• Appl Nurs Res · Jun 2018

    Nurse work environment and job-related outcomes in Brazilian hospitals.

    • Herica Silva Dutra, Jeannie P Cimiotti, and Edinêis de Brito Guirardello.
    • University of Campinas, Federal University of Juiz de Fora, Brazil; Rua José Lourenço Kelmer, s/n, Campus Universitário, Bairro São Pedro, CEP: 36036-900 Juiz de Fora/MG, Brazil. Electronic address: herica.dutra@ufjf.edu.br.
    • Appl Nurs Res. 2018 Jun 1; 41: 68-72.

    BackgroundIt 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.MethodsThis 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.ResultsA 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.ConclusionFeatures 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.Copyright © 2018 Elsevier Inc. All rights reserved.

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