medigraphic.com
ISSN 1561-2961 (Print)

2020, Number 2

<< Back Next >>

Rev Cuba Enf 2020; 36 (2)

A Nursing Management Project’s Impact on the Work Environment during the Night Shift

Salas ME, López MN, Villamor OA, Moya MD, Miranda SJ, Zabalegui YA

Language: Spanish
References: 29
Page: 1-21
PDF size: 776.90 Kb.


ABSTRACT

Introduction: To guarantee 24 hours of care in hospital institutions, the existence of nursing teams is essential whose activity is carried out at night. There are organizational factors that provoke, among night teams, the perception of fewer opportunities for professional development and less institutional attention. This can have an impact on the quality of care and even on the health of professionals. Leader nurses are responsible for creating and maintaining a positively influencing work environment.
Objective: To evaluate a nursing management project through the impact on the perception about the work environment on the night shift.
Methods: Pre-post quasi-experimental study carried out with intervention on the population. From a population of night-shift nurses (n=268), we obtained a sample of 268. The instrument “Practice Environment Scale of the Nursing Work Index” was used, which allows evaluating and comparing factors from the nursing practice setting. Univariate statistics of central tendency and dispersion were determined, as well as contrast statistics with significance p‹0.05.
Results: In 41.94% of the questions, significant differences were obtained, highlighting factor 3 (nurses’ skill, leadership and support by their heads). The global mean value obtained in the PRE test was 2.37 (95% CI, 2.22-2.52) and the global mean for the POST value was 2.49 (95% CI, 2.34-2.95), with p=0.0254.
Conclusions: A nursing management project’s evaluation through the impact on the perception about the work environment in the night shift shows improvements with significant differences.


REFERENCES

  1. Saiani L, Brugnolli A, Ghitti MG, Martin S, Rinaldi N, Zannini L. Nursing care during night shift: a narrative review of the literature. Assist Inferm e Ric. 2010 [acceso: 26/05/2019];29(3):132-9. Disponible en: https://europepmc.org/abstract/med/21188862

  2. Bisognano M. Nursing Leadership: New Ways to See. Nurse Lead. 2016 [acceso: 26/05/2019];14(6):422-6. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S1541461216301495

  3. Bonet-Porqueras R, Moliné-Pallarés A, Olona-Cabases M, Gil-Mateu E, Bonet-Notario P, Les-Morell EIza-Maiza M, et al. The night shift: a risk factor for health and quality of life in nursing staff. Enfermería Clínica. 2009 [acceso: 12/06/2019];19(2):76-82. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/19375656

  4. De Cordova PB, Phibbs CS, Economist H, Bartel AP, Stone PW. Twenty-four/seven: a mixed-method systematic review of the off- shift literature. J Adv Nurs. 2012 [acceso: 12/08/2019];68(7):1454-68. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3428734/

  5. Llovet Pérez ME, Navalón Fernández F, Villamor Ordozgoiti A, Salas Marco E, Torrents Vallés N, Alonso Blanco P. Relación entre Horario Laboral y Percepción de la Salud Entre Enfermeras de un Hospital de Alta Tecnología. Rev ROL Enferm. 2017 [acceso: 23/07/2019];40(11-12):736-46. Disponible en: http://www.e-rol.es/articulospub/articulospub_paso3.php?articulospubrevista=40(11-12)&itemrevista=736-746#

  6. Buchan J, Dal Poz MR. Skill mix in the health care workforce: reviewing the evidence. Bull World Health Organ. 2002 [acceso: 23/07/2019];80(7):575-80. Disponible en: https://www.who.int/hrh/documents/skill_mix.pdf

  7. Ferri P, Guadi M, Marcheselli L, Balduzzi S, Magnani D, Di Lorenzo R. The impact of shift work on the psychological and physical health of nurses in a general hospital: A comparison between rotating night shifts and day shifts. Risk Manag Healthc Policy. 2016 [acceso: 12/03/2019];14(9):203-11. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/27695372

  8. Niu SF, Chung MH, Chen CH, Hegney D, O’Brien A, Chou KR. The effect of shift rotation on employee cortisol profile, sleep quality, fatigue, and attention level: A systematic review. J Nurs Res. 2011 [acceso: 26/05/2019];19(1):68-81. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/21350389

  9. Beebe D, Chang JJ, Kress K, Mattfeldt-Beman M. Diet quality and sleep quality among day and night shift nurses. J Nurs Manag. 2017 [acceso: 01/07/2019];25(7):549-57. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/28695685

  10. Ruggiero JS, Avi-Itzhak T. Sleep Patterns of Emergency Department Nurses on Workdays and Days off. J Nurs Res. 2016 [acceso: 11/04/2019];24(2):173-80. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/26584039

  11. Zannini L, Ghitti MG, Martin S, Palese A, Saiani L. Narratives, memorable cases and metaphors of night nursing: Findings from an interpretative phenomenological study. Nurs Inq. 2015 [acceso: 26/05/2019];22(3):261-72. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/25693848

  12. McClure ML. Magnet Hospitals: Insights and Issues. Nurs Admin Q. 2005 [acceso: 26/05/2019];29(3):198-201. Disponible en: https://journals.lww.com/naqjournal/Abstract/2005/07000/Magnet_Hospitals__Insights_and_Issues.3.aspx

  13. Teclaw R, Osatuke K. Nurse perceptions of workplace environment: Differences across shifts. J Nurs Manag. 2015 [acceso: 16/03/2019];23(8):1137-46. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/25491124

  14. Copanitsanou P, Fotos N, Brokalaki H. Effects of work environment on patient and nurse outcomes. Br J Nurs. 2017 [acceso: 26/05/2019].;26(3):172-176. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/28185485

  15. Kramer M, Schmalenberg C, Maguire P. Nine structures and leadership practices essential for a magnetic (healthy) work environment. Nurs Adm Q. 2010 [acceso: 26/05/2019];34(1):4-17. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/20023557

  16. Balsanelli AP, Cunha ICKO. The work environment and leadership in nursing: An integrative review. Rev da Esc Enferm. 2014 [acceso: 08/07/2019];48(5):934-40. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/25493500

  17. Malloy T, Penprase B. Nursing leadership style and psychosocial work environment. J Nurs Manag. 2010 [acceso: 26/05/2019];18(6):715-25. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/20840366

  18. Bai J. Does job satisfaction mediate the relationship between healthy work environment and care quality? Nurs Crit Care. 2016 [acceso: 26/05/2019];21(1):18-27. Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1111/nicc.12122

  19. Von Treuer K, Fuller-Tyszkiewicz M, Little G. The Impact of Shift Work and Organizational Work Climate on Health Outcomes in Nurses. J Occup Heal Psychol. 2014 [acceso: 26/05/2019];19(4):453-61. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/25151462

  20. Campbell AM, Nilsson K, Andersson EP. Night duty as an opportunity for learning. J Adv Nurs. 2008 [acceso: 26/05/2019];62(3):346-53. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/18426459

  21. Fuentelsaz-Gallego C, Moreno-Casbasbas MT, González-María E. Validation of the Spanish version of the questionnaire Practice Environment Scale of the Nursing Work Index. Int J Nurs Stud. 2013 [acceso: 09/05/2019];50(2):274-80. Disponible en: https://www.sciencedirect.com/science/article/pii/S002074891200257X

  22. Aiken LH, Sloane DM, Bruyneel L, Van den Heede K, Sermeus W. Nurses’ reports of working conditions and hospital quality of care in 12 countries in Europe. Int J Nurs Stud. 2013 [acceso: 23/07/2019];50(2):143-53. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/23254247

  23. Pisarski A, Lawrence SA, Bohle P, Brook C. Organizational influences on the work life conflict and health of shiftworkers. Appl Ergon. 2008 [acceso: 08/07/2019];39(5):580-8. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/18304516

  24. Hörberg A, Kalén S, Jirwe M, Scheja M, Lindström V. Treat me nice! -a cross-sectional study examining support during the first year in the emergency medical services. Scand J Trauma Resusc Emerg Med. 2018 [acceso: 23/07/2019];26(1):92. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/30400803

  25. Hörberg A, Jirwe M, Kalén S, Vicente V, Lindström V. We need support! A Delphi study about desirable support during the first year in the emergency medical service. Scand J Trauma Resusc Emerg Med. 2017 [acceso: 23/07/2019];25(1):1-11. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/28877728

  26. Jamrog JJ, Vickers M, Overholt M, Morrison CL. High-performance organizations: Finding the elements of excellence. People Strateg. 2008 [acceso: 23/07/2019];31(1):29.Disponible en: https://go.gale.com/ps/anonymous?id=GALE%7CA201609277&sid=googleScholar&v=2.1&it=r&linkaccess=abs&issn=19464606&p=AONE&sw=w

  27. Estabrooks CA, Cummings GG, Olivo SA, Squires JE, Giblin C, Simpson N. Effects of shift length on quality of patient care and health provider outcomes: systematic review. Qual Saf Health Care. 2009 [acceso: 11/03/2019];18(3):181-8. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/19467999

  28. Cummings GG, Tate K, Lee S, Wong CA, Paananen T, Micaroni SPM, et al. Leadership styles and outcome patterns for the nursing workforce and work environment: A systematic review. Int J Nurs Stud. 2018 [acceso: 26/05/2019];85(April):19-60. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/19781702

  29. WHO. European strategic directions for strengthening nursing and midwifery towards Health 2020 goals. Geneve: WHO; 2015 [acceso: 26/05/2019]. Disponible en: https://apps.who.int/iris/bitstream/handle/10665/275453/9789241510455-ita.pdf




2020     |     www.medigraphic.com