Impact of Nursing Practice Environment on Job Outcomes and Safety Climate: Testing a Model

12.00
Hdl Handle:
http://hdl.handle.net/10755/618532
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
Impact of Nursing Practice Environment on Job Outcomes and Safety Climate: Testing a Model
Other Titles:
Job Outcomes and Dissatisfaction in Nursing
Author(s):
Dorigan, Gisele Hespanhol; Alves, Daniela Fernanda dos Santos; Guirardello, Edineis de Brito
Lead Author STTI Affiliation:
Non-member
Author Details:
Gisele Hespanhol Dorigan, MSc, RN, ghdorigan@gmail.com; Daniela Fernanda dos Santos Alves, PhD, MSc, RN, danny.fer@terra.com.br; Edinêis de Brito Guirardello, PhD, RN, guirar@unicamp.br
Abstract:

Purpose:  To test the theoretical model of the effect of nursing practice environment on safety climate, job satisfaction, intention to remain at job and in the nursing profession, and burnout.

 

Methods: Cross-sectional study of explanatory scope, with a probabilistic sample of 465 nurses from the state of São Paulo, Brazil. The inclusion criteria were nurses who exercised direct assistance activities for patients and with experience of six or more months in the institution. The instruments used for the study were the subscales job satisfaction and safety climate of the Brazilian version of the Safety Attitudes Questionnaire - Short Form 2006, the Brazilian version of the Nursing Work Index Revised and the Maslach Burnout Inventory. Data collection was carried out electronically via the SurveyMonkey® software. For the multivariate analysis, we used Structural Equation Modeling, by applying the Partial Least Squares Path Modeling (PLS-PM) approach, using the SmartPLS® software version 3.0.

 

Results:  Initially, we performed the measurement model, considering the measures related to convergent and discriminant validity. Five items were excluded five items from the proposed model, which showed adequate levels of composite reliability (ρ = 0.81 to 0.93) for all latent variables in the model. Subsequently, in the structural model, the path coefficients between included variables of nursing practice environment and outcome variables were significant (p <0.001). The included constructs contributed to the model adjustment (Q2 > 0), with size of effect moderate to high (f2 = 0.207 a 0.596). The adjusted model explained 35.7% of burnout, 42.3% of the safety climate, 42.6% of job satisfaction, 22.3% of the intention to remain in job and 16.7% of the intention to stay in the profession.

 

Conclusion: The improved model required minor adjustments and makes it possible to conclude that the nursing practice environment influences job satisfaction, intention to remain in employment and in nursing, the safety climate, and burnout. Implications for practice: The evaluation of the characteristics of nursing practice environment and the safety climate from the perspective of nurses can provide essential information for planning strategic actions in health care services, and the development of public policies for managing human resources in the health care field.

Keywords:
Health Facility Environment; Patient Safety; Quality of Health Care
Repository Posting Date:
18-Aug-2016
Date of Publication:
18-Aug-2016
Other Identifiers:
INRC16L05
Conference Date:
2016
Conference Name:
27th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Cape Town, South Africa
Description:
Theme: Leading Global Research: Advancing Practice, Advocacy, and Policy

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titleImpact of Nursing Practice Environment on Job Outcomes and Safety Climate: Testing a Modelen_US
dc.title.alternativeJob Outcomes and Dissatisfaction in Nursingen
dc.contributor.authorDorigan, Gisele Hespanholen
dc.contributor.authorAlves, Daniela Fernanda dos Santosen
dc.contributor.authorGuirardello, Edineis de Britoen
dc.contributor.departmentNon-memberen
dc.author.detailsGisele Hespanhol Dorigan, MSc, RN, ghdorigan@gmail.com; Daniela Fernanda dos Santos Alves, PhD, MSc, RN, danny.fer@terra.com.br; Edinêis de Brito Guirardello, PhD, RN, guirar@unicamp.bren
dc.identifier.urihttp://hdl.handle.net/10755/618532-
dc.description.abstract<p>Purpose:  To test the theoretical model of the effect of nursing practice environment on safety climate, job satisfaction, intention to remain at job and in the nursing profession, and burnout.</p> <p> </p> <p>Methods: Cross-sectional study of explanatory scope, with a probabilistic sample of 465 nurses from the state of São Paulo, Brazil. The inclusion criteria were nurses who exercised direct assistance activities for patients and with experience of six or more months in the institution. The instruments used for the study were the subscales job satisfaction and safety climate of the Brazilian version of the Safety Attitudes Questionnaire - Short Form 2006, the Brazilian version of the Nursing Work Index Revised and the Maslach Burnout Inventory. Data collection was carried out electronically via the SurveyMonkey® software. For the multivariate analysis, we used Structural Equation Modeling, by applying the Partial Least Squares Path Modeling (PLS-PM) approach, using the SmartPLS® software version 3.0.</p> <p> </p> <p>Results:  Initially, we performed the measurement model, considering the measures related to convergent and discriminant validity. Five items were excluded five items from the proposed model, which showed adequate levels of composite reliability (ρ = 0.81 to 0.93) for all latent variables in the model. Subsequently, in the structural model, the path coefficients between included variables of nursing practice environment and outcome variables were significant (p <0.001). The included constructs contributed to the model adjustment (Q2 > 0), with size of effect moderate to high (f2 = 0.207 a 0.596). The adjusted model explained 35.7% of burnout, 42.3% of the safety climate, 42.6% of job satisfaction, 22.3% of the intention to remain in job and 16.7% of the intention to stay in the profession.</p> <p> </p> <p>Conclusion: The improved model required minor adjustments and makes it possible to conclude that the nursing practice environment influences job satisfaction, intention to remain in employment and in nursing, the safety climate, and burnout. Implications for practice: The evaluation of the characteristics of nursing practice environment and the safety climate from the perspective of nurses can provide essential information for planning strategic actions in health care services, and the development of public policies for managing human resources in the health care field.</p>en
dc.subjectHealth Facility Environmenten
dc.subjectPatient Safetyen
dc.subjectQuality of Health Careen
dc.date.available2016-08-18T19:42:07Z-
dc.date.issued2016-08-18-
dc.date.accessioned2016-08-18T19:42:07Z-
dc.conference.date2016en
dc.conference.name27th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationCape Town, South Africaen
dc.descriptionTheme: Leading Global Research: Advancing Practice, Advocacy, and Policyen
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