Keywords
How to Cite
Abstract
Objective: To explore the perception of Colombian professional nurses about the definition and the main characteristics of a healthy work environment (HWE) for nursing care practice in the hospital setting. Methodology: Descriptive qualitative study. Semi-structured interviews were conducted with nine professional nurses recruited through non-probabilistic sampling. The interviews were recorded, literally transcribed and coded. Through the organization and structuring of these codes, it was possible to establish categories and subcategories. Results: From the data analysis it was possible to establish a definition of healthy work environment and two dimensions (categories), and 10 main characteristics (subcategories) of the concept were obtained. Conclusions: The findings
of this study allow a better understanding of the perception of Colombian nurses about the definition and essential characteristics of an HWE for nursing practice in the hospital setting. These findings contribute to the development of HWE measurement tools that are adjusted to the conditions and reality of professional practice in the Colombian hospital setting.
References
Organización Mundial de la Salud. Entornos Laborales Saludables: Fundamentos y Modelo de la OMS. Contextualización, prácticas y literatura de apoyo [Internet]. Ginebra: Ediciones de la OMS, 2010; p15.
Kramer M, Brewer BB, Maguire P. Impact of Healthy Work Environments on New Graduate Nurses’ Environmental Reality Shock. West J Nurs Res. 2013; 35(3): 348–383. https://doi.org/10.1177/0193945911403939
Organización Panamericana de la Salud. Orientación estratégica para enfermería en la Región de las Américas [Internet]. Washington, D.C: OPS editor, 2019; p 17.
Consejo Internacional de Enfermeras. Entornos de práctica favorables: lugares de trabajo de calidad=atención de calidad al paciente. Ginebra: CIE, 2007; p5.
García B. Manual de métodos de investigación para las ciencias sociales: un enfoque de enseñanza basado en proyectos.1. México D.F.: Manual moderno; 2009. p28.
Noreña-Peña A, Alcaraz Moreno N, Rojas JG, Rebolledo-Malpica DM. Aplicabilidad de los criterios de rigor y éticos en la investigación Cualitativa. Aquichan [Internet]. 2012;12(3): 263–274. ISSN: 1657-5997
Donabedian A. An Introduction to Quality Assurance in Health Care. 1. New York: Oxford University Press; 2003. p 46-49.
Huddleston P. Healthy Work Environment Framework Within an Acute Care Setting. J Theory Constr Test [Internet]. 2014;18(2):50–4. ISSN: 10864431.
American Nurses Association. Healthy Work Environment [Internet]. 2018 [cited 2018 Oct 8]. Available from: https://www.nursingworld.org/practice-policy/work-environment/
Kelly L, Todd M. Compassion Fatigue and the Healthy Work Environment. AACN Adv Crit Care. 2017; 28(4): 351–358. https://doi.org/10.4037/aacnacc2017283
Al-Hamdan Z, Manojlovich M, Tanima B. Jordanian Nursing Work Environments, Intent to Stay, and Job Satisfaction. J Nurs Scholarsh. 2017; 49(1): 103–110. https://doi.org/10.1111/jnu.12265
Dirik HF, Intepeler SS. The work environment and empowerment as predictors of patient safety culture in Turkey. J Nurs Manag. 2017 May; 25(4): 256–265. https://doi.org/10.1111/jonm.12458
Nantsupawat A, Kunaviktikul W, Nantsupawat R, Wichaikhum OA, Thienthong H, Poghosyan L. Effects of nurse work environment on job dissatisfaction, burnout, intention to leave. Int Nurs Rev. 2017; 64(1): 91–98. https://doi.org/10.1111/inr.12342
Kugler C, Akca S, Einhorn I, Rebafka A, Russell CL. Transplant Nurses’ Work Environment: A CrossSectional Multi-Center Study. Ann Transplant. 2016 Sep;21: 550–7. https://doi.org/10.12659/AOT.898305
Spence Laschinger HK, Zhu J, Read E. New nurses’ perceptions of professional practice behaviours, quality of care, job satisfaction and career retention. J Nurs Manag. 2016;24(5):656–65. https://doi.org/10.1111/jonm.12370
Bai J. Does job satisfaction mediate the relationship between healthy work environment and care quality? Nurs Crit Care. 2016; 21(1): 18–27. https://doi.org/10.1111/nicc.12122
Lin L-C, Lee H-F, Yen M. Establishing a measurement tool for a nursing work environment in Taiwan. Res Theory Nurs Pract. 2017 Feb; 31(1): 75–88. https://doi.org/10.1891/1541-6577.31.1.75
Enns V, Currie S, Wang JL. Professional autonomy and work setting as contributing factors to depression and absenteeism in Canadian nurses. Nurs Outlook [Internet]. 2015; 63(3): 269–277. https://doi.org/10.1016/j.outlook.2014.12.014
Smith JG, Morin KH, Lake ET. Association of the nurse work environment with nurse incivility in hospitals. J Nurs Manag. 2018 Mar; 26(2): 219–226. https://doi.org/10.1111/jonm.12537
Olds DM, Aiken LH, Cimiotti JP, Lake ET. Association of nurse work environment and safety climate on patient ortmality: A cross-sectional study. Int J Nurs Stud. 2017 Sep; 74: 155–161. https://doi.org/10.1016/j.ijnurstu.2017.06.004
Ma C, Park SH. Hospital Magnet Status, Unit Work environment, and pressure ulcers. J Nurs Scholarsh an Off Publ Sigma Theta Tau Int Honor Soc Nurs. 2015 Nov;47(6): 565–573. https://doi.org/10.1111/jnu.12173
Swiger PA, Patrician PA, Miltner RSS, Raju D, Breckenridge-Sproat S, Loan LA. The practice environment scale of the nursing work index: An updated review and recommendations for use. Int J Nurs Stud. 2017 Sep; 74:76–84. https://doi.org/10.1016/j.ijnurstu.2017.06.003
Lasater KB, Mchugh MD. Nurse staffing and the work environment linked to readmissions among older adults following elective total hip and knee replacement. Int J Qual Heal care J Int Soc Qual Heal Care. 2016 Apr;28(2):253–8. https://doi.org/10.1093/intqhc/mzw007
Liu J, You L, Zheng J, Ross AM, Liu K. Effects of work environment on quality of care in ICUs: A multisite survey in China. J Nurs Care Qual. 2016; 31(3): E1–8. https://doi.org/10.1097/NCQ.0000000000000160
Johansen ML, de Cordova PB, Weaver SH. Exploration of the Meaning of Healthy Work Environment for Nurses. Nurse Lead [Internet]. 2021;19(4): 383–389. https://doi.org/10.1016/j.mnl.2020.06.011
Backhaus R, Rossum E van, Verbeek H, Halfens RJG, Tan FES, Capezuti E, et al. Work environment characteristics associated with quality of care in Dutch nursing homes: A cross-sectional study. Int J Nurs Stud. 2017 Jan; 66: 15–22. https://doi.org/10.1016/j.ijnurstu.2016.12.001
Kramer M, Schmalenberg C. Development and Evaluation of Essentials of Magnetism Tool. J Nurs Adm. 2004;34(7):365–78. https://doi.org/10.1097/00005110-200407000-00010
American Association of Critical-Care Nurses. AACN standards for estableshing and sustaining healthy work environments: a journey to excellence. Am J Crit Care. 2005; l14(800): 187–197.
American Association of Critical-Care Nurses. AACN standards for establıshıng and sustaınıng healthywork envıronments [Internet]. Aliso Viejo: American Association of Critical-Care Nurses; 2016. p 9.
Huddleston P, Gray J. Describing Nurse Leaders’ and Direct Care Nurses’ Perceptions of a Healthy Work Environment in Acute Care Settings, Part 2. J Nurs Adm. 2016 Sep; 46(9): 462–467. https://doi.org/10.1097/NNA.0000000000000376
Peña Alfaro BS. Desarrollo y validación del instrumento ENLASA-Enfermería para la evaluación de un entorno laboral saludable en el ámbito hospitalario [Internet]. Bogotá: Universidad Nacional de Colombia; 2021. Available from: https://repositorio.unal.edu.co/handle/unal/80839
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2022 Bairon Steve Peña-Alfaro, Gloria Lucia Arango-Bayer