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Impact of the Work Environment on Patients’ Safety as Perceived by Nurses in Poland—A Cross-Sectional Study

Author

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  • Iwona Malinowska-Lipień

    (Institute of Nursing and Midwifery, Faculty of Health Sciences, Medical College, Jagiellonian University, 31-501 Krakow, Poland)

  • Agnieszka Micek

    (Institute of Nursing and Midwifery, Faculty of Health Sciences, Medical College, Jagiellonian University, 31-501 Krakow, Poland)

  • Teresa Gabryś

    (Institute of Nursing and Midwifery, Faculty of Health Sciences, Medical College, Jagiellonian University, 31-501 Krakow, Poland)

  • Maria Kózka

    (Institute of Nursing and Midwifery, Faculty of Health Sciences, Medical College, Jagiellonian University, 31-501 Krakow, Poland)

  • Krzysztof Gajda

    (Institute of Public Health, Faculty of Health Sciences, Medical College, Jagiellonian University, 31-066 Krakow, Poland)

  • Agnieszka Gniadek

    (Institute of Nursing and Midwifery, Faculty of Health Sciences, Medical College, Jagiellonian University, 31-501 Krakow, Poland)

  • Tomasz Brzostek

    (Institute of Nursing and Midwifery, Faculty of Health Sciences, Medical College, Jagiellonian University, 31-501 Krakow, Poland)

  • Jason Fletcher

    (Rory Meyers College of Nursing, New York University, New York, NY 10012, USA)

  • Allison Squires

    (Rory Meyers College of Nursing, New York University, New York, NY 10012, USA)

Abstract

Numerous studies have found that organizational features connected with the work environment of nurses have a significant influence on patients’ safety. The aim of this research was to capture nurses’ opinions about patients’ safety and discern relationships with work environment characteristics. This cross-sectional study surveyed 1825 nurses. The research used questionnaire consisting of four parts: (1) covered The Practice Environment Scale of the Nursing Work Index (PES-NWI); (2) assessed the quality of nursing care and care safety; (3) contained information on the most recent duty served by the nurses and (4) captured social and demographic data of participants. The research identified strong association between patient safety assessment and work environment of nurses in the aspect of employment adequacy, cooperation between nurses and doctors, support for nurses from the managing staff, the possibility to participate in the management as well as professional promotion of nurses employed in the hospital ( p < 0.001). Nurses rated patient safety higher when responsible for a smaller number of patients. Work environment factors such as proper staffing, good cooperation with doctors, support from the management, as well as professional independence are significantly related to nurses’ assessment of patients’ safety.

Suggested Citation

  • Iwona Malinowska-Lipień & Agnieszka Micek & Teresa Gabryś & Maria Kózka & Krzysztof Gajda & Agnieszka Gniadek & Tomasz Brzostek & Jason Fletcher & Allison Squires, 2021. "Impact of the Work Environment on Patients’ Safety as Perceived by Nurses in Poland—A Cross-Sectional Study," IJERPH, MDPI, vol. 18(22), pages 1-14, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:12057-:d:681019
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    References listed on IDEAS

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    1. Abid Hussain & Muhammad Asif & Arif Jameel & Jinsoo Hwang, 2019. "Measuring OPD Patient Satisfaction with Different Service Delivery Aspects at Public Hospitals in Pakistan," IJERPH, MDPI, vol. 16(13), pages 1-9, July.
    2. Muhammad Asif & Arif Jameel & Abid Hussain & Jinsoo Hwang & Noman Sahito, 2019. "Linking Transformational Leadership with Nurse-Assessed Adverse Patient Outcomes and the Quality of Care: Assessing the Role of Job Satisfaction and Structural Empowerment," IJERPH, MDPI, vol. 16(13), pages 1-15, July.
    3. Arif Jameel & Muhammad Asif & Abid Hussain & Jinsoo Hwang & Mussawar Hussain Bukhari & Sidra Mubeen & Insin Kim, 2019. "Improving Patient behavioral Consent through Different Service Quality Dimensions: Assessing the Mediating Role of Patient Satisfaction," IJERPH, MDPI, vol. 16(23), pages 1-13, November.
    4. Abid Hussain & Muhammad Safdar Sial & Sardar Muhammad Usman & Jinsoo Hwang & Yushi Jiang & Awaisra Shafiq, 2019. "What Factors Affect Patient Satisfaction in Public Sector Hospitals: Evidence from an Emerging Economy," IJERPH, MDPI, vol. 16(6), pages 1-14, March.
    5. Sun-Young Jung & Jin-Hwa Park, 2021. "Association of Nursing Work Environment, Relationship with the Head Nurse, and Resilience with Post-Traumatic Growth in Emergency Department Nurses," IJERPH, MDPI, vol. 18(6), pages 1-11, March.
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    Cited by:

    1. John Rodwell & Thomas Hendry & Dianne Johnson, 2023. "Analyzing and Validating a Structure for Measuring the Nurse Practice Environment," IJERPH, MDPI, vol. 20(7), pages 1-18, March.

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