Abstract
to analyze the association between the environment of nursing practices and work satisfaction in Intensive Care Units (ICU). a cross-sectional study was performed in eight adult ICUs of a public university hospital between 2012 and 2015. The Nursing Work Index-Revised (NWI-R), in their short forms, and the Index of Work Satisfaction (IWS) were applied to investigate the environment of nursing practices and work satisfaction, respectively. a total of 100 (34.84%) nurses and 187 (65.15%) nursing assistants/technicians participated in this study. The environment was favorable for autonomy and relationships and it showed vulnerability for control of practices and organizational support. The IWS score indicated low work satisfaction. "Environment of practices", "length of work in the ICU" and "willingness to work" were associated with work satisfaction. to invest in the environment of practices, in factors that promote willingness to work and length of experience in the ICU increases nursing work satisfaction.
Highlights
Environmental aspects in nursing practices began to be studied in the early 1980s in the American Academy of Nursing, which investigated the high index of attraction and retention of nursing professionals in certain hospitals in the United States, whereas the reality involved a turnover of nurses in the majority of institutions(1)
These hospitals were named “Magnet”, as they attracted professionals who remained in such institutions and achieved work satisfaction because they promoted the development of positive factors in the environment of practices, such as nurse participation in decision-making, increase in autonomy over health care practices, collaboration among professionals, a qualified team, and time flexibility(2)
This phenomenon can be justified by the interaction of factors that are common between the environment of nursing practices and work satisfaction, such as communication, relationships, participative management and organizational support which, apart from playing a role in the performance of nursing professionals and the results of patient care, has an effect on work satisfaction(1-2)
Summary
OBJECTIVEEnvironmental aspects in nursing practices began to be studied in the early 1980s in the American Academy of Nursing, which investigated the high index of attraction and retention of nursing professionals in certain hospitals in the United States, whereas the reality involved a turnover of nurses in the majority of institutions(1).These hospitals were named “Magnet”, as they attracted professionals who remained in such institutions and achieved work satisfaction because they promoted the development of positive factors in the environment of practices, such as nurse participation in decision-making, increase in autonomy over health care practices, collaboration among professionals, a qualified team, and time flexibility(2).This phenomenon can be justified by the interaction of factors that are common between the environment of nursing practices and work satisfaction, such as communication, relationships, participative management and organizational support which, apart from playing a role in the performance of nursing professionals and the results of patient care, has an effect on work satisfaction(1-2).the investigation of these factors is the key for both the improvement of nursing practices and, patient care, and the satisfaction of nursing professionals.the reality shows that the daily routine in ICUs poses a challenge due to the many difficulties associated with the specific complexities of the environment. Environmental aspects in nursing practices began to be studied in the early 1980s in the American Academy of Nursing, which investigated the high index of attraction and retention of nursing professionals in certain hospitals in the United States, whereas the reality involved a turnover of nurses in the majority of institutions(1). These hospitals were named “Magnet”, as they attracted professionals who remained in such institutions and achieved work satisfaction because they promoted the development of positive factors in the environment of practices, such as nurse participation in decision-making, increase in autonomy over health care practices, collaboration among professionals, a qualified team, and time flexibility(2). This involves aspects of inadequacy of nursing professionals given the heavy workload, the difficulty in the organization of tasks, lack of preparation and autonomy for decision-making, all of which can have a great impact on work satisfaction and patient safety(3)
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