Buscar en
Enfermería Clínica (English Edition)
Toda la web
Inicio Enfermería Clínica (English Edition) Essential elements of professional nursing environments in Primary Care and thei...
Journal Information
Vol. 28. Issue 1.
Pages 27-35 (January - February 2018)
Share
Share
Download PDF
More article options
ePub
Visits
1
Vol. 28. Issue 1.
Pages 27-35 (January - February 2018)
Original Article
DOI: 10.1016/j.enfcle.2017.07.008
Essential elements of professional nursing environments in Primary Care and their influence on the quality of care
Elementos esenciales de los entornos profesionales enfermeros en Atención Primaria y su influencia en la calidad del cuidado
Visits
...
Vicente Gea-Caballeroa,
Corresponding author
gea_vic@gva.es

Corresponding author.
, Enrique Castro-Sánchezb, Raúl Júarez-Velac, Miguel Ángel Díaz-Herrerad,e, Isabel de Miguel-Montoyaa, José Ramón Martínez-Rieraf
a Escuela Enfermería La Fe, centro adscrito a la Universidad de Valencia, IIS La Fe, @GREIACC, Valencia, Spain
b NIHR Health Protection Research Unit in Healthcare-Associated Infection and Antimicrobial Resistance at Imperial College London, South Kensington, London, United Kingdom
c Universidad San Jorge, Villanueva de Gállego, Zaragoza, Spain
d CS Cornellà-2 Sant Ildefons, Institut Català de la Salut, Cornellà de Llobregat, Barcelona, Spain
e Hospital Universitario General de Catalunya, Sant Cugat del Vallés, Barcelona, Spain
f Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública Historia de la Ciencia, Facultad de Ciencias de la Salud, Universidad de Alicante, Alicante, Spain
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Tables (5)
Table 1. Socio-democratic and professional data.
Table 2. Overall result and for each Dimension of the PES-NWI questionnaire.
Table 3. Ranking of elements from the PES-NWI questionnaire, with dimension of belonging, frequency and choice percentage. Elements with under 20% of choices excluded.
Table 4. Mean scores and SD of the 12 main elements ranked according to percentage of choice.
Table 5. Results of relations between independent variables and total score.
Show moreShow less
Abstract
Objectives

Nursing work environments are key determinants of care quality. Our study aimed to evaluate the characteristics of nursing environments in primary care settings in the Canary Islands, and identify crucial components of such environments to improve quality.

Method

We conducted a cross-sectional study in primary care organisations using the Practice Environment Scale – Nursing Work Index tool. We collected sociodemographic variables, scores, and selected the essential items conducive to optimal care. Appropriate parametric and non-parametric statistical tests were used to analyse relations between variables (CI=95%, error=5%).

Results

One hundred and forty-four nurses participated. The mean total score was 81.6. The results for the five dimensions included in the Practice Environment Scale – Nursing Work Index ranged from 2.25 to 2.92 (Mean). Twelve key items for quality of care were selected; six were positive in the Canary Islands, two were mixed, and four negative. 7/12 items were included in dimension 2 (fundamentals of nursing). Being a manager was statistically associated with higher scores (p<.000). Years of experience was inversely associated with scores in the 12 items (p<.021).

Conclusions

Nursing work environments in primary care settings in the Canary Islands are comparable to others previously studied in Spain. Areas to improve were human resources and participation of nurses in management decisions. Nurse managers must be knowledgeable about their working environments so they can focus on improvements in key dimensions.

Keywords:
Nursing
Primary health care
Working conditions
Quality improvement
Quality of health care
Resumen
Objetivos

Conocida su influencia sobre la calidad del cuidado, pretendemos con nuestro estudio valorar las características de los entornos profesionales enfermeros en Atención Primaria de Salud de la Comunidad Canaria, y determinar cuáles son los elementos clave de dichos entornos para mejorar la calidad del cuidado.

Método

Estudio observacional, transversal, analítico, en Atención Primaria de Salud de Canarias, con el cuestionario Practice Environment Scale - Nursing Work Index. Se midieron variables sociodemográficas, puntuaciones en el test, y se seleccionaron los ítems fundamentales que las enfermeras consideran que facilitan prestar cuidados de calidad. Se valoró la normalidad de la muestra, y se calcularon estadísticos no paramétricos y paramétricos para analizar la relación entre variables (IC=95% error=5%).

Resultados

Participaron 144 enfermeras. Puntuación media total = 81,6. Las 5 dimensiones oscilaron entre puntuaciones medias de 2,25-2,92 (rango 1 a 4). Se seleccionaron 12 elementos clave para mejorar los cuidados: 6 fueron positivos en Canarias, 2 mixtos, y 4 negativos. Siete de los 12 elementos pertenecen a la dimensión 2 (fundamentos enfermeros). Ser coordinadora mostró significación (p<0,000) con mayores puntuaciones. Años de experiencia mostró significación (p<0,021) con la puntuación obtenida en los 12 elementos clave, más alta a menor experiencia.

Conclusiones

Los entornos en Atención Primaria de Salud de Canarias son similares a los antecedentes en España. Como áreas de mejora: recursos humanos y participación de las enfermeras en la gestión. Los gestores enfermeros deben conocer sus entornos, implantando cambios prioritariamente sobre los elementos esenciales.

Palabras clave:
Enfermería
Atención Primaria
Condiciones de trabajo
Mejoramiento de la calidad
Calidad de la atención de salud

Article

These are the options to access the full texts of the publication Enfermería Clínica (English Edition)
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Enfermería Clínica (English Edition)

Comprar
Comprar acceso al artículo

Comprando el artículo el PDF del mismo podrá ser descargado

Precio 19,34 €

Comprar ahora
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail
Article options
Tools
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos

es en pt
Política de cookies Cookies policy Política de cookies
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here. Utilizamos cookies próprios e de terceiros para melhorar nossos serviços e mostrar publicidade relacionada às suas preferências, analisando seus hábitos de navegação. Se continuar a navegar, consideramos que aceita o seu uso. Você pode alterar a configuração ou obter mais informações aqui.