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Study of the Strengths and Weaknesses of Nursing Work Environments in Primary Care in Spain

Background: Nursing work environments are defined as the characteristics of the workplace that promote or hinder the provision of professional care by nurses. Positive work environments lead to better health outcomes. Our study aims to identify the strengths and weaknesses of primary health care set...

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Autores principales: Gea-Caballero, Vicente, Martínez-Riera, José Ramón, García-Martínez, Pedro, Casaña-Mohedo, Jorge, Antón-Solanas, Isabel, Verdeguer-Gómez, María Virtudes, Santolaya-Arnedo, Iván, Juárez-Vela, Raúl
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7828083/
https://www.ncbi.nlm.nih.gov/pubmed/33430486
http://dx.doi.org/10.3390/ijerph18020434
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author Gea-Caballero, Vicente
Martínez-Riera, José Ramón
García-Martínez, Pedro
Casaña-Mohedo, Jorge
Antón-Solanas, Isabel
Verdeguer-Gómez, María Virtudes
Santolaya-Arnedo, Iván
Juárez-Vela, Raúl
author_facet Gea-Caballero, Vicente
Martínez-Riera, José Ramón
García-Martínez, Pedro
Casaña-Mohedo, Jorge
Antón-Solanas, Isabel
Verdeguer-Gómez, María Virtudes
Santolaya-Arnedo, Iván
Juárez-Vela, Raúl
author_sort Gea-Caballero, Vicente
collection PubMed
description Background: Nursing work environments are defined as the characteristics of the workplace that promote or hinder the provision of professional care by nurses. Positive work environments lead to better health outcomes. Our study aims to identify the strengths and weaknesses of primary health care settings in Spain. Methods: Cross-sectional study carried out from 2018 to 2019. We used the Practice Environment Scale of the Nursing Work Index and the TOP10 Questionnaire of Assessment of Environments in Primary Health Care for data collection. The associations between sociodemographic and professional variables were analyzed. Results: In total, 702 primary care nurses participated in the study. Responses were obtained from 14 out of the 17 Spanish Autonomous Communities. Nursing foundation for quality of care, management and leadership of head nurse and nurse–physician relationship were identified as strengths, whereas nurse participation in center affairs and adequate human resources to ensure quality of care were identified as weaknesses of the nursing work environment in primary health care. Older nurses and those educated to doctoral level were the most critical in the nursing work environments. Variables Age, Level of Education and Managerial Role showed a significant relation with global score in the questionnaire. Conclusion: Interventions by nurse managers in primary health care should focus on improving identified weaknesses to improve quality of care and health outcomes.
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spelling pubmed-78280832021-01-25 Study of the Strengths and Weaknesses of Nursing Work Environments in Primary Care in Spain Gea-Caballero, Vicente Martínez-Riera, José Ramón García-Martínez, Pedro Casaña-Mohedo, Jorge Antón-Solanas, Isabel Verdeguer-Gómez, María Virtudes Santolaya-Arnedo, Iván Juárez-Vela, Raúl Int J Environ Res Public Health Article Background: Nursing work environments are defined as the characteristics of the workplace that promote or hinder the provision of professional care by nurses. Positive work environments lead to better health outcomes. Our study aims to identify the strengths and weaknesses of primary health care settings in Spain. Methods: Cross-sectional study carried out from 2018 to 2019. We used the Practice Environment Scale of the Nursing Work Index and the TOP10 Questionnaire of Assessment of Environments in Primary Health Care for data collection. The associations between sociodemographic and professional variables were analyzed. Results: In total, 702 primary care nurses participated in the study. Responses were obtained from 14 out of the 17 Spanish Autonomous Communities. Nursing foundation for quality of care, management and leadership of head nurse and nurse–physician relationship were identified as strengths, whereas nurse participation in center affairs and adequate human resources to ensure quality of care were identified as weaknesses of the nursing work environment in primary health care. Older nurses and those educated to doctoral level were the most critical in the nursing work environments. Variables Age, Level of Education and Managerial Role showed a significant relation with global score in the questionnaire. Conclusion: Interventions by nurse managers in primary health care should focus on improving identified weaknesses to improve quality of care and health outcomes. MDPI 2021-01-07 2021-01 /pmc/articles/PMC7828083/ /pubmed/33430486 http://dx.doi.org/10.3390/ijerph18020434 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Gea-Caballero, Vicente
Martínez-Riera, José Ramón
García-Martínez, Pedro
Casaña-Mohedo, Jorge
Antón-Solanas, Isabel
Verdeguer-Gómez, María Virtudes
Santolaya-Arnedo, Iván
Juárez-Vela, Raúl
Study of the Strengths and Weaknesses of Nursing Work Environments in Primary Care in Spain
title Study of the Strengths and Weaknesses of Nursing Work Environments in Primary Care in Spain
title_full Study of the Strengths and Weaknesses of Nursing Work Environments in Primary Care in Spain
title_fullStr Study of the Strengths and Weaknesses of Nursing Work Environments in Primary Care in Spain
title_full_unstemmed Study of the Strengths and Weaknesses of Nursing Work Environments in Primary Care in Spain
title_short Study of the Strengths and Weaknesses of Nursing Work Environments in Primary Care in Spain
title_sort study of the strengths and weaknesses of nursing work environments in primary care in spain
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7828083/
https://www.ncbi.nlm.nih.gov/pubmed/33430486
http://dx.doi.org/10.3390/ijerph18020434
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