Abstract

This study examined the relationship between self-reports of hospital culture and indicators of work satisfaction and engagement, perceptions of hospital functioning and quality of nursing care, and psychological well-being of nursing staff in Turkish hospitals. It represents the first study of its kind. Data were collected from 224 staff nurses using anonymously completed questionnaires, a 37% response rate. Two aspects of hospital culture were included: hospital support and hospital health and safety climate. Hierarchical regression analyses, controlling for both personal demographic and work situation characteristics, indicated that hospital culture accounted for significant increments in explained variance on most outcome measures, particularly work outcomes. Interestingly, hospital support and hospital health and safety climate were associated with different outcomes in several cases. Explanations for the association of hospital culture with various outcomes are offered along with potentially practical implications.

Highlights

  • This study examined the relationship between self-reports of hospital culture and indicators of work satisfaction and engagement, perceptions of hospital functioning and quality of nursing care, and psychological well-being of nursing staff in Turkish hospitals

  • It is not surprising that considerable research has been undertaken to understand the work experiences of nurses, as these relate to nurse satisfaction and well-being and patient care. It has concentrated on issues of hospital workplace culture, workload, lack of resources, overtime work, and increases in abuse experienced in the work place by nursing staff as these affect burnout, depression, psychosomatic symptoms, absenteeism and intent to leave the profession (Aiken, Clarke, Sloane, Sochalski & Silber, 2002)

  • Research initially conducted in the US (Aiken, Smith & Lake, 1994; Aiken, Sloane & Clarke, 2002), but replicated in several other countries, has identified characteristics of hospital environments associated with high levels of nurse satisfaction, low nurse turnover and high levels of patient care quality

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Summary

Introduction

This study examined the relationship between self-reports of hospital culture and indicators of work satisfaction and engagement, perceptions of hospital functioning and quality of nursing care, and psychological well-being of nursing staff in Turkish hospitals. Research initially conducted in the US (Aiken, Smith & Lake, 1994; Aiken, Sloane & Clarke, 2002), but replicated in several other countries, has identified characteristics of hospital environments associated with high levels of nurse satisfaction, low nurse turnover and high levels of patient care quality. These hospitals were termed “magnet hospitals” for their ability to both attract and retain nursing staff (Aiken, 2002). Magnet hospitals are characterized by the following: a philosophy of caring from top management that permeates the patient care environment, leaders that are visible and approachable, participatory management, facilities that support high quality care for patients, high levels of involvement of nurses in planning for hospital programs, equipment and technology, nurses given high levels of professional autonomy, leaders that encourage and support continuous staff

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