AimThis study examined the role of job dimensions, job satisfaction, psychological stress and job burnout in predicting turnover intention at one and five years’ time among professional nurses in the Philippines.MethodsA cross‐sectional design was utilized in the study using a convenience sample of 549 registered nurses from six hospitals in the Central Philippines during the period of October 2018 to January 2019. Five self‐report scales were used in this study.ResultsOverall, 46.1% (n = 253) and 78.9% (n = 433) of nurses reported planning to leave the organization at one and five years’ time, respectively. The type of hospital, job satisfaction and job burnout explained variances for turnover intention at one and five years’ time. Separately, hospital bed capacity and job stress predicted turnover intention at five years’ time. None of the job dimensions accurately predicted turnover intention in nurses.ConclusionHigher turnover intention results at one and five years’ time were dependent on nurses’ psychological stress, job burnout and job satisfaction.Implications for nursing practice and policyOrganizational measures aimed at reducing stress and burnout and increasing job satisfaction in nurses are critically important to enhance the retention of nurses and ensure continued quality of nursing care.
Strengthening nursing students' positive coping skills may be helpful for them to effectively deal with various stressors during their educational experiences while maximizing learning. Implementing empirically tested approaches maybe useful to prevent the recurrence of stress and lessen its impact such as stress management counseling, counseling programs, establishing peer and family support systems, and formulating hospital policies that will support nursing students.
Aim: This study evaluated the role of nurse caring in predicting missed nursing care, adverse patient events and the quality of nursing care. Background: Missed nursing care is an issue essential in health care, as it is associated with adverse patient events. While studies have previously examined factors that result in missed nursing care activities and adverse events, the role of nurse caring itself in this context has not yet been explored. Methods: A cross-sectional research design was adopted, employing a convenience sample of 549 registered nurses from six hospitals in the Philippines identified between October 2018 and January 2019. Four self-report scales were used in this study as follows: the caring behaviour inventory, the missed nursing care scale, the adverse patient events scale and a single-item scale to measure the quality of nursing care. Results: Comforting or talking with patients and changing patients' positioning in bed were the most frequently missed care tasks, while patient/family complaints and patient/family verbal abuse were the most frequently reported adverse events. Nurse caring strongly predicted the quality of care, missed nursing care and patient adverse events. Conclusion: Fostering caring behaviours among nurses has a profound effect on nurses' decision to omit or provide nursing care as well as on reducing adverse events and promoting quality nursing care.
Student nurses are often exposed to various infections during their clinical education. Knowledge and compliance with standard precautions is essential to prevent hospital associated infections and protect patients as well as medical workers from exposure to infectious agents. This study assessed the knowledge and degree of compliance regarding standard precautions among student nurses in a government university in Samar, Philippines. A cross-sectional study was adopted for this investigation and data were collected over a period of one month from April 8 to May 7, 2012. Fifty eight student nurses who were enrolled in the university were asked to complete the self report questionnaires regarding standard precautions. Vast majority (89.7%) of the student nurses have good knowledge (students are satisfactorily well versed with the concepts of standard precautions) (m = 14.45/19) and high compliance (m = 3.59) of standard precautions. The use of mask has the highest degree of compliance (m = 3.95) while the use of eye goggles has the lowest degree of compliance (m = 3.19). Findings suggest no significant association between knowledge and compliance with standard precautions. Teaching approaches must be geared towards intensifying further the compliances especially with the use of other protective equipments such eye goggles and gloves. Furthermore, environment that models and promotes standard precaution practices should be developed by the faculty.
Aims Challenges in the nurse practice environment greatly affect nurse work outcomes. This study investigated the relationship between nurse practice environment and work outcomes in the Philippines. Methods This cross‐sectional survey involved 549 hospital nurses in the Philippines in 2018. The nurse practice environment was measured using the Practice Environment Scale of the Nursing Work Index (PES‐NWI). Four self‐report scales were used to measure work outcomes: job satisfaction, job burnout, job stress and nurse‐assessed quality of care. Multiple linear regression analysis was used to analyse the data. Results Significant relationships were found between nurse and organizational characteristics and nurse practice environment. Further, multivariate regression analysis revealed that the nurse practice environment had a significant and positive relationship with perceived quality of care and a significant and negative relationship with job burnout and job stress. Conclusion A favourable work environment significantly reduced job burnout and job stress and improved the quality of patient care. With considerable migration abroad, a favourable nurse practice environment may engage a better nurse workforce in the country and subsequently reduce migration. Managers must focus on developing good nurse practice environments that will improve professional work outcomes and quality patient care.
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