Relationship between nurses' practice environments and nursing outcomes in Turkey

Topçu, İbrahim; Türkmen, Emine; Badır, Aysel; Göktepe, Nilgün; Miral, Mukaddes Turan; Albayrak, Sevil; Kebapçı, Ayda; Serbest, Şehbriban; Ozcan, Duygu

doi:10.1111/inr.12247

Cited by 30 publications

(35 citation statements)

References 33 publications

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“…family, friends and co-workers); (Bakker & Demerouti 2007). High burnout rates have been documented in nurse populations around the world (Chou et al 2014;Labrague et al 2017), to the detriment of both the individual and organization, including decreased patient satisfaction, and threats to patient safety, as well as decreased worker productivity and increased staff turnover (Dewa et al 2014;Halbesleben et al 2008;Topcu et al 2016;Vahey et al 2004). The relationship between healthcare worker burnout and healthcare-associated infections has also previously been reported (Cimiotti et al 2012), albeit never in a low-or middle-income country.…”

Section: Introductionmentioning

confidence: 97%

Effect of effort‐reward imbalance and burnout on infection control among Ecuadorian nurses

Colindres

Bryce

Coral-Rosero

et al. 2017

International Nursing Review

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BackgroundNurses are frequently exposed to transmissible infections, yet adherence to infection control measures is suboptimal. There has been inadequate research into how the psychosocial work environment affects compliance with infection control measures, especially in low‐ and middle‐income countries.AimTo examine the association between effort‐reward imbalance, burnout and adherence to infection control measures among nurses in Ecuador.IntroductionA cross‐sectional study linking psychosocial work environment indicators to infection control adherence.MethodsThe study was conducted among 333 nurses in four Ecuadorian hospitals. Self‐administered questionnaires assessed demographic variables, perceived infection risk, effort‐reward imbalance, burnout and infection control adherence.ResultsIncreased effort‐reward imbalance was found to be a unique incremental predictor of exposure to burnout, and burnout was a negative unique incremental predictor of nurses' self‐reported adherence with infection control measures.DiscussionResults suggest an effort‐reward imbalance‐burnout continuum, which, at higher levels, contributes to reduce adherence to infection control. The Ecuadorean government has made large efforts to improve universal access to health care, yet this study suggests that workplace demands on nurses remain problematic.ConclusionThis study highlights the contribution of effort‐reward‐imbalance‐burnout continuum to the chain of infection by decreased adherence to infection control of nurses.Implications for Nursing PolicyHealth authorities should closely monitor the effect of new policies on psychosocial work environment, especially when expanding services and increasing public accessibility with limited resources. Additionally, organizational and psychosocial interventions targeting effort‐reward imbalance and burnout in nurses should be considered part of a complete infection prevention and control strategy. Further study is warranted to identify interventions that best ameliorate effort‐reward imbalance and burnout in low‐ and middle‐income settings.

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Section: Introductionmentioning

confidence: 97%

Effect of effort‐reward imbalance and burnout on infection control among Ecuadorian nurses

Colindres

Bryce

Coral-Rosero

et al. 2017

International Nursing Review

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“…A recent study conducted by Yang et al (2019) in China showed that 97% of the studied nurses suffered from at least one work-related musculoskeletal problem with 80.91% reporting low back pain, 78.6% reporting neck pain, and 70.4% reporting shoulder pain (9). With regards to mental health problems, other reports from around the world have estimated a 45.3% prevalence (3) and the prevalence of emotional exhaustion was found to be 26% in Brazil (43), 30% in the USA (19), 43% in Spain (21), and 50% in Turkey (20). Over half of the RNs in our sample reported the presence of mental disorders and/or high emotional exhaustion, highlighting a higher prevalence of these important problems among…”

Section: Discussionmentioning

confidence: 99%

“…(2018) found, in a sample of Canadian hospitals, that nurses had several cardiovascular disease risk factors including objectively measured obesity/overweight, hypertension, and high cholesterol level, as well as self-reported poor mental health, smoking, and diabetes status (10). Another prominent health outcomes reported among nurses are mental health problems including anxiety, stress, depression, sleep disorders, and emotional exhaustion (6,(18)(19)(20).…”

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confidence: 99%

Work environment-related factors and nurses’ health outcomes: A cross-sectional study in Lebanese hospitals

ELBEJJANI

Ahad

Simon

et al. 2020

Preprint

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Background: Worldwide, studies show that nurses’ health is related to some work environment factors; however, data on nursing tasks’ allocation and self-perceived workload are lacking, particularly for Lebanese nurses. We assessed the relationship of several work environment factors (overall workload and specific temporal, physical, mental, effort, frustration, and performance demands (NASA Task Load Index), staffing resources adequacy and leadership (Practice Environment Scale of Nursing Work Index), teamwork climate (Safety Attitudes Questionnaire), and nursing task allocation (Basel Extent of Rationing of Nursing Care) with self-reported musculoskeletal, cardiovascular, skin, and mental health diseases (Work Ability Index) and emotional exhaustion (Maslach Burnout Inventory) among Lebanese nurses. Methods: A cross-sectional self-report survey was distributed to all 289 registered nurses (RNs) in the medical, surgical, and pediatric units in two university-affiliated hospitals in Lebanon; 170 RNs provided complete data. Adjusted multivariable logistic regression models were used to assess the relationship of work environment factors with health conditions. Results: The most prevalent outcomes were musculoskeletal disease (69%), emotional exhaustion (59%), and mental health problems (56%); 70% of RNs had ≥2 and 35.29% had ≥4 co-occurring health problems. Musculoskeletal disorders were associated with higher overall (OR=1.36 (95%CI=1.03, 1.80)), temporal (OR=1.30 (95%CI=1.09, 1.55)), and physical demands (OR=1.20 (95%CI=1.03, 1.49)), more nursing tasks allocation to RNs (OR=1.11 (95%CI=1.01, 1.23)) and lower teamwork climate (OR=0.60 (95%CI=0.36, 0.98). Higher odds of mental/emotional problems were related to higher overall, temporal, frustration, and effort demands, and lower teamwork climate, performance satisfaction, and resources adequacy (increased odds ranging from 18% to 88%). Work-environment factors were related to higher co-occurrence of health problems. Conclusions: Results show high health burden and co-morbidity among Lebanese RNs and highlight the value of more comprehensive approaches towards improving many work environment factors (including team climate, various components of workload, resources, and nursing tasks’ allocation) to reduce this burden.

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“…Meanwhile, a similar survey was also conducted in other countries (e.g. the United States, China, Thailand, Turkey and Omen) (Nantsupawat et al 2015;Topcu et al 2016;Albashayreh et al 2019;Aiken et al 2012;You et al 2013). These studies indicated that nurse and patient outcomes were not satisfactory in most countries, and that these nurse and patient outcomes were directly or/and indirectly related to each other.…”

Section: Introductionmentioning

confidence: 87%

The nurse outcomes and patient outcomes following the High‐Quality Care Project

Chen

Gottlieb

Liu

et al. 2020

International Nursing Review

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Background There have been many single cross‐sectional studies on nurse or patient outcomes. However, long‐term evidence on improving nurse and patient outcomes is still limited. The High‐Quality Care Project is a national project in China for improving nurse and patient outcomes by implementing primary nursing. Aim (1) To assess the long‐term changes in nurse and patient outcomes in the context of the High‐Quality Care Project. (2) To explore the potential influences of primary nursing on nurse and patient outcomes based on this study and broader existing evidence. Methods The data of two cross‐sectional studies were used for analysis. The two cross‐sectional studies were conducted before (2009) and after (2016) the High‐Quality Care Project. A total of 1376 nurses and 904 patients from 40 units of 10 tertiary hospitals were surveyed. Reliable and validated instruments were used to measure nurse and patient outcomes. Multilevel modelling was the main method for data analysis. Results Nurses in 2016 were more satisfied than nurses in 2009 with most dimensions of nurse work environment and job satisfaction. However, they were not more satisfied with burnout, global job satisfaction or intention to leave their job. Nurses in 2016 also reported better quality of patient care and patient safety while their patients reported higher patient satisfaction. Conclusion The analysis of our results based on existing evidence indicates that primary nursing could be considered as a potentially effective way to improve nurse work environment and patient outcomes. More studies with rigorous study design from micro perspectives would be useful to further explore the direct effects of primary nursing on nurse or/and patient outcomes. Implications for nursing and nursing policy Policymakers, healthcare service leaders and nurse managers should make efforts to provide multi‐level supports to cultivate an encouraging environment for nurses to practice primary nursing, because the implementation of primary nursing may improve the nurse work environment and patient outcomes. Furthermore, improving nurse participation in hospital affairs and developing nursing discipline and education for increasing nursing staff resource and nurses’ capacity – which all need policy and management supports – are crucial to further improve nurse and patient outcomes.

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Relationship between nurses' practice environments and nursing outcomes in Turkey

Abstract: Policymakers and nurse managers should be aware of any negative issues regarding nursing practice environments and job security to improve nursing outcomes.

Cited by 30 publications

References 33 publications

Effect of effort‐reward imbalance and burnout on infection control among Ecuadorian nurses

Effect of effort‐reward imbalance and burnout on infection control among Ecuadorian nurses

Work environment-related factors and nurses’ health outcomes: A cross-sectional study in Lebanese hospitals

The nurse outcomes and patient outcomes following the High‐Quality Care Project

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