1.Salutogenic factors and hospital work environments: A cross-sectional study in a small Portuguese hospital.
Andre Rafael Coutinho Faria ; Jani de Oliveira Carvalho ; Maria Margarida Silva Vieira Ferreira ; Diogo Guedes Vidal ; Joana Margarida Pinheiro Teixeira
Philippine Journal of Nursing 2023;93(1):57-65
BACKGROUND AND AIM:
A healthy work environment is one in which workers and managers cooperate in the process of continuous
improvement regarding the protection, and promotion of workers' health and well-being, for the sake of work sustainability. The
current state of the art shows that an unfavourable work environment contributes to nurses' dissatisfaction, burnout and
emotional exhaustion, and the intention to leave the workplace/service. This study aimed to identify the Nurses' Work
Environment in a small Portuguese Hospital, diagnose the situation, and focus on a healthy work environment.
METHODS AND MATERIALS:
This is a quantitative, descriptive, and cross-sectional study, with a convenience sample of 90 nurses.
The “Escala de Ambiente de Trabalho da Prática de Enfermagem” (Nursing Practice Work Environment Scale), validated and
adapted by Ferreira & Amendoeira (2014) for the Portuguese population, was applied. The statistical treatment was performed
using SPSS 27.
RESULTS:
The sample is mostly composed of female nurses (87%) with an average age of 26 years, and 75.5% are single. The
dimension "Management and Leadership of the Head Nurse" had a mean value of x̅ =3.3 (out of 4) and σ=0.5, which was the
dimension with the best assessment. The dimension with less encouraging results was "Nurses' Participation in Hospital Affairs"
with x̅ =2.8 (out of 4) and σ=0.7. Overall, all domains assessed had a mean value above 2.5, which was considered a favourable
work environment by the nurses.
CONCLUSION
The results, although generally satisfactory, show the need to carefully intervene and assess each dimension in an
integrated perspective, to promote a healthy work environment and workers' well-being, since its imbalance may negatively affect
quality of their work, impacting the quality of health care provided to the user . In addition, these results should be understood as
an important factor to be considered in the design of future care teams. Regardind future research, it would be important to
consider large samples and deepen the topic explored among different departments in the health care facilities.
Nurses
;
Workplace
;
Health Promotion