Nursing practice environment as perceived by the Malaysian private hospital nurses
- Author:
Wai Mun Tang
;
Abdul Rahman Idris
- Publication Type:Journal Article
- Keywords:
nursing;
practice;
working;
environment
- MeSH:
Nursing
- From:International e-Journal of Science, Medicine and Education
2016;10(2):11-20
- CountryMalaysia
- Language:English
-
Abstract:
Background: The escalating rate of private hospital
nurses leaving their workplace raised serious concern
among the stakeholders. Past studies had found that
nursing practice environment was the key influence
on nurses’ leaving intention, but studies examining
the quality of nursing practice environment of private
hospital settings was scarce and therefore warrant
investigation to provide direction for interventions in
addressing nursing turnover.
Objectives: To determine nurses’ perceptions towards
nursing practice environment and whether there is
any significant associations with nurses’ demographic
variables.
Methods: Cross-sectional inferential survey study was
conducted at four private hospitals in the Peninsular
Malaysia using the Practice Environment Scale of
the Nursing Work Index (PES-NWI) and 885 nurses
participated in the study.
Results: Nurses rated their practice environment as
favourable. However, items stated in “staffing and
resource adequacy” subscale warrant serious attention
because nurses rated poorly on item related to “enough
staff to get the work done” (M = 2.37, SD = .81) and
“enough registered nurses to provide quality patient
care” (M = 2.41, SD = .82). Furthermore, t-test analyses
found that nurses with educational sponsorship bond
(p < .001), higher educational qualifications (p < .05),
and have been working in the hospital since graduation
(p < .001) were more likely to rate their practice
environment lower.
Conclusion: Hospital administrators play significant
role in sustaining and creating positive nursing practice
environment in order to ensure steady supply of nurses
to meet the challenging healthcare needs.
- Full text:P020161104572841427410.pdf