Classification and evaluation of the environment of the professional nursing practice in a teaching hospital

Abstract

Objective: to classify and evaluate the environment of the professional nursing practice in a teaching hospital. Method: a cross-sectional study conducted with 188 nurses from a teaching hospital in the state of São Paulo, SP, Brazil. A questionnaire with sociodemographic and professional data and the Brazilian version of the Practice Environment Scale were used to classify and evaluate the environment of the professional nursing practice. Data was analyzed using Student’s t-test, analysis of variance, Mann-Whitney, and Kruskal-Wallis tests with a significance level of 5% (p<0.05). The internal consistency of the instrument was evaluated using Cronbach’s alpha. Results: the score’s mean for the Brazilian version of the Practice Environment Scale was 2.54, and the participants considered two of the five subscales as unfavorable for the practice, namely: subscale 1, “Nurse Participation in Hospital Affairs” (2.37), and subscale 4, “Staffing and Resource Adequacy” (2.23). Conclusion: the environment of the professional nursing practice has been classified as mixed, being evaluated with favorable conditions for the nursing practice, but the participation and involvement of nurses in hospital matters and the adequacy of resources to provide quality care need improvements.

Environments of professional nursing practice in the context of the COVID-19 pandemic

“…A Brazilian study with 188 nurses showed the need for actions to improve working conditions, particularly concerning the opportunity that managers grant nurses to participate in the discussion of hospital issues and decisions. 3 Another study, carried out in Brazilian hospitals during the COVID-19 pandemic and involving 104 nurses, showed that their participation in discussions about contingency planning and workflows were the most unfavourable aspects. 17 Studies with the purpose of identifying factors that can improve nurses’ participation and involvement in the institution's policies should be carried out in the future.…”

“…In the Structure Component, the dimension “nurses’ participation and involvement in the institution's policies, strategies and management” had the lowest score (mean = 2.8, SD = 0.9). A Brazilian study with 188 nurses showed the need for actions to improve working conditions, particularly concerning the opportunity that managers grant nurses to participate in the discussion of hospital issues and decisions 3 . Another study, carried out in Brazilian hospitals during the COVID-19 pandemic and involving 104 nurses, showed that their participation in discussions about contingency planning and workflows were the most unfavourable aspects 17 .…”

“…They were called “Magnets” because they encouraged the development of favourable practice environments. 3 , 4 …”

“…Such concept appeared in North American hospitals in the 80's and 90's, because such hospitals were known for attracting and retaining nurses and for providing high quality of care. They were called “Magnets” because they encouraged the development of favourable practice environments 3,4 …”

Nursing Practice Combined with Scene Simulation Teaching Mode in Standardized Training and Teaching for Newly Recruited Nurses in Post Anesthesia Care Unit

“…Nurses in PACU are mainly in charge of the postoperative patients whose physical and mental functions are different from other patients. Therefore, quality nursing service is required, and only the nurses who passed strict training will be qualified for clinical nursing ( 1 – 3 ). At present, it has been a consensus in Chinese medicine to carry out specialized training for nurses, but the optimal training effect is difficult to achieve through conventional training on the grounds that the nursing mechanism of PACU is different from that of general wards ( 4 – 7 ).…”