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Individual and organizational features of a favorable work environment in nursing homes: a cross-sectional study

BACKGROUND: The organizational context in healthcare (i.e., the work environment) is associated with patient outcomes and job satisfaction. Long-term care is often considered to be a challenging work environment, characterized by high job demands, low job control, a fast work pace and job dissatisfa...

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Autores principales: Potrebny, Thomas, Igland, Jannicke, Espehaug, Birgitte, Ciliska, Donna, Graverholt, Birgitte
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9552400/
https://www.ncbi.nlm.nih.gov/pubmed/36217149
http://dx.doi.org/10.1186/s12913-022-08608-9
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author Potrebny, Thomas
Igland, Jannicke
Espehaug, Birgitte
Ciliska, Donna
Graverholt, Birgitte
author_facet Potrebny, Thomas
Igland, Jannicke
Espehaug, Birgitte
Ciliska, Donna
Graverholt, Birgitte
author_sort Potrebny, Thomas
collection PubMed
description BACKGROUND: The organizational context in healthcare (i.e., the work environment) is associated with patient outcomes and job satisfaction. Long-term care is often considered to be a challenging work environment, characterized by high job demands, low job control, a fast work pace and job dissatisfaction, which may affect patient care and increase staff turnover.This study aims to investigate the organizational context in nursing homes and the features of favorable or less favorable work environments. METHODS: This study is a cross-sectional study of registered nurses and licensed practical nurses in Bergen, Norway (n = 1014). The K-means clustering algorithm was used to differentiate between favorable and less favorable work environments, based on the Alberta Context Tool. Multilevel logistic regression analysis was used to investigate the associations between individual sociodemographic factors, nursing home factors and the probability of experiencing a favorable work environment. RESULTS: 45% of the sample (n = 453) experienced working in a favorable work environment. Contextual features (especially a supportive work culture, more evaluation mechanisms and greater organizational slack resources) and individual features (having a native language other than Norwegian, working day shifts, working full time and belonging to a younger age group) significantly increased the likelihood of experiencing a favorable work environment. CONCLUSION: The work environment in nursing homes is composed of modifiable contextual features. Action in relation to less favorable features and their associated factors should be a priority for nursing home management. This survey indicates that specific steps can be taken to reduce the reliance on part-time workers and to promote the work environment among staff working the night shift. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-022-08608-9.
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spelling pubmed-95524002022-10-12 Individual and organizational features of a favorable work environment in nursing homes: a cross-sectional study Potrebny, Thomas Igland, Jannicke Espehaug, Birgitte Ciliska, Donna Graverholt, Birgitte BMC Health Serv Res Research BACKGROUND: The organizational context in healthcare (i.e., the work environment) is associated with patient outcomes and job satisfaction. Long-term care is often considered to be a challenging work environment, characterized by high job demands, low job control, a fast work pace and job dissatisfaction, which may affect patient care and increase staff turnover.This study aims to investigate the organizational context in nursing homes and the features of favorable or less favorable work environments. METHODS: This study is a cross-sectional study of registered nurses and licensed practical nurses in Bergen, Norway (n = 1014). The K-means clustering algorithm was used to differentiate between favorable and less favorable work environments, based on the Alberta Context Tool. Multilevel logistic regression analysis was used to investigate the associations between individual sociodemographic factors, nursing home factors and the probability of experiencing a favorable work environment. RESULTS: 45% of the sample (n = 453) experienced working in a favorable work environment. Contextual features (especially a supportive work culture, more evaluation mechanisms and greater organizational slack resources) and individual features (having a native language other than Norwegian, working day shifts, working full time and belonging to a younger age group) significantly increased the likelihood of experiencing a favorable work environment. CONCLUSION: The work environment in nursing homes is composed of modifiable contextual features. Action in relation to less favorable features and their associated factors should be a priority for nursing home management. This survey indicates that specific steps can be taken to reduce the reliance on part-time workers and to promote the work environment among staff working the night shift. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-022-08608-9. BioMed Central 2022-10-10 /pmc/articles/PMC9552400/ /pubmed/36217149 http://dx.doi.org/10.1186/s12913-022-08608-9 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Potrebny, Thomas
Igland, Jannicke
Espehaug, Birgitte
Ciliska, Donna
Graverholt, Birgitte
Individual and organizational features of a favorable work environment in nursing homes: a cross-sectional study
title Individual and organizational features of a favorable work environment in nursing homes: a cross-sectional study
title_full Individual and organizational features of a favorable work environment in nursing homes: a cross-sectional study
title_fullStr Individual and organizational features of a favorable work environment in nursing homes: a cross-sectional study
title_full_unstemmed Individual and organizational features of a favorable work environment in nursing homes: a cross-sectional study
title_short Individual and organizational features of a favorable work environment in nursing homes: a cross-sectional study
title_sort individual and organizational features of a favorable work environment in nursing homes: a cross-sectional study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9552400/
https://www.ncbi.nlm.nih.gov/pubmed/36217149
http://dx.doi.org/10.1186/s12913-022-08608-9
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