Classification and evaluation of the environment of the professional nursing practice in a teaching hospital

doi:10.1590/1518-8345.4339.3376

Acessibilidade / Reportar erro

Brasil

Revista Latino-Americana de Enfermagem

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Original Article • Rev. Latino-Am. Enfermagem 28 • 2020 • https://doi.org/10.1590/1518-8345.4339.3376 copy

Classification and evaluation of the environment of the professional nursing practice in a teaching hospital^* * Paper extracted from master´s thesis “Ambiente de prática profissional dos enfermeiros que atuam em hospital de ensino”, presented to Universidade Federal de São Paulo, Escola Paulista de Enfermagem, São Paulo, SP, Brazil.

About the SCIMAGO INSTITUTIONS RANKINGS

Objective:

to classify and evaluate the environment of the professional nursing practice in a teaching hospital.

Method:

a cross-sectional study conducted with 188 nurses from a teaching hospital in the state of São Paulo, SP, Brazil. A questionnaire with sociodemographic and professional data and the Brazilian version of the Practice Environment Scale were used to classify and evaluate the environment of the professional nursing practice. Data was analyzed using Student’s t-test, analysis of variance, Mann-Whitney, and Kruskal-Wallis tests with a significance level of 5% (p<0.05). The internal consistency of the instrument was evaluated using Cronbach’s alpha.

Results:

the score’s mean for the Brazilian version of the Practice Environment Scale was 2.54, and the participants considered two of the five subscales as unfavorable for the practice, namely: subscale 1, “Nurse Participation in Hospital Affairs” (2.37), and subscale 4, “Staffing and Resource Adequacy” (2.23).

Conclusion:

the environment of the professional nursing practice has been classified as mixed, being evaluated with favorable conditions for the nursing practice, but the participation and involvement of nurses in hospital matters and the adequacy of resources to provide quality care need improvements.

Descriptors:
Working Environment; Health Facility Environment; Nursing Care; Professional Practice; Working Conditions; Hospitals, Teaching

PES^* * PES = Practice Environment Scale - Brazilian version;	Cronbach's Alpha	Mean	Median	SD^† † SD = Standard deviation
General	0.90	2.54	2.48	0.50
1. Nurse Participation Hospital Affairs	0.80	2.37	2.40	0.70
2. Nursing Foundations for Quality Care	0.76	2.55	2.57	0.58
3. Leadership and Support of Nurses	0.83	2.66	2.80	0.72
4. Staffing and Resource Adequacy	0.67	2.23	2.25	0.66
5. Collegial Nurse-Physician Relations	0.73	3.00	3.00	0.62

Variables	General		Subscales
	General		1		2		3		4		5
	AM^† † AM = Arithmetic mean;	p^‡ ‡ p = Significance level;	AM^† † AM = Arithmetic mean;	p^‡ ‡ p = Significance level;	AM^† † AM = Arithmetic mean;	p^‡ ‡ p = Significance level;	AM^† † AM = Arithmetic mean;	p^‡ ‡ p = Significance level;	AM^† † AM = Arithmetic mean;	p^‡‡	AM^† † AM = Arithmetic mean;	p^‡ ‡ p = Significance level;
Experience as a nurse
< 5 years	2.6	0.42^§ § Kruskal-Wallis;	2.5	0.26^§ § Kruskal-Wallis;	2.6	0.64^\|\| \|\| ANOVA;	2.8	0.11^§ § Kruskal-Wallis;	2.2	0.30^§ § Kruskal-Wallis;	2.9	0.61^§ § Kruskal-Wallis;
5 to 10 years	2.4		2.2		2.5		2.5		2.1		3.0
11 to 15 years	2.6		2.5		2.6		2.7		2.4		3.1
> 15 years	2.6		2.4		2.6		2.7		2.3		3.0
Experience in the institution
< 5 years	2.6	0.15^§ § Kruskal-Wallis;	2.4	0.23^§ § Kruskal-Wallis;	2.5	0.27^\|\| \|\| ANOVA;	2.7	0.06^§ § Kruskal-Wallis;	2.2	0.04 ^§ § Kruskal-Wallis;	3.0	0.69^§ § Kruskal-Wallis;
5 to 10 years	2.4		2.2		2.4		2.4		2.1		2.9
11 to 15 years	2.7		2.5		2.6		2.8		2.5		3.1
> 15 years	2.6		2.4		2.6		2.7		2.2		3.0
Work unit
Hospitalization unit	2.6	0.18^§ § Kruskal-Wallis;	2.4	0.66^§ § Kruskal-Wallis;	2.6	0.17^\|\| \|\| ANOVA;	2.7	0.13^\|\| \|\| ANOVA;	2.3	0.02 ^§ § Kruskal-Wallis;	3.0	0.24^§ § Kruskal-Wallis;
Emergency Room	2.4		2.3		2.3		2.9		1.8		2.8
Intensive Care Unit	2.4		2.2		2.4		2.4		2.2		3.0
Surgical Center	2.4		2.3		2.5		2.7		1.9		2.4
Ambulatory	2.7		2.5		2.7		2.8		2.4		3.1
Others	2.5		2.3		2.6		2.6		2.1		3.2
Experience at the unit
< 5 years	2.6	0.03 ^§ § Kruskal-Wallis;	2.4	0.11^§ § Kruskal-Wallis;	2.6	0.19^\|\| \|\| ANOVA;	2.7	0.03 ^§ § Kruskal-Wallis;	2.2	0.11^§ § Kruskal-Wallis;	2.9	0.08^§ § Kruskal-Wallis;
5 to 10 years	2.4		2.2		2.4		2.4		2.1		3.0
11 to 15 years	2.8		2.6		2.7		2.9		2.6		3.4
> 15 years	2.5		2.3		2.6		2.6		2.1		3.0
Current position as a nurse
Assistance	2.5	0.75^§ § Kruskal-Wallis;	2.4	0.38^§ § Kruskal-Wallis;	2.5	0.81^\|\| \|\| ANOVA;	2.6	0.24^§ § Kruskal-Wallis;	2.2	0.46^§ § Kruskal-Wallis;	3.0	0.13^§ § Kruskal-Wallis;
Coordinator	2.5		2.4		2.5		2.9		2.1		2.7
Manager	2.7		3.0		2.8		3.1		1.9		2.5
Work shift
Morning	2.5	0.31^§ § Kruskal-Wallis;	2.3	0.14^§ § Kruskal-Wallis;	2.5	0.36^\|\| \|\| ANOVA;	2.7	0.18^\|\|	2.2	0.37^§ § Kruskal-Wallis;	3.0	0.68^§ § Kruskal-Wallis;
Afternoon	2.6		2.5		2.6		2.7		2.4		3.0
Evening	2.5		2.3		2.6		2.5		2.2		3.0
Morning/Afternoon	2.7		2.7		2.7		2.8		2.2		3.1
Weekly working hours
30 hours	2.6	0.42^§ § Kruskal-Wallis;	2.4	0.83^§ § Kruskal-Wallis;	2.6	0.59^\|\| \|\| ANOVA;	2.7	0.30^\|\| \|\| ANOVA;	2.3	0.004 ^§ § Kruskal-Wallis;	3.0	0.03 ^§ § Kruskal-Wallis;
36 hours	2.6		2.4		2.5		2.7		2.3		3.0
40 hours	2.4		2.3		2.5		2.6		2.0		3.0
Others	2.6		2.4		2.5		2.3		2.5		3.4
Employment contract
Single Legal Regime	2.6	0.42^¶ ¶ Mann-Whitney	2.5	0.25^¶ ¶ Mann-Whitney	2.6	0.14^\|\| \|\| ANOVA;	2.6	0.73^¶ ¶ Mann-Whitney	2.3	0.23^¶ ¶ Mann-Whitney	3.0	0.70^¶ ¶ Mann-Whitney
Consolidation of Labor Laws	2.5	0.42^¶ ¶ Mann-Whitney	2.4	0.25^¶ ¶ Mann-Whitney	2.5	0.14^\|\| \|\| ANOVA;	2.7	0.73^¶ ¶ Mann-Whitney	2.2	0.23^¶ ¶ Mann-Whitney	3.0	0.70^¶ ¶ Mann-Whitney

Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3451 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding author: Alexandre Pazetto Balsanelli. E-mail: alexandre.balsanelli@unifesp.br