Herica Silva Dutra1, Jeannie P Cimiotti2, Edinêis de Brito Guirardello3. 1. University of Campinas, Federal University of Juiz de Fora, Brazil; Rua José Lourenço Kelmer, s/n, Campus Universitário, Bairro São Pedro, CEP: 36036-900 Juiz de Fora/MG, Brazil. Electronic address: herica.dutra@ufjf.edu.br. 2. University of Florida, United States; 1225 Center Drive, Gainesville, FL 32610, United States. Electronic address: jcmiotti@ufl.edu. 3. University of Campinas, Brazil; Rua Tessália Vieira de Camargo, 126, Cidade Universitária Campinas/SP, Brazil; CEP: 13083-887, Brazil. Electronic address: guirar@unicamp.br.
Abstract
BACKGROUND: It has been reported that a work environment that does not support nurses, and high levels of emotional exhaustion and job dissatisfaction are associated with nurses' intent to leave their job. The aim of this study was to determine if these work-related factors and job-related outcomes are common in Brazilian nurses. METHODS: This cross-sectional study included a 2015 survey of nursing professionals who worked in 48 units of three Brazilian, acute care hospitals. Descriptive statistics were used to examine the sample and a series of logistic regression models were fit to examine two job-related outcomes of interest: job dissatisfaction and intent to leave during the next 12 months. RESULTS: A total of 450 completed surveys were available, where nurses reported high emotional exhaustion (26%), job dissatisfaction (28%), and an intent to leave (12%). Poor control over the work environment (OR = 2.19) and high emotional exhaustion (OR = 4.47) were associated with an increase in the odds of job dissatisfaction. Inadequate staffing (OR = 2.43), high emotional exhaustion (OR = 2.24) and job dissatisfaction (OR = 5.74) were associated with an increase in the odds that nurses would leave their job in the next 12 months. CONCLUSION: Features of the nurse work environment and high emotional exhaustion were associated with job dissatisfaction. Job dissatisfaction and inadequate staffing are likely to result in nurses leaving their job. It is imperative that hospital administrators provide a work environment that supports nursing and improves nurse outcomes and the quality of patient care.
BACKGROUND: It has been reported that a work environment that does not support nurses, and high levels of emotional exhaustion and job dissatisfaction are associated with nurses' intent to leave their job. The aim of this study was to determine if these work-related factors and job-related outcomes are common in Brazilian nurses. METHODS: This cross-sectional study included a 2015 survey of nursing professionals who worked in 48 units of three Brazilian, acute care hospitals. Descriptive statistics were used to examine the sample and a series of logistic regression models were fit to examine two job-related outcomes of interest: job dissatisfaction and intent to leave during the next 12 months. RESULTS: A total of 450 completed surveys were available, where nurses reported high emotional exhaustion (26%), job dissatisfaction (28%), and an intent to leave (12%). Poor control over the work environment (OR = 2.19) and high emotional exhaustion (OR = 4.47) were associated with an increase in the odds of job dissatisfaction. Inadequate staffing (OR = 2.43), high emotional exhaustion (OR = 2.24) and job dissatisfaction (OR = 5.74) were associated with an increase in the odds that nurses would leave their job in the next 12 months. CONCLUSION: Features of the nurse work environment and high emotional exhaustion were associated with job dissatisfaction. Job dissatisfaction and inadequate staffing are likely to result in nurses leaving their job. It is imperative that hospital administrators provide a work environment that supports nursing and improves nurse outcomes and the quality of patient care.
Authors: Yi-Chuan Chen; Yue-Liang Leon Guo; Wei-Shan Chin; Nai-Yun Cheng; Jiune-Jye Ho; Judith Shu-Chu Shiao Journal: Int J Environ Res Public Health Date: 2019-11-29 Impact factor: 3.390