Relationship between nursing care quality, nurse staffing, nurse job satisfaction, nurse practice environment, and burnout: literature review

Abstract

The purpose of this literature review is to explore the relationship between nurse staffing, nurse job satisfaction, nurse practice environment, burnout, and nursing care quality through a consideration of what is meant by perceptions of nursing care quality. Different people define nursing care quality in many ways. It is complex, multi-faceted and multi-dimensional, and attempts to assess, monitor, evaluate and improve nursing care quality have evolved over a number of years. Of particular interest is the way in which changes in nurse staffing, nurse job satisfaction, nurse practice environment, and burnout may affect the quality of nursing care delivery. A search was conducted using the CINAHL, Medline and Embase databases, HINARI, Science Direct, Google, and PubMed. The terms searched included quality of health care; nursing care quality; nurse job satisfaction; nurse practice environment; burnout; and nurse staffing. Papers were included for their relevance to the field of enquiry. The original search was conducted in 2003 and updated in 2004. Quality of care is a complex, multi-dimensional concept, which presents researchers with a challenge when attempting to evaluate it. Many different tools have assessed nursing care quality. In addition, the review found that there were relationships between nurse staffing, nurse job satisfaction, nurse practice environment, burnout, and nursing care quality.

Factors predicting quality of nursing care among nurses in tertiary care hospitals in Mongolia

“…; Koy et al. ). This is serious considering that nursing occupies 90% of all healthcare services globally and QNC is one of the main components of healthcare quality (Nilsson et al.…”

“…; Koy et al. ). Another major component of QNC relates to an appropriate patient‐to‐nurse ratio, but there are significant fluctuations in nurse–patient ratios across countries globally, as depicted on the World Health Organization (WHO) Global Health Observatory website (WHO ).…”

“…), enough time spent with clients (Koy et al. ), nursing competency (NC) (Kieft et al. ) and nursing practice environment (NPE) (Ma et al.…”

Developing resilience: the role of nurses, healthcare teams and organisations

“…How colleagues work together is fundamental to [deleted -the experience in the] creating a supportive workplace culture, and feeling supported in the workplace is important for resilience (Koy et al 2015). Senior staff members with managerial responsibility might have more of a sense of how their relationships with colleagues can contribute to the resilience of others because they may be called upon to support colleagues in difficulty and the organisational structure reinforces their responsibilities in this regard.…”

“…A total of 27% stated that they left because of disillusionment with the level of care offered to patients . This is reflected by Koy et al's (2015) literature review, which identified that job dissatisfaction and burnout contributed to the 'intention [of nurses] to leave, absenteeism, turnover, and adverse outcomes in hospital care.' They also highlight how nurse burnout is not only detrimental for nurses, but has also been associated with lower levels of patient satisfaction and nursing care quality (Koy et al 2015).…”