Accessible healthcare services require a sufficient number of well-educated and well-motivated nurses who can provide quality and safe healthcare services (Simoens, Villeneuve, & Hurst, 2005). The global shortage of nurses reveals the importance of jobs that meet employees' career development needs and provide an opportunity for progress (Burke, Johnson, Sites, & Barnsteiner, 2017). Spurk, Keller, and have reported that employees with successful careers have a higher sense of welfare and job satisfaction (JS) and a lower level of intent to leave (ITL); therefore, determining the predictors of career
Aim
To examine the relationship between nursing work environment, nurses' perception of decent work, job satisfaction, and physical and mental health.
Background
According to the psychology of working theory, work‐related and overall well‐being levels of employees with decent work increase as their basic needs are met.
Methods
This study was conducted as a cross‐sectional, correlational study. The study sample consisted of 311 nurses working in two hospitals in a province of Turkey. The participants were selected using convenience sampling method. The model of the research was analyzed using structural equation modeling. This study was reported using the STROBE checklist for cross‐sectional studies.
Results
The four dimensions of the nursing work environment were found to have a significant relationship with decent work. Decent work was found to have a direct relationship with physical and mental health. It had an indirect relationship between three subscales of work environment and physical and mental health, however, decent work had no significant relationship with job satisfaction.
Conclusions
The findings of this study indicated the role of decent work environment and its relationship with nurses’ physical and mental health.
Implications for nursing and health policy
Nurse managers, policy makers, and decision‐makers at all levels should improve nursing work environment and working conditions.
Practices that strengthen nurse work environments and enable them to have control over nursing practices have gained importance in recent years as they increase nurses’ retention and patient care quality. This study aimed to examine the relationships between structural empowerment and nurse and patient-reported outcomes and the mediating role of control over nursing practices in these relationships. This correlational and cross-sectional study was carried out from September 2018 to May 2019 at two public hospitals in Turkey. We recruited staff nurses ( n = 319) working in the inpatient units of these hospitals and their patients ( n = 319). Data were collected using self-report measures from staff nurses and patients. It was determined that structural empowerment and control over nursing practices had a positive relationship with job satisfaction and nursing care quality, as well as a negative relationship with intention to turnover; however, there was no relationship with patient-reported outcomes. Control over nursing practices partially mediated the relationship between structural empowerment and outcomes of job satisfaction and nursing care quality. This study indicates that promoting the structural empowerment of nurses and ensuring that they have control over practice will increase job satisfaction and quality of care. Nurse managers can increase nurses’ job satisfaction and quality of care by creating supportive work environments and ensuring they have control over nursing practices.
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