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Vol. 28. Issue 4.
Pages 230-239 (July - August 2018)
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Vol. 28. Issue 4.
Pages 230-239 (July - August 2018)
Original Article
DOI: 10.1016/j.enfcle.2018.01.003
Perception of the quality of care, work environment and sleep characteristics of nurses working in the National Health System
Percepción sobre la calidad de los cuidados, entorno laboral y características del sueño de las enfermeras que trabajan en el Sistema Nacional de Salud
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María Teresa Moreno-Casbasa,b,
Corresponding author
mmoreno@isciii.es

Corresponding author.
, Emma Alonso-Poncelasc, Teresa Gómez-Garcíaa, María José Martínez-Madridd, Gema Escobar-Aguilara,b, on behalf of the SYCE-RETICEF Group
a Unidad de Investigación en Cuidados de Salud (Investén-ISCIII), Instituto de Salud Carlos III, Madrid, Spain
b Centro de Investigación Biomédica en Red de Fragilidad y Envejecimiento Saludable, Madrid, Spain
c Hospital Doctor José Molina Orosa, Arrecife, Lanzarote, Spain
d CronoLab, Departamento de Fisiología Animal, Facultad de Biología, Campus de Espinardo, Universidad de Murcia, Murcia, Spain
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Tables (6)
Table 1. Descriptive statistics and contrast of means of the sociodemographic features.
Table 2. Frequencies and contrast of differences of percentages in aspects relating to care quality and safety.
Table 3. Frequencies and contrast of differences in percentages of tasks performed in the last working day.
Table 4. Frequencies and contrast of differences in percentages of tasks performed in the last working day.
Table 5. Descriptive statistics and contrast of means of the Practice Environment Scale of the Nursing Work Index (PES-NWI).
Table 6. Descriptive statistics and contrast of means of the Pittsburgh Sleep Quality Index (PSQI).
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Abstract
Objective

To describe nurses’ perception in relation to the quality of care and their work environment, as well as to describe their quality of sleep. To analyse the relationship between ward and work shift with nurses’ perception of their work environment, sleep quality and daytime drowsiness.

Methods

A multicentre, observational and descriptive study carried out between 2012 and 2014 in seven hospitals of the Spanish National Health System. Work environment, work satisfaction, sleep quality and quality of patient care were evaluated through validated tools.

Results

635 registered nurses participated in the study. 83.7% perceived the quality of cares as good/excellent, and 55.1% rated the work environment of their hospital as good/excellent. PES-NWI classified 39% of hospitals as unfavourable and 20% as favourable. A 15.4% of the nurses had a high level of burnout and 58.3% had low burnout. Sleep quality was 6.38 for nurses working on day shifts, 6.78 for the rotational shifts and 7.93 for night shifts. Significant differences were found between subjective sleep quality score, sleep duration, sleep disturbances and daytime dysfunction.

Conclusions

In the provision of quality care services, there is a multitude of related factors such as shift, ward, satisfaction, and nurses’ perceptions of patient safety and sleep quality.

Keywords:
Work environment
Care
Nursing
Maslach Burnout Inventory
Practice Environment Scale of the Nursing Work Index
Job satisfaction
Resumen
Objetivo

Describir la percepción de las enfermeras sobre la calidad de los cuidados que prestan y de su entorno laboral, así como analizar las características del sueño. Analizar si existe relación entre la unidad y el turno de trabajo con la percepción de las enfermeras de su entorno laboral y con la calidad de sueño y la somnolencia diurna.

Método

Estudio multicéntrico, observacional, descriptivo realizado entre los años 2012 y 2014 en 7 hospitales españoles del Sistema Nacional de Salud que mostraron su interés por participar en este proyecto de seguimiento. Se ha medido el entorno laboral, la satisfacción laboral, la calidad del sueño y la calidad de los cuidados con herramientas validadas.

Resultados

Participaron en el estudio 635 enfermeras. Un 83,7% percibía la calidad de los cuidados como buena/excelente, y el 55,1% valoró el entorno laboral de su hospital como bueno/excelente. El PES-NWI clasificó al 39% de los hospitales como desfavorable y al 20% como favorable. El 15,4% de las enfermeras tenía alto nivel de burnout y el 58,3% bajo. La calidad del sueño fue de 6,38 para el turno de día, de 6,78 para el turno rotatorio y de 7,93 para el turno de noche. Se encontraron diferencias en la calidad subjetiva, en la duración, en las perturbaciones del sueño y en la disfunción durante el día.

Conclusiones

En la prestación de cuidados de calidad interactúan multitud de factores como el turno, la unidad, la satisfacción, la percepción de la seguridad y la calidad del sueño.

Palabras clave:
Entorno laboral
Cuidados
Enfermería
Maslach Burnout Inventory
Practice Environment Scale of the Nursing Work Index
Satisfacción laboral

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