Comparação entre ambiente de trabalho de hospitais públicos acreditado e não acreditado

Abstract

Objective: To compare and identify the working environment of accredited and non-accredited public hospitals. Methods: A quantitative approach with two cross-sectional studies in parallel, with 106 nurses from the hospitals, conducted between January and September of 2014. Hospital A was not accredited, and Hospital B was accredited. Data collection used a questionnaire with sociodemographic labor information and the Nursing Work Index -Revised -Brazilian version (B-NWI-R), with 57 items and four domains. The reliability of the instrument was measured using Cronbach's alpha. Results: The participants included 50 nurses of Hospital A and 56 of Hospital B. Hospitals were compared; there were statistically significant wage satisfaction (Hospital A showed greater salary satisfaction) and working hours (30-36 hours per week in Hospital B;40 hours in Hospital A). The environment was favorable to the four domains of B-NWI-R in both hospitals, regardless of accreditation status. Conclusion: The administration of the instrument showed that hospital accreditation did not affect the nurses' work environment. ResumoObjetivo: Comparar e identificar o ambiente de trabalho de hospitais públicos sendo um acreditado e o outro não. Métodos: Abordagem quantitativa, dois estudos transversais em paralelo, com 106 enfermeiros dos hospitais entre janeiro a setembro de 2014. Hospital A, não acreditado, e B acreditado. Coleta de dados por meio de um questionário com dados sóciodemográficos laborais e Nursing Work Index -Revised -Versão Brasileira (B-NWI-R) com 57 itens e quatro domínios. A confiabilidade do instrumento foi medida pelo alpha de Cronbach. Resultados: Participaram 50 enfermeiros do hospital A e 56 do B. Comparados os hospitais, houve significância estatística na satisfação salarial (hospital A tem maior satisfação com o salário) e na jornada de trabalho (de 30 a 36 horas semanais no B enquanto no A 40 horas). O ambiente foi favorável aos quatro domínios da B-NWI-R em ambos hospitais, independentemente da acreditação ou não. Conclusão: A aplicação do instrumento evidenciou que a acreditação hospitalar não interferiu no ambiente de trabalho dos enfermeiros

The environment of the nursing team's professional practice in inpatient units of a university hospital

“…The sample characterization was similar to other research studies (11)(12)(13) , with a predominance of female professionals, which is justified by the historical character of the profession. The mean age of the professionals is also highlighted, 42 years old, an age range (> 41 years old) different from that of other studies (11,16) , which present age means around 35 years old, a fact that leads us to presume that they are professionals with relevant life experience and, therefore, more mature; this can be a favorable point as for the decision-making processes, whether in the professional or in the work scope.…”

“…This study demonstrates that the nursing team recognizes its professional practice environment as favorable in all the domains of the B-NWI-R instrument, as they presented results below 2.5 points, according to the established cut-off point, that is, the professionals considered that the characteristics of the practice environment were favorable regarding autonomy, control over the environment, good relations between physicians and nurses/nursing team, and organizational support. Similar data are described in studies conducted with the application of the same instrument in different areas of the nursing practice such as inpatients units, intensive therapy, and pediatrics in the Brazilian context (11,15,18) .…”

“…One of the possibilities to assess the work environment in hospital facilities is the use of instruments capable of measuring the objective aspects, which can influence job satisfaction and interfere with care quality and patient safety (11) . Among the available instrument in the literature, the Nursing Work Index -Revised (NWI-R) stands out, which was developed (3) in the American context, but has been used in different cultures and environments of the nursing team's professional practice since then, like China, France, Italy, and Germany, among others (1) .…”

Associação entre absenteísmo e ambiente de trabalho dos técnicos de enfermagem

“…Work overload, limited autonomy, ambiguity of functions, presence of conflicting relationships, and lack of professional expectations characterize an unfavorable work environment. [5][6][7] Care focused on quality, support for professional development, collaboration among different health professionals, and the promotion of nursing leadership and autonomy favor the establishment of a favorable environment for the practice, which allows for the achievement of better results not only for the patient, but also for the team and the institution, since a positive work environment impacts on work effectiveness. 5,7,8 Thus, it is essential that this work environment has nursing professionals involved with the care process to ensure safe care.…”

Comparison between the working environment of nurse managers and nursing assistants in the hospital context

“…Despite the importance of the working environment characteristics for professional nursing practice, the scientific production on this topic is still scarce in Brazil. The existing studies come from the Southeast region and were carried out in the context of Intensive Care Units (6)(7)(8)(9) . In this sense, we point out the inexistence of previous research comparing the working environment of nurse managers and nursing assistants in the hospital context.…”