Abstract
To evaluate and compare the nursing practice environments in Intensive Care Units of a public and private hospital and the prevalence of burnout among nursing professionals. Cross-sectional, descriptive study with a quantitative approach to the data. The data collection took place between October 2018 and March 2019, and it was carried out through a questionnaire with socio-occupational variables and with metrics of intensity. The practice environment was assessed through the Nursing Work Index Revised (NWI-R); and the burnout was assessed by the Maslach Burnout Inventory (IBM). We included professionals with, at least, six months of employment, and those who were on leave or on a fixed-term employment contract were excluded. The sample consisted of 296 professionals. We found Favorable environments in both institutions, however, low results in the subscales autonomy, control and organizational support in the private hospital. The prevalence of burnout among nurses was 2.5% in the public hospital and 9.1% in the private hospital, and among nursing technicians, it was 9.5% and 8.5%, respectively. The control of the environment, autonomy and support were considered critical points, referring to the importance of assessing institutions factors, that can improve the working conditions for the nursing team.
Highlights
The management of the quality of health services has been a prominent theme over the years, it is a priority to achieve ways to improve patient safety and the organizational sustainability
Regarding the characterization of the sample, there was an average age in the public hospital of 40.4 ± 8.0 and 44.26 ± 7.78 years old, for nurses and nursing technicians, respectively, while in the private hospital it was evident 34.1 ± 4.4 and 38.01 ± 7.78 years old, for nurses and nursing technicians, respectively, showing a significant difference (p < 0.001) in the average age of professionals, showing a higher difference for nurses and nursing technicians at the public hospital
The marital status of nursing professionals was predominantly married in the public hospital, with 56.1% being nurses and 57.3% for nursing technicians, in contrast, the predominant marital status of the private hospital, was the condition of singles
Summary
The management of the quality of health services has been a prominent theme over the years, it is a priority to achieve ways to improve patient safety and the organizational sustainability. Reaching this goal becomes a challenge for nursing leaders due to the complexity involved in care environments and processes. The practice environment consists of factors related to worker satisfaction and professional performance, such as: autonomy; care attendance focused on quality; nursing status in the institution, personal recognition of the professional and his skills, leadership and participation in organizational decisions; career advancement based on qualification and individual development; and relationships with managers, doctors and colleagues[2]
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