Mozhgan Rivaz1, Marzieh Momennasab2, Shahrzad Yektatalab3, Abbas Ebadi4. 1. PhD Candidate of Nursing Education, Student Research Committee, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran. 2. Assistant Professor, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran. 3. Assistant Professor, Department of Psychiatric Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Fars, Iran. 4. Associate Professor, Behavioral Sciences Research Center, Nursing Faculty, Baqiyatallah, University of Medical Sciences, Tehran, Iran.
Abstract
INTRODUCTION: Attracting and retaining well qualified nurses to develop healthcare systems and ensure patient safety is a global concern. In this regard, the quality of the practice environment plays a crucial role. AIM: To explore Iranian nurses perception on the key constituents of the nursing practice environment. MATERIALS AND METHODS: This study was conducted using a qualitative approach. Twelve participants were purposively selected from five teaching hospitals in Shiraz, Iran. Data was collected through semi structured interviews, and analysed using qualitative content analysis. RESULTS: Data analysis led to the extraction of two categories of 'adequate staff', with two subcategories of balanced workload and well qualified nurses, and 'adequacy of physical resources', with subcategories of equipment adequacy and appropriate physical structure as key elements of the nursing practice environment. CONCLUSION: Imbalanced workloads, inappropriate nurse-patient ratios, and inadequate physical resources negatively affected nurse's perceptions of the quality of the nursing practice environment. The findings provide baseline data for health policymakers in different national and global areas to remodel the practice environment. The improvement of the practice environment, with adequate staffing levels and appropriate allocation of physical resources, is achievable to resolve this challenge and thus improve outcomes.
INTRODUCTION: Attracting and retaining well qualified nurses to develop healthcare systems and ensure patient safety is a global concern. In this regard, the quality of the practice environment plays a crucial role. AIM: To explore Iranian nurses perception on the key constituents of the nursing practice environment. MATERIALS AND METHODS: This study was conducted using a qualitative approach. Twelve participants were purposively selected from five teaching hospitals in Shiraz, Iran. Data was collected through semi structured interviews, and analysed using qualitative content analysis. RESULTS: Data analysis led to the extraction of two categories of 'adequate staff', with two subcategories of balanced workload and well qualified nurses, and 'adequacy of physical resources', with subcategories of equipment adequacy and appropriate physical structure as key elements of the nursing practice environment. CONCLUSION: Imbalanced workloads, inappropriate nurse-patient ratios, and inadequate physical resources negatively affected nurse's perceptions of the quality of the nursing practice environment. The findings provide baseline data for health policymakers in different national and global areas to remodel the practice environment. The improvement of the practice environment, with adequate staffing levels and appropriate allocation of physical resources, is achievable to resolve this challenge and thus improve outcomes.
Authors: Christine Duffield; Donna Diers; Linda O'Brien-Pallas; Chris Aisbett; Michael Roche; Madeleine King; Kate Aisbett Journal: Appl Nurs Res Date: 2010-02-10 Impact factor: 2.257
Authors: Jack Needleman; Peter Buerhaus; V Shane Pankratz; Cynthia L Leibson; Susanna R Stevens; Marcelline Harris Journal: N Engl J Med Date: 2011-03-17 Impact factor: 91.245
Authors: Linda H Aiken; Douglas M Sloane; Luk Bruyneel; Koen Van den Heede; Peter Griffiths; Reinhard Busse; Marianna Diomidous; Juha Kinnunen; Maria Kózka; Emmanuel Lesaffre; Matthew D McHugh; M T Moreno-Casbas; Anne Marie Rafferty; Rene Schwendimann; P Anne Scott; Carol Tishelman; Theo van Achterberg; Walter Sermeus Journal: Lancet Date: 2014-02-26 Impact factor: 79.321
Authors: Eunhee Cho; Douglas M Sloane; Eun-Young Kim; Sera Kim; Miyoung Choi; Il Young Yoo; Hye Sun Lee; Linda H Aiken Journal: Int J Nurs Stud Date: 2014-08-23 Impact factor: 5.837
Authors: Linda H Aiken; Walter Sermeus; Koen Van den Heede; Douglas M Sloane; Reinhard Busse; Martin McKee; Luk Bruyneel; Anne Marie Rafferty; Peter Griffiths; Maria Teresa Moreno-Casbas; Carol Tishelman; Anne Scott; Tomasz Brzostek; Juha Kinnunen; Rene Schwendimann; Maud Heinen; Dimitris Zikos; Ingeborg Strømseng Sjetne; Herbert L Smith; Ann Kutney-Lee Journal: BMJ Date: 2012-03-20
Authors: Mary Abed Al Ahad; Martine Elbejjani; Michael Simon; Dietmar Ausserhofer; Huda Abu-Saad Huijer; Suzanne R Dhaini Journal: Nurs Open Date: 2021-12-15