLASA-Enfermería para la evaluación de un entorno laboral saludable en el ámbito hospitalario (Internet). 2021;Available from: https://repositorio.unal.edu.co/handle/unal/80839
Sasso L, Bagnasco A, Catania G, Zanini M, Aleo G, Watson R. Push and pull factors of nurses’ intention to leave. J Nurs Manag (Internet) 2019;27(5):946–54. Available from: https://onlinelibrary.wiley.com/doi/10.1111/jonm.12745
Oshodi TO, Bruneau B, Crockett R, Kinchington F, Nayar S, West E. The nursing work environment and quality of care: Content analysis of comments made by registered nurses responding to the Essentials of Magnetism II scale. Nurs Open (Internet) 2019;6(3):nop2.268. Available from: https://onlinelibrary.wiley.com/doi/10.1002/nop2.268
Pearson A, Pallas LO, Thomson D, Doucette E, Tucker D, Wiechula R, et al. Systematic review of evidence on the impact of nursing workload and staffing on establishing healthy work environments. Int J Evid Based Healthc (Internet) 2006;4(4):337–84. Available from: http://doi.wiley.com/10.1111/j.1479-6988.2006.00055.x
Woldekiros AN, Getye E, Abdo ZA. Magnitude of job satisfaction and intention to leave their present job among nurses in selected federal hospitals in Addis Ababa, Ethiopia. PLoS One (Internet) 2022;17(6):e0269540. Available from: https://dx.plos.org/10.1371/journal.pone.0269540
Al-Haroon HI, Al-Qahtani MF. The demographic predictors of job satisfaction among the nurses of a major public hospital in KSA. J Taibah Univ Med Sci (Internet) 2020;15(1):32–8. Available from: https://doi.org/10.1016/j.jtumed.2019.11.003
Organización Colegial de Enfermería. ¿Cuál es la situación salarial de las enfermeras en Colombia? Bol 02 (Internet) Available from: https://www.oceinfo.org.co/organizacion-colegial-de-enfermeria/boletin-oce/214-cual-es-la-situacion-salarial-de-las-enfermeras-en-colombia
Pursio K, Kankkunen P, Sanner‐Stiehr E, Kvist T. Professional autonomy in nursing: An integrative review. J Nurs Manag (Internet) 2021;29(6):1565–77. Available from: https://onlinelibrary.wiley.com/doi/10.1111/jonm.13282
McHugh MD, Ma C. Wage, Work Environment, and Staffing: Effects on Nurse Outcomes. Policy, Polit Nurs Pract (Internet) 2014;15(3–4):72–80. Available from: http://journals.sagepub.com/doi/10.1177/1527154414546868
Nantsupawat A, Kunaviktikul W, Nantsupawat R, Wichaikhum OA, Thienthong H, Poghosyan L. Effects of nurse work environment on job dissatisfaction, burnout, intention to leave. Int Nurs Rev (Internet) 2017;64(1):91–8. Available from: http://europepmc.org/abstract/MED/27882573
Bai J. Does job satisfaction mediate the relationship between healthy work environment and care quality? Nurs Crit Care (Internet) 2016 (cited 2021 Aug 20);21(1):18–27. Available from: https://onlinelibrary.wiley.com/doi/10.1111/nicc.12122
Salehi T, Barzegar M, Yekaninejad, MIr saeed, Ranjbar H. Relationship between Healthy Work Environment, Job Satisfaction and Anticip.. Salehi, Tasmine (Internet) 2020 (cited 2021 Aug 20);10(2):826–31. Available from: http://eds.a.ebscohost.com.ezproxy.unal.edu.co/eds/pdfviewer/pdfviewer?vid=6&sid=6c8833c8-e3c6-497a-8012-1b548080cbf4%40pdc-v-sessmgr02
Baljoon R, Banjar H, Banakhar M. Nurses’ Work Motivation and the Factors Affecting It: A Scoping Review. Int J Nurs Clin Pract (Internet) 2018;5(1). Available from: https://www.graphyonline.com/archives/IJNCP/2018/IJNCP-277/
Gambino KM. Motivation for entry, occupational commitment and intent to remain: a survey regarding Registered Nurse retention. J Adv Nurs (Internet) 2010;66(11):2532–41. Available from: https://onlinelibrary.wiley.com/doi/10.1111/j.1365-2648.2010.05426.x
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