Nurse work environment and job-related outcomes in Brazilian hospitals

Jun 2, 2018Applied nursing research : ANR

Nurse work conditions and job results in Brazilian hospitals

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Circadian Biology on OpenScience ↗PubMed ↗DOI ↗

Abstract

In a survey of 450 Brazilian nurses, 28% reported job dissatisfaction and 12% indicated an intent to leave their job within the next year.

High emotional exhaustion was reported by 26% of nurses.
Poor control over the work environment was linked to 2.19 times higher odds of job dissatisfaction.
Inadequate staffing was associated with 2.43 times higher odds of nurses intending to leave their job.
High emotional exhaustion and job dissatisfaction increased the odds of leaving by 2.24 and 5.74 times, respectively.
These findings suggest that work environment factors significantly impact nurse retention and job satisfaction.

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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.

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Nurse work environment and job-related outcomes in Brazilian hospitals

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