Nurses' Perceptions of Professional Practice Environment and Its Relation to Missed Nursing Care and Nurse Satisfaction.

Renáta Zeleníková,Ilona Plevová,Darja Jarošová,Eva Janíková

doi:10.3390/ijerph17113805

Renáta Zeleníková, Ilona Plevová + Show 2 more

Open Access

https://doi.org/10.3390/ijerph17113805

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Abstract

The professional practice environment is a factor that can have a significant impact on missed nursing care. The study aimed to find a relationship between nurses’ perceptions of their professional practice environment and missed nursing care and job satisfaction. An additional aim was to find differences in nurses’ perceived rating of the professional practice environment according to hospital location and job position. A descriptive correlational study was performed. The sample included 513 general and practical nurses providing direct care in nine Czech hospitals. The Revised Professional Practice Environment scale and the Missed Nursing Care (MISSCARE) survey were used to collect data. The professional practice environment was most correlated with satisfaction with the current position (0.4879). The overall score of missed care correlated most strongly with the subscale “staff relationships” (−0.2774). Statistically significant differences in the rating of two subscales, “control over practice” and “cultural sensitivity”, were found between nurses from hospitals in district capitals and those from hospitals in smaller cities. Statistically significant differences in the rating of the “leadership and autonomy in clinical practice” and “teamwork” subscales were found between general nurses and practical nurses. The professional practice environment is related to nurse satisfaction and missed nursing care.

Highlights

The professional practice environment is a factor that can have a significant impact on missed nursing care [1]
Several studies confirmed that nurses in hospitals with a favorable professional practice environment reported less missed care [3,4,5]
The professional practice environment is linked to different nurse outcomes such as unmet patient care needs, job satisfaction, burnout, intention to leave, and missed nursing care [6,25,26]

Summary

Introduction

The professional practice environment is a factor that can have a significant impact on missed nursing care [1]. Aspects of the professional practice environment directly and indirectly influence the quality of nursing care [2]. Several studies confirmed that nurses in hospitals with a favorable professional practice environment reported less missed care [3,4,5]. Research in 1406 hospitals across nine countries revealed that hospitals with consistently better professional practice environments have lower nurse burnout and job dissatisfaction, and that nurses have a more positive perception of the quality of care on their units [6]. The associations between an unfavorable professional practice environment and nurse dissatisfaction and burnout, and between an unfavorable professional practice environment and quality care deficits were confirmed in other studies [7,8]

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