Iranian staff nurses’ views of their productivity and management factors improving and impeding it: a qualitative study

Abstract

As the biggest proportion of hospital personnel, Iranian nurses have a major role in providing quality care to patients. Nursing managers and nurses no longer feel that nurses' work is valued and they are concerned about their productivity. Nurses' views about productivity and management factors affecting it have been identified as the most important aspects affecting productivity. Thus, this study assesses productivity from the nurse's view. A grounded theory approach was used for this research. Purposive sampling and semistructured interviews were used. The data were analyzed using constant comparative analysis. Most participants felt that the qualitative nature (effectiveness) of productivity is very important. Also, participants indicated that management is the most important factor that can promote or impede their productivity. They suggested that managers' performance and their skill level are the factors influencing productivity. Effective management can improve nurses' productivity and the quality of care that nurses provide.

Assessment of the Psychosocial Work Environment among Health Care Workers and Its Association with Work and Socioeconomic Status

“…The consequences can be dissatisfaction, lack of motivation, and low quality of service among nurses, all of which leading to patient dissatisfaction (42,43). Our results support the results of previous studies and confirm the poor psychosocial environment among nurses.…”

Relationship Between Productivity and Burnout in Nurses of Military Hospitals in Tehran

“…Most studies have reported the PA of nurses at low levels (13,20,27,43), and the results of these studies are in the same direction as this study. Several studies have indicated opposite results, with most nurses at low (28, 43) levels in EE and at low (28,43) to medium (21) levels in DP, which are not in line with the results of the present study.…”

“…In Iran, the productivity of nurses, which consists of the majority of health care staff, has been one of the major issues for health system managers in recent years and in this regard, they have appealed to the government to take certain actions such as privatization (28). Numerous researches have also reviewed nurses' burnout levels (17,27,(29)(30)(31)(32)(33)(34)(35)(36).…”

A Survey of the Patient’s Safety Culture Among Nurses in Tehran-Based Hospitals Affiliated with Social Security Organization - 2013-2014

“…This shows that clinical service section is understaffed [22,23]. Lack of enough human force has been reported by many studies as one of the common problems from the nurses' viewpoint [24,25]. Apparently, managers need to reevaluate safety culture of hospital and focus more on preventive programs.…”