Working conditions, occupational stress, and missed nursing care in a private hospital
Article Sidebar
Main Article Content
Abstract
Introduction: Nursing staff are responsible for providing autonomous and multidisciplinary collaborative care. Working conditions are a fundamental factor, as they directly impact professional and worker performance.
Objective: Determine the relationship between work environment and work stress with lost nursing care.
Method: This study employs a descriptive and correlational approach. The study population consisted of nursing personnel employed at a private hospital (n = 434 ). The MISSCARE survey was used to measure the variable of lost nursing care, with a Cronbach’s alpha (α) of 0.89. The PES-NWI scale was used to measure the work environment variable, with an alpha coefficient of 0.80. The Maslach Burnout Inventory questionnaire was used to assess the level of occupational stress. The data were analyzed using descriptive and inferential statistics, using Spearman’s correlation coefficient.
Results: The results indicated a negative association between the work environment and lost nursing care (p ≤ 0.001). This same behavior was also observed in the relationship between the work environment and work stress (p ≤ 0.001). However, job stress was found to have a positive association with lost nursing care (p ≤ 0.05).
Discussion and Conclusions: An adequate work environment is directly associated with low work stress and lower lost nursing care. The latter is attributed to the deficit of human resources, in addition to being related to the work environment. The development of continuous improvement programs aimed at strengthening work environments that improve the performance of professional nursing practice is a relevant and beneficial strategy.
Publication Facts
Reviewer profiles N/A
Author statements
- Editor & editorial board
- profiles
- Academic society
- N/A
- Publisher
- Universidad Nacional Autónoma de México
To learn about these publication facts, click 
PF is maintained by the Public Knowledge Project
Article Details
Dimensions citation
MÉTRICAS
References
(1) Lucas-Choez MM, Sabando-Farías JR, Quiroz-Figueroa MS, Santana-Holguín JJ. Intervenciones de los profesionales de enfermería de atención primaria de salud en el control de crecimiento y desarrollo en lactantes. Pol. Con. 2021; 6(3): 3-14. https://bit.ly/3KOMbS1
(2) World Health Organization. State of the world´s nursing 2020: Investing in education, jobs and leadership. Geneva: WHO; 2020. https://bit.ly/3yRCuiE
(3) Rumich I, López B, Valiente K, Barría R, Alvarenga-Morínigo S. Nivel de síndrome de burnout según variables sociolaborales en profesionales de enfermería del Centro Ambulatorio de Especialidades de Julián Augusto Saldívar. Vitalia. 2023; 4(2): 220-55. https://doi.org/10.61368/r.s.d.h.v4i2.64
(4) Silva-Ramos MF, López-Cocotle JJ, Moreno-Monsiváis MG, González-Angulo P, Interial-Guzmán MG. Cuidado de enfermería perdido y factores contribuyentes en un hospital de Tabasco, México. Horiz. sanitario. 2021; 20(2): 207-15. https://bit.ly/3VAvEWA
(5) Kalisch BJ. Missed nursing care: A qualitative study. J Nurs Care Qual. 2006; 21(4): 306-13. https://doi.org/10.1097/00001786-200610000-00006
(6) Kalisch BJ, Landstrom GL, Hinshaw AS. Missed nursing care: A concept analysis. J Adv Nurs. 2009; 65(7): 1509-17. https://doi.org/10.1111/j.1365-2648.2009.05027.x
(7) Tenorio MR, Aletreby WT, Al Shammari B, Almuabbadi B, Mwawish H, Montegrico J. The Interrelation between nurse-to-patient ratio, nurse engagement, and missed nursing care in King Saud Medical City: Basis for development of nurse-patient quality of care. Saudi J Health Sci. 2021; 10(2): 116-24. https://doi.org/10.4103/sjhs.sjhs_74_21
(8) Lake ET, Riman KA, Sloane DM. Improved work environments and staffing lead to less missed nursing care: A panel study. J Nurs Manag. 2020; 28: 2157-65. https://doi.org/10.1111/jonm.12970
(9) Kalisch BJ, Xie B. Errors of omission: Missed nursing care. West J Nurs Res. 2014; 36(7): 875-90. https://doi.org/10.1177/0193945914531859
(10) Kalisch BJ, Tschannen D, Lee KH. Do staffing levels predict missed nursing care? Int J Qual Health Care. 2011; 23(3): 302-8. https://doi.org/10.1093/intqhc/mzr009
(11) Ball JE, Murrells T, Rafferty AM, Morrow E, Griffiths P. ‘Care left undone’ during nursing shifts: associations with workload and perceived quality of care. BMJ Qual Saf. 2014; 23(2):116-25. https://doi.org/10.1136/bmjqs-2012-001767
(12) Cho SH, Lee JY, You SJ, Song KJ, Hong KJ. Nurse staffing, nurses prioritization, missed care, quality of nursing care, and nurse outcomes. Int J Nurs Pract. 2020; 26(1): 1-8. https://doi.org/10.1111/ijn.12803
(13) Aiken LH, Sloane DM, Ball J, Bruyneel L, Rafferty AM, Griffiths P. Patient satisfaction with hospital care and nurses in England: An observational study. BMJ Open. 2018; 8(1): e01918. https://doi.org/10.1136/bmjopen-2017-019189
(14) Congreso de la Unión. Reglamento de la Ley General de Salud en Materia de Investigación para la Salud. México: DOF; Actualizado 2014. https://bit.ly/3OTb0zw
(15) Kalisch BJ, Landstrom G, Williams RA. Missed nursing care: Errors of omission. Nurs Outlook. 2009; 57(1): 3-9. https://doi.org/10.1016/j.outlook.2008.05.007
(16) González-Sánchez AL, Moreno-Monsiváis MG, Cheverría-Rivera S. Cuidado de enfermería perdido percibido por madres de pacientes pediátricos hospitalizados. SANUS. 2020; 5(15): 1-12. https://doi.org/10.36789/sanus.vi15.175
(17) Moreno-Monsiváis MG, Moreno-Rodríguez C, Interial-Guzmán MG. Missed nursing care in hospitalized patients. Aquichan. 2015; 15(3): 318-28. https://doi.org/10.5294/aqui.2015.15.3.2
(18) De Pedro-Gómez J, Morales-Asencio JM, Sesé-Abad A, Bennasar-Veny M, Artigues-Vives G, Pericàs-Beltrán J. Validación y adaptación al español de la escala del entorno de práctica enfermera del Nursing Work Index. Metas de Enferm. 2009; 12(7): 65-73. https://bit.ly/3VocKmY
(19) Gil-Monte PR, Peiró JM. Validez factorial del Maslach Burnout Inventory en una muestra multiocupacional. Psicothema. 1999; 11(3): 679-89. https://bit.ly/3zx7cxS
(20) Aranda-Beltrán C, Pando-Moreno M, Salazar-Estrada JG. Confiabilidad y validación de la escala Maslach Burnout Inventory (Hss) en trabajadores del occidente de México. Salud Uninorte. 2016; 32(2): 218-27. https://doi.org/10.14482/sun.32.2.8828
(21) Kalisch BJ, Xie B, Dabney BW. Patient-reported missed nursing care correlated with adverse events. Am J Med Qual. 2014; 29(5): 415-22. https://doi.org/10.1177/1062860613501715
(22) Antunez-Villagran C, De Lima-Dalmolin G, Devos-Barlem EL, Bitencourt-Toscani-Greco P, Carpes-Lanes T, Andolhe R. Asociación del sufrimiento moral y síndrome de burnout en enfermeros de un hospital universitario. Rev. Latino-Am. Enfermagem. 2023; 31: 1-10. https://doi.org/10.1590/1518-8345.6071.3746
(23) Dos Reis-Dutra CK, De Brito-Guirardello E. Nurse work environment and its impact on reasons for missed care, safety climate, and job satisfaction: A cross-sectional study. J Adv Nurs. 2021; 77(5): 2398-406. https://doi.org/10.1111/jan.14764
(24) McCaughey D, McGhan GE, Rathert C, Williams JH, Hearld KR. Magnetic work environments: Patient experience outcomes in Magnet versus non-Magnet hospitals. Health Care Manage Rev. 2020; 45(1): 21-31. http://doi.org/10.1097/HMR.0000000000000198
(25) Al-Sabei SD, Labrague LJ, Ross AM, Karkada S, Albashayreh A, Al-Masroori F, et al. Nursing work environment, turnover intention, job burnout, and quality of care: The moderating role of job satisfaction. J Nurs Scholars. 2020; 52(1): 95-104. https://doi.org/10.1111/jnu.12528
(26) Wei H, Horsley L, Cao Y, Haddad LM, Hall KC, Robinson R, et al. The associations among nurse work engagement, job satisfaction, quality of care, and intent to leave: A national survey in the United States. Int J Nurs Sci. 2023; 10(4): 476-84. https://doi.org/10.1016/j.ijnss.2023.09.010
(27) Zeleníková R, Jarošová D, Plevová I, Janíková E. Nurses’ perceptions of professional practice environment and its relation to missed nursing care and nurse satisfaction. Int. J. Enviro. Res. Public Health. 2020; 17(11): 3805. https://doi.org/10.3390/ijerph17113805
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Enfermería Universitaria by Universidad Nacional Autónoma de México it is distributed under the License Creative Commons Attribution - NonCommercial - NoDerivatives 4.0 International
Accepted and published articles become open-access under the terms of the Creative Commons CC BY-NC-ND 4.0 license, which authorizes the reproduction and sharing without commercial purposes, provided the corresponding acknowledgments to their authors. Authors are allowed to manage a self-archive copy of the article’s published version so that they can open-access it in their personal or institutional web pages, and/or any other broad-diffusion space.
