Vicente Gea-Caballero1, Enrique Castro-Sánchez2, Raúl Júarez-Vela3, Miguel Ángel Díaz-Herrera4, Isabel de Miguel-Montoya5, José Ramón Martínez-Riera6. 1. Escuela Enfermería La Fe, centro adscrito a la Universidad de Valencia, IIS La Fe, @GREIACC, Valencia, España. Electronic address: gea_vic@gva.es. 2. NIHR Health Protection Research Unit in Healthcare-Associated Infection and Antimicrobial Resistance at Imperial College London, South Kensington, Londres, Reino Unido. 3. Universidad San Jorge, Villanueva de Gállego, Zaragoza, España. 4. CS Cornellà-2 Sant Ildefons, Institut Català de la Salut, Cornellà de Llobregat, Barcelona, España; Hospital Universitario General de Catalunya, Sant Cugat del Vallés, Barcelona, España. 5. Escuela Enfermería La Fe, centro adscrito a la Universidad de Valencia, IIS La Fe, @GREIACC, Valencia, España. 6. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública Historia de la Ciencia, Facultad de Ciencias de la Salud, Universidad de Alicante, Alicante, España.
Abstract
OBJECTIVES: Nursing work environments are key determinants of care quality. Our study aimed to evaluate the characteristics of nursing environments in primary care settings in the Canary Islands, and identify crucial components of such environments to improve quality. METHOD: We conducted a cross-sectional study in primary care organisations using the Practice Environment Scale - Nursing Work Index tool. We collected sociodemographic variables, scores, and selected the essential items conducive to optimal care. Appropriate parametric and non-parametric statistical tests were used to analyse relations between variables (CI = 95%, error = 5%). RESULTS: One hundred and forty-four nurses participated. The mean total score was 81.6. The results for the five dimensions included in the Practice Environment Scale - Nursing Work Index ranged from 2.25 - 2.92 (Mean). Twelve key items for quality of care were selected; six were positive in the Canary Islands, two were mixed, and four negative. 7/12 items were included in Dimension 2 (fundamentals of nursing). Being a manager was statistically associated with higher scores (p<.000). Years of experience was inversely associated with scores in the 12 items (p<.021). CONCLUSIONS: Nursing work environments in primary care settings in the Canary Islands are comparable to others previously studied in Spain. Areas to improve were human resources and participation of nurses in management decisions. Nurse managers must be knowledgeable about their working environments so they can focus on improvements in key dimensions.
OBJECTIVES: Nursing work environments are key determinants of care quality. Our study aimed to evaluate the characteristics of nursing environments in primary care settings in the Canary Islands, and identify crucial components of such environments to improve quality. METHOD: We conducted a cross-sectional study in primary care organisations using the Practice Environment Scale - Nursing Work Index tool. We collected sociodemographic variables, scores, and selected the essential items conducive to optimal care. Appropriate parametric and non-parametric statistical tests were used to analyse relations between variables (CI = 95%, error = 5%). RESULTS: One hundred and forty-four nurses participated. The mean total score was 81.6. The results for the five dimensions included in the Practice Environment Scale - Nursing Work Index ranged from 2.25 - 2.92 (Mean). Twelve key items for quality of care were selected; six were positive in the Canary Islands, two were mixed, and four negative. 7/12 items were included in Dimension 2 (fundamentals of nursing). Being a manager was statistically associated with higher scores (p<.000). Years of experience was inversely associated with scores in the 12 items (p<.021). CONCLUSIONS: Nursing work environments in primary care settings in the Canary Islands are comparable to others previously studied in Spain. Areas to improve were human resources and participation of nurses in management decisions. Nurse managers must be knowledgeable about their working environments so they can focus on improvements in key dimensions.
Keywords:
Atención Primaria; Calidad de la atención de salud; Condiciones de trabajo; Enfermería; Mejoramiento de la calidad; Nursing; Primary Health Care; Quality improvement; Quality of health care; Working conditions
Authors: José Ramón Martínez-Riera; Raúl Juárez-Vela; Miguel Ángel Díaz-Herrera; Raimunda Montejano-Lozoya; Vicente Doménech-Briz; José Vicente Benavent-Cervera; Ana Cristina Cabellos-García; Pedro Melo; Tam H Nguyen; Vicente Gea-Caballero Journal: Int J Environ Res Public Health Date: 2020-10-15 Impact factor: 3.390
Authors: Raimunda Montejano-Lozoya; Isabel Miguel-Montoya; Vicente Gea-Caballero; María Isabel Mármol-López; Antonio Ruíz-Hontangas; Rafael Ortí-Lucas Journal: Int J Environ Res Public Health Date: 2020-08-20 Impact factor: 3.390
Authors: Vicente Gea-Caballero; José Ramón Martínez-Riera; Pedro García-Martínez; Jorge Casaña-Mohedo; Isabel Antón-Solanas; María Virtudes Verdeguer-Gómez; Iván Santolaya-Arnedo; Raúl Juárez-Vela Journal: Int J Environ Res Public Health Date: 2021-01-07 Impact factor: 3.390