Abstract
Objective:to investigate how the perioperative work environment affects work dissatisfaction, professional exhaustion and the perception of the quality of care about the intention of abandoning the work of perioperative nurses.Method:cross-sectional study with 130 nurses working in the surgical area of a high-tech Spanish public university hospital. The scale of the nursing practice environment, Maslach’s exhaustion inventory, the questions about job satisfaction, the perception of the care quality and intention to abandon work to collect data were used. Descriptive, inferential and logistic regression statistics were made.Results:in general, 20% of perioperative nurses would want to quit their work. The dimension of the work environment of staff and resources, dissatisfaction and emotional exhaustion in nurses were factors that indicated the intention of perioperative nurses to abandon work.Conclusion:the implementation of strategies for the retention of perioperative nurses should be considered, improving the factors that indicate how the work environment, especially the allocation of personnel and resources, dissatisfaction and emotional exhaustion. Creating positive work environments based on magnetic values can be a key strategy.
Highlights
The lack of nursing professionals is well documented and it is an important concern of health systems due to its effects on the quality of patient care, nurse satisfaction and financial burden in health services[1,2]
A growing lack and turnover of perioperative nurses is expected, it is expected that 20% of the people who are employed in this specialty will retire in the coming years[3]
To measure the work environment, one of the most used instruments worldwide was used to determine the quality of the practice environments, the PES-NWI (Practice Environment Scale of the Nursing Work Index)(18) and which was validated in Spanish[19]
Summary
The lack of nursing professionals is well documented and it is an important concern of health systems due to its effects on the quality of patient care, nurse satisfaction and financial burden in health services[1,2]. Most studies have measured the perceptions of nurses working in different acute care units and that there is little understanding of the factors of the work environment that are related to labor dissatisfaction and the intentions of nurses perioperative to abandon. The relationships between the work environment, labor dissatisfaction, professional exhaustion and the intentions of perioperative nurses to abandon work must be investigated. This study was not conducted in perioperative units and, there are studies in other environments on related factors such as emotional exhaustion, work overload and nurses’ job dissatisfaction with the intentions of abandoning work[11,12]. The study in perioperative environments are very scarce[13], which indicates the need to investigate the factors related to the perioperative environment to develop optimal ways to relieve the lack and turnover of nurses
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