Influence of the work environment of nurses on the 30-day mortality of patients hospitalized in Polish hospitals. cross-sectional studies

2024
journal article
article
1
cris.lastimport.wos2024-04-10T02:00:43Z
dc.abstract.enBackground An optimal work environment for nurses is characterized primarily by appropriate staffing, good team relations, and support from the management staff. These factors are consistently associated with a positive assessment of patient safety by a hospital’s employees and a reduction in hospital mortality rates. Aim To understand the relationships between the work environment as perceived by nurses on the 30-day mortality of patients treated in Polish hospitals. Background An optimal work environment for nurses is characterized primarily by appropriate staffing, good team relations, and support from the management staff. These factors are consistently associated with a positive assessment of patient safety by a hospital’s employees and a reduction in hospital mortality rates. Material and methods The analysis used discharge data from 108,284 patients hospitalized in internal medicine and surgery departments in 21 hospitals (with 24/7 operations) in Poland. Administrative data included coded data to estimate 30-day mortality. A Nurses’ satisfaction questionnaire, including the PES-NWI scale and the SAQ questionnaire, was used to assess the work environment of nurses (n = 1,929). Correlations between variables were assessed using the Pearson coefficient. The analysis used a Poisson regression model, which belongs to the class of generalized linear models. Results A lower 30-day mortality rate amongst patients was found among those treated in hospitals where the personnel feel that they may question the decisions or actions of their superiors regarding the care provided (r = − 0.50); nurses are informed about changes introduced on the basis of reports about negligence and mistakes (r = − 0.50); the ward nurse is a good manager (r = − 0.41); nurses receive timely information from the head of the department that may have an impact on their work (r = − 0.41). Conclusions Factors related to care during hospital stay such as the organization of care at the ward level, analysis of care errors, the number of staff providing direct patient care, informing nurses about mistakes without punishment, and the possibility of nurses challenging the decisions or actions of superiors, which concerns care providing, affect the 30-day mortality of patients after the end of hospitalization in Polish hospitals.
dc.affiliationWydział Nauk o Zdrowiu : Instytut Pielęgniarstwa i Położnictwapl
dc.cm.date2024-02-27T08:31:58Z
dc.cm.id114525pl
dc.cm.idOmegaUJCM08814bd7f169418593edadf2eeb424e3pl
dc.contributor.authorMalinowska-Lipień, Iwona - 130829 pl
dc.contributor.authorPut, Dariuszpl
dc.contributor.authorMaluchnik, Michałpl
dc.contributor.authorGabryś, Teresa - 129411 pl
dc.contributor.authorKózka, Maria - 200551 pl
dc.contributor.authorGajda, Krzysztof - 129424 pl
dc.contributor.authorGniadek, Agnieszka - 129519 pl
dc.contributor.authorBrzostek, Tomasz - 128887 pl
dc.contributor.authorSquires, Allisonpl
dc.date.accession2024-02-26pl
dc.date.accessioned2024-02-27T08:31:58Z
dc.date.available2024-02-27T08:31:58Z
dc.date.issued2024pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.number1pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume23pl
dc.identifier.articleid117pl
dc.identifier.doi10.1186/s12912-024-01762-xpl
dc.identifier.eissn1472-6955pl
dc.identifier.issn1472-6955pl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/327472
dc.identifier.weblinkhttps://bmcnurs.biomedcentral.com/articles/10.1186/s12912-024-01762-xpl
dc.languageengpl
dc.language.containerengpl
dc.pbn.affiliationDziedzina nauk medycznych i nauk o zdrowiu : nauki o zdrowiu
dc.rightsUdzielam licencji. Uznanie autorstwa 4.0 Międzynarodowa
dc.rights.licenceCC-BY
dc.rights.simpleviewWolny dostęp
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/legalcode.pl
dc.share.typeOtwarte czasopismo
dc.subject.enwork environment
dc.subject.ennurses
dc.subject.enpatients
dc.subject.en30-day mortality
dc.subtypeArticlepl
dc.titleInfluence of the work environment of nurses on the 30-day mortality of patients hospitalized in Polish hospitals. cross-sectional studiespl
dc.title.journalBMC Nursingpl
dc.typeJournalArticlepl
dspace.entity.typePublication
cris.lastimport.wos
2024-04-10T02:00:43Z
dc.abstract.en
Background An optimal work environment for nurses is characterized primarily by appropriate staffing, good team relations, and support from the management staff. These factors are consistently associated with a positive assessment of patient safety by a hospital’s employees and a reduction in hospital mortality rates. Aim To understand the relationships between the work environment as perceived by nurses on the 30-day mortality of patients treated in Polish hospitals. Background An optimal work environment for nurses is characterized primarily by appropriate staffing, good team relations, and support from the management staff. These factors are consistently associated with a positive assessment of patient safety by a hospital’s employees and a reduction in hospital mortality rates. Material and methods The analysis used discharge data from 108,284 patients hospitalized in internal medicine and surgery departments in 21 hospitals (with 24/7 operations) in Poland. Administrative data included coded data to estimate 30-day mortality. A Nurses’ satisfaction questionnaire, including the PES-NWI scale and the SAQ questionnaire, was used to assess the work environment of nurses (n = 1,929). Correlations between variables were assessed using the Pearson coefficient. The analysis used a Poisson regression model, which belongs to the class of generalized linear models. Results A lower 30-day mortality rate amongst patients was found among those treated in hospitals where the personnel feel that they may question the decisions or actions of their superiors regarding the care provided (r = − 0.50); nurses are informed about changes introduced on the basis of reports about negligence and mistakes (r = − 0.50); the ward nurse is a good manager (r = − 0.41); nurses receive timely information from the head of the department that may have an impact on their work (r = − 0.41). Conclusions Factors related to care during hospital stay such as the organization of care at the ward level, analysis of care errors, the number of staff providing direct patient care, informing nurses about mistakes without punishment, and the possibility of nurses challenging the decisions or actions of superiors, which concerns care providing, affect the 30-day mortality of patients after the end of hospitalization in Polish hospitals.
dc.affiliationpl
Wydział Nauk o Zdrowiu : Instytut Pielęgniarstwa i Położnictwa
dc.cm.date
2024-02-27T08:31:58Z
dc.cm.idpl
114525
dc.cm.idOmegapl
UJCM08814bd7f169418593edadf2eeb424e3
dc.contributor.authorpl
Malinowska-Lipień, Iwona - 130829
dc.contributor.authorpl
Put, Dariusz
dc.contributor.authorpl
Maluchnik, Michał
dc.contributor.authorpl
Gabryś, Teresa - 129411
dc.contributor.authorpl
Kózka, Maria - 200551
dc.contributor.authorpl
Gajda, Krzysztof - 129424
dc.contributor.authorpl
Gniadek, Agnieszka - 129519
dc.contributor.authorpl
Brzostek, Tomasz - 128887
dc.contributor.authorpl
Squires, Allison
dc.date.accessionpl
2024-02-26
dc.date.accessioned
2024-02-27T08:31:58Z
dc.date.available
2024-02-27T08:31:58Z
dc.date.issuedpl
2024
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.numberpl
1
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
23
dc.identifier.articleidpl
117
dc.identifier.doipl
10.1186/s12912-024-01762-x
dc.identifier.eissnpl
1472-6955
dc.identifier.issnpl
1472-6955
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/327472
dc.identifier.weblinkpl
https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-024-01762-x
dc.languagepl
eng
dc.language.containerpl
eng
dc.pbn.affiliation
Dziedzina nauk medycznych i nauk o zdrowiu : nauki o zdrowiu
dc.rights
Udzielam licencji. Uznanie autorstwa 4.0 Międzynarodowa
dc.rights.licence
CC-BY
dc.rights.simpleview
Wolny dostęp
dc.rights.uri
http://creativecommons.org/licenses/by/4.0/legalcode.pl
dc.share.type
Otwarte czasopismo
dc.subject.en
work environment
dc.subject.en
nurses
dc.subject.en
patients
dc.subject.en
30-day mortality
dc.subtypepl
Article
dc.titlepl
Influence of the work environment of nurses on the 30-day mortality of patients hospitalized in Polish hospitals. cross-sectional studies
dc.title.journalpl
BMC Nursing
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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