Importance of work environments on hospital outcomes in nine countries

Abstract

Poor hospital work environments are common and are associated with negative outcomes for nurses and quality of care. Improving work environments holds promise for nurse retention and better quality of patient care.

Validação do Nursing Work Index-Revised entre auxiliares e técnicos de enfermagem

“…The presence of organizational attributes, such as autonomy, control over the environment and collaboration between physicians and nurses can make a practice environment more favorable of the development of care and also contribute to better outcomes for the patient, the professional and the institution. (1)(2)(3)(4) For the patient, these results translate not only into satisfaction with the care received, but reduced mortality rates (1,2,5,6) and a reduction of adverse events of care, such as medication errors, falls and hospital-acquired infections. (7) For the institution, the absence of characteristics that favor professional practice directly influences the rise of turnover and absenteeism rates.…”

A satisfação dos pacientes segundo a forma de internação em hospital universitário

“…(15) The nursing team spends most of the time with the patient and often serves as a reference framework. (7) Nevertheless, the acknowledgement of Nursing work from the user's perspective is extremely relevant for this team. The comparative analysis of the results obtained by each of the patient groups in the study -emergency and admission -evidenced no statistically significant difference between the groups, revealing that the patients acknowledge the same care pattern concerning the Nursing team attributes and the assessment of the general satisfaction.…”

“…(6) Some studies support that the main bond between the user and the hospital occurs through the Nursing service, constituting the main group of health professionals, which maintains uninterrupted contact with the patient, promoting the maintenance, recovery and rehabilitation of health through care. (7,8) The nurses are ideal professionals to inform about the characteristics of the organizations where they work, due to their proximity with the users. (7) This assessment favors a better planning of care, identifying the attributes that contribute or not to the patients' satisfaction.…”

“…(7,8) The nurses are ideal professionals to inform about the characteristics of the organizations where they work, due to their proximity with the users. (7) This assessment favors a better planning of care, identifying the attributes that contribute or not to the patients' satisfaction. (7) Care delivery at the inpatient services has attributes that stand out during the hospitalization through the admission sector, the medical, nursing, nutrition, cleaning and hospital discharge teams.…”

“…(7) This assessment favors a better planning of care, identifying the attributes that contribute or not to the patients' satisfaction. (7) Care delivery at the inpatient services has attributes that stand out during the hospitalization through the admission sector, the medical, nursing, nutrition, cleaning and hospital discharge teams. The nurse, articulating the sequence of these different professionals' actions, naturally takes charge of administering the appropriate functioning of the services.…”