Essential elements of professional nursing environments in Primary Care and their influence on the quality of care.

Autor: Gea-Caballero V; Escuela Enfermería La Fe, centro adscrito a la Universidad de Valencia, IIS La Fe, @GREIACC, Valencia, España. Electronic address: gea_vic@gva.es., Castro-Sánchez E; NIHR Health Protection Research Unit in Healthcare-Associated Infection and Antimicrobial Resistance at Imperial College London, South Kensington, Londres, Reino Unido., Júarez-Vela R; Universidad San Jorge, Villanueva de Gállego, Zaragoza, España., Díaz-Herrera MÁ; CS Cornellà-2 Sant Ildefons, Institut Català de la Salut, Cornellà de Llobregat, Barcelona, España; Hospital Universitario General de Catalunya, Sant Cugat del Vallés, Barcelona, España., de Miguel-Montoya I; Escuela Enfermería La Fe, centro adscrito a la Universidad de Valencia, IIS La Fe, @GREIACC, Valencia, España., Martínez-Riera JR; Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública Historia de la Ciencia, Facultad de Ciencias de la Salud, Universidad de Alicante, Alicante, España.
Jazyk: English; Spanish; Castilian
Zdroj: Enfermeria clinica (English Edition) [Enferm Clin (Engl Ed)] 2018 Jan - Feb; Vol. 28 (1), pp. 27-35. Date of Electronic Publication: 2017 Sep 27.
DOI: 10.1016/j.enfcli.2017.07.008
Abstrakt: Objectives: Nursing work environments are key determinants of care quality. Our study aimed to evaluate the characteristics of nursing environments in primary care settings in the Canary Islands, and identify crucial components of such environments to improve quality.
Method: We conducted a cross-sectional study in primary care organisations using the Practice Environment Scale - Nursing Work Index tool. We collected sociodemographic variables, scores, and selected the essential items conducive to optimal care. Appropriate parametric and non-parametric statistical tests were used to analyse relations between variables (CI = 95%, error = 5%).
Results: One hundred and forty-four nurses participated. The mean total score was 81.6. The results for the five dimensions included in the Practice Environment Scale - Nursing Work Index ranged from 2.25 - 2.92 (Mean). Twelve key items for quality of care were selected; six were positive in the Canary Islands, two were mixed, and four negative. 7/12 items were included in Dimension 2 (fundamentals of nursing). Being a manager was statistically associated with higher scores (p<.000). Years of experience was inversely associated with scores in the 12 items (p<.021).
Conclusions: Nursing work environments in primary care settings in the Canary Islands are comparable to others previously studied in Spain. Areas to improve were human resources and participation of nurses in management decisions. Nurse managers must be knowledgeable about their working environments so they can focus on improvements in key dimensions.
(Copyright © 2017 Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
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