Factors influencing nurse‐assessed quality nursing care: A cross‐sectional study in hospitals

Ying, Liu; Aungsuroch, Yupin

doi:10.1111/jan.13507

Cited by 68 publications

(87 citation statements)

References 45 publications

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“…Laschinger, Borgogni, Consiglio, and Read () found that when nurses experience the syndrome of burnout, it can significantly influence their physical, psychological and mental health in negative terms. Additionally, when nurses are exposed to a high rate of burnout, it can lead to several negative outcomes for healthcare organisations (Adriaenssens, De Gucht, & Maes, ), such as reduced quality of nursing care (Liu & Aungsuroch, ), an increased expressed intention to leave (Chang et al, ), absenteeism (Suñer‐Soler et al, ) and alarmingly compromised patient safety (Baier, Roth, Felgner, & Henschke, ). Maslach () stated that burnout is an event that results from cumulative effects in stressful workplaces.…”

Section: Introductionmentioning

confidence: 99%

Work stress, perceived social support, self‐efficacy and burnout among Chinese registered nurses

2019

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Aims To establish a model and identify structural relationships between Chinese nurses' perceived social support, self‐efficacy, work stress and burnout. Background The prevalence of burnout among nurses tends to be high worldwide. A better understanding of relationships between the study variables can help hospital managers apply effective programmes to reduce burnout. However, no studies have identified the structural relationships between these variables in one model, simultaneously. Methods We conducted a cross‐sectional survey to complete questionnaires from 444 nurses working in three Chinese general tertiary hospitals. The proposed model was examined by structural equation modelling. Results The proposed model was partially supported by empirical data. The total effect of work stress on burnout was large. Both work stress and the perceived social support moderately and directly affected burnout. Work stress also indirectly affected burnout through perceived social support. Work stress directly influenced perceived social support and self‐efficacy. Perceived social support directly affected self‐efficacy. However, self‐efficacy did not directly influence burnout. Conclusions This study validated a model and identified a deep understanding of structural relationships between the selected variables among Chinese nurses. Implications for Nursing Management Apart from reducing work stressors, hospital managers should utilize more social support strategies when designing intervention programmes to reduce burnout.

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Section: Introductionmentioning

confidence: 99%

Work stress, perceived social support, self‐efficacy and burnout among Chinese registered nurses

2019

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“…Although the association of work environment with work attitude has been widely investigated in hospital nurses, the underlying mechanism of this relationship has been less explored. A few researchers have examined the mediating role of psychological characteristics, such as resilience, work engagement and psychological well‐being, on the associations between work environment and work attitudes (Liu & Aungsuroch, ; Pahlevan Sharif, Ahadzadeh, & Sharif Nia, ). Additional mediators should be explored to explain how work environment influences work attitudes.…”

Section: Introductionmentioning

confidence: 99%

The impact of work environment on workplace violence, burnout and work attitudes for hospital nurses: A structural equation modelling analysis

Wang

Liu

et al. 2020

J Nurs Manag

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Aim We aimed to test a model examining the direct and indirect effects of the work environment on workplace violence, nurse burnout and work attitudes of Chinese hospital nurses. Background Work environment is a key factor related to nurses' work attitudes. There has been limited information about how the work environment influences nurses' work attitudes. Method This was a cross‐sectional study that included 1,517 hospital nurses in 111 medical/surgical units in 23 hospitals from Guangdong province, China. Structural equation modelling was used to test a hypothesized model that supposed work environment has both direct and indirect effects on work attitudes (e.g. job satisfaction and intention to leave) through workplace violence and nurse burnout. Results Better work environment was related to higher job satisfaction and lower intention to leave both directly and indirectly through two mediators: workplace violence and burnout. Burnout mediated the association of workplace violence with job satisfaction and intention to leave. Conclusions Improving work environment would promote nurse safety and subsequently contribute to stabilize the nurse workforce. Implications for Nursing Management To help nurses achieve safety and improved work attitudes, nurse managers should build a positive work environment and help nurses who have experienced workplace violence relieve their burnout.

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“…Globally, the influence of NJS on patient and nurse outcomes is well-documented (Choi & Kim 2016). Evidence reveals greater NJS is associated with better quality of care (Liu & Aungsuroch 2018), and improved retention and intention to retain work (Masum et al 2016). In the Middle East, several researchers examined NJS.…”

Section: Introductionmentioning

confidence: 99%

Healthy work environments are critical for nurse job satisfaction: implications for Oman

Albashayreh

Sabei

AL-Rawajfah

et al. 2019

International Nursing Review

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Aims To (1) examine the level and variability of nurse work environment and job satisfaction and (2) explore how nurse job satisfaction in tertiary hospitals in Oman is influenced by the nurses' characteristics and work environment. Background In Oman and the Middle East, a scarcity of research addressing nurse work environment and job satisfaction exists. Such evidence is necessary for policymaking to positively impact nurse job outcomes, and therefore, quality of care. Methods We used a cross‐sectional descriptive design employing a sample of 454 local and expatriate nurses who responded to a self‐administered questionnaire. Results The work environment was favourable, and it positively correlated with job satisfaction. Nationality, education, hospital type, staffing, resources and participation in hospital affairs were significant predictors of nurse job satisfaction. The greatest amount of variation in nurse job satisfaction was explained by the work environment. Conclusion The influence of work environment on nurse job satisfaction is greater than nurse characteristics and hospital and unit types. Enhancing nurse participation in hospital affairs and providing adequate staffing and resources are central means of establishing healthy work environments, which is an auspicious, cost‐effective strategy for satisfying, and therefore, retaining nurses. Implications for nursing and health policy To enhance nurse work environment and job satisfaction in Oman and the Middle East, nurse and health leaders need to consider developing work and professional regulations and adopting policies to promote staffing, resources, wages, and benefits for nurses and encourage their promotion and career advancement; and foster nurse participation in hospital affairs.

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Factors influencing nurse‐assessed quality nursing care: A cross‐sectional study in hospitals

Cited by 68 publications

References 45 publications

Work stress, perceived social support, self‐efficacy and burnout among Chinese registered nurses

Work stress, perceived social support, self‐efficacy and burnout among Chinese registered nurses

The impact of work environment on workplace violence, burnout and work attitudes for hospital nurses: A structural equation modelling analysis

Healthy work environments are critical for nurse job satisfaction: implications for Oman

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