Impact of nurses' perceptions of work environment and communication satisfaction on their intention to quit

Özer, Özlem; Şantaş, Fatih; Şantaş, Gülcan; Şahin, Deniz Say

doi:10.1111/ijn.12596

Cited by 17 publications

(24 citation statements)

References 31 publications

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“…The instrument's mean score showed to be lower than that of studies that evaluated the practice in countries like the United States, China, and Turkey (14)(15)(16) .…”

Section: Discussioncontrasting

confidence: 59%

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

Yanarico

Balsanelli

Gasparino

et al. 2020

Rev. Latino-Am. Enfermagem

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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.

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“…The instrument's mean score showed to be lower than that of studies that evaluated the practice in countries like the United States, China, and Turkey (14)(15)(16) .…”

Section: Discussioncontrasting

confidence: 59%

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

Yanarico

Balsanelli

Gasparino

et al. 2020

Rev. Latino-Am. Enfermagem

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“…In addition to countries in North America, countries identifying workplace environment as an area of interest included, but were not limited to: Australia, Estonia, Finland, Hong Kong, Iceland, Israel, Turkey, and Taiwan. Topics addressed in selected publications included job satisfaction (Chien & Yick, 2016;Dekeyser Ganz, & Toren, 2014;Jiang et al, 2016;Kaunonen et al, 2015;Kol et al, 2017;Sveinsdottir et al, 2016), retention and intent to quit (Dawson et al, 2014;Özer et al, 2017), nurse outcomes (Hahtela et al, 2015), and patient outcomes including safety and quality care (Chiang et al, 2017). Aiken et al (2011) conducted a large international study involving nurses from 1,406 hospitals over a 10-year period (1999)(2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)).…”

Section: Discussionmentioning

confidence: 99%

What Do Nurses Need to Practice Effectively in the Hospital Environment? An Integrative Review With Implications for Nurse Leaders

Kowalski

Basile

Bersick

et al. 2019

Worldviews Ev Based Nurs

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Background When staffing legislation was introduced, New Jersey nurse leaders recognized from the research and their years of clinical leadership experience that the work environment is a multidimensional concept and that staffing is not the only variable related to nurse and patient outcomes. Thus, an understanding of what nurses need in their hospital environment to practice nursing effectively was sought. Aims The aim of this study was to examine the evidence regarding clinical nurses’ perception of what they need to practice nursing effectively in the acute care hospital environment. Methods The following population, intervention, comparison, outcome question was used to search the literature databases PubMed, CINAHL, Johanna Briggs, and the Sigma Theta Tau Henderson Library: In the hospital environment what do nurses perceive as needed to practice nursing effectively? Specific search criteria and the Johns Hopkins nursing guidelines and tools were used to identify relative studies. Results The final review, which addressed what nurses in the hospital environment need to practice nursing effectively, included 25 articles: 20 were an evidence level III, and five were evidence level II. From this review, five key concepts were identified: Leadership, autonomy/decision making, respect/teamwork, resources/staffing, and organizational commitment to nursing. Linking Evidence to Action This integrative review, which explored nurses’ perceptions of what is needed to provide effective quality care, identified that providing quality care is multifactorial in nature. Resources, including but not limited to staffing, and leadership were identified as important by nurses as a key factor in supporting quality care. Nurses must be provided with resources and infrastructure to do their jobs, in an environment supported by authentic transformational leadership.

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“…The average score of organizational communication satisfaction was similar to that of nurses working in South Korean general hospitals with 500 or more beds (K. H. Kang, Han, & Kang, 2012), and nurses working in South African public hospitals (Wagner, Bezuidenhout, & Roos, 2015) but lower than that of nurses working in Turkish public hospitals (Özer, Şantaş, Şantaş, & Say Şahin, 2017). In the subdomain of organizational communication satisfaction, the score of vertical communication was the highest, while that of organizational climate was the lowest.…”

Section: Discussionmentioning

confidence: 62%

Effects of hospital nurses' internalized dominant values, organizational silence, horizontal violence, and organizational communication on patient safety

Doo

Kim

2020

Research in Nursing & Health

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Recent studies have identified common problems with patient safety in hospitals and medical institutions have responded, prioritizing service quality and performance, including patient safety. However, the factors influencing safety for hospital patients are still being examined and clarified. We aimed to investigate how hospital nurses' internalized dominant values, organizational silence, horizontal violence, and organizational communication satisfaction can affect patient safety and to construct and verify a hypothetical model describing the relationships between these factors. The participant sample included 301 hospital nurses from four large (≥500 beds) general hospitals in Gyeonggi‐do, South Korea. Data were collected through questionnaires from October to November 2018 and analyzed using SPSS 25.0 and AMOS 22.0. Factors that had direct effects on patient safety were organizational silence (β = −.130, p < .05) and organizational communication satisfaction (β = .209, p < .001). Factors that had indirect effects on patient safety were internalized dominant values and horizontal violence. The explanatory power of these variables for patient safety was 7.9%. The results indicate that organizational silence, horizontal violence, and organizational communication satisfaction fully mediated the relationship between nurses' internalized dominant values and patient safety. Our findings may be useful to hospital administrators and managers in identifying and analyzing these organizational characteristics in their institutions. Further, the model described in the results may be used to inform the development of educational programs and strategies to improve patient safety by reducing organizational silence and horizontal violence and improving organizational communication.

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Impact of nurses' perceptions of work environment and communication satisfaction on their intention to quit

Abstract: The findings of this study suggest that making improvements to the nursing work environment and nurses' communication satisfaction will decrease their intention to quit.

Cited by 17 publications

References 31 publications

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

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

What Do Nurses Need to Practice Effectively in the Hospital Environment? An Integrative Review With Implications for Nurse Leaders

Effects of hospital nurses' internalized dominant values, organizational silence, horizontal violence, and organizational communication on patient safety

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