Work environment, health outcomes and magnet hospital traits in the Canadian nephrology nursing scene.

Apr 10, 2009CANNT journal = Journal ACITN

Work Environment, Health, and Magnet Hospital Features in Canadian Kidney Care Nurses

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Abstract

A survey of 300 Canadian nephrology nurses revealed a 48.1% response rate regarding job satisfaction and health outcomes.

Certain aspects of the nephrology nursing environment were rated positively, such as high standards of care and good peer relationships.
Areas needing improvement included continuity of care in nursing assignments.
Most nephrology nurses reported feeling empowered in their roles.
Results from the Pressure Management Indicator and Maslach Burnout Inventory showed that while many nurses are coping well, some are experiencing difficulties.
Enhancing work environments may help in the recruitment and retention of nephrology nurses.
Further investigation into nephrology nursing conditions is necessary.

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Nephrology, like others areas of health care, is confronting a nursing shortage. Unless action is taken to address nursing shortages, patient care may be negatively affected (American Nephrology Nurses' Association, 2007). Previous studies have been conducted on magnet hospital traits, quality of nursing worklife, empowerment, job satisfaction, burnout, health outcomes, and their influence on nursing retention in Canada. However, there is little research in this area specific to nephrology nursing. This descriptive study examined whether magnet hospital traits, empowerment, and organizational support contribute to Canadian nephrology nurses' job satisfaction, health outcomes, and perceived quality of patient care. A randomly selected sample of 300 nurse members of the Canadian Association of Nephrology Nurses and Technologists (CANNT) was asked to complete a survey consisting of four instruments: The Nursing Work Index (Lake, 2002), the Conditions of Work Effectiveness Questionnaire II (Laschinger, Finegan, Shamian, & Wilk, 2001), the Pressure Management Indicator (Williams & Cooper, 1998), and the Maslach Burnout Inventory (Maslach, Jackson, & Leiter, 1996). There was a 48.1% response rate. Results demonstrated that some aspects of the Canadian nephrology nursing environment were rated quite favourably (e.g., high standards of care are expected; good working relationships with peers), but areas requiring improvement were evident (e.g., assignments that foster continuity of care). Overall, the nurses felt empowered. The results of the Pressure Management Indicator and Maslach Burnout Inventory indicated that nephrology nurses are generally coping well, but that some of them are struggling. Strategies that improve work environments could promote the recruitment and retention of nephrology nurses. Further research in this area is warranted.

Work environment, health outcomes and magnet hospital traits in the Canadian nephrology nursing scene.

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