A survey of the perception of nurses toward the practice environment at a regional teaching hospital in central Taiwan

Jui Tai Hung, Ching Wen Lin, Wei Chun Wen, Esther Ching-lan Lin

Research output: Contribution to journalReview article

1 Citation (Scopus)

Abstract

Background: The nursing practice environment has been shown to wield significant influence on nursing retention and nursing quality of care. Because a large percentage of Taiwan nurses currently work at regional teaching hospitals, exploring the perception toward the practice environment of nurses working at this type of hospital is important. Purpose: This study explored the perception of nurses working at a regional teaching hospital in central Taiwan toward their practice environment. Methods: A cross-sectional research design with a sample of 474 nurses from a regional hospital in central Taiwan was conducted. Instruments including the demographic data and the Chinese-version Practice Environment Scale-Nursing Work Index (CPES-NWI) were anonymously self-administered. Results: Overall, participants were moderately satisfied with their practice environment, with the greatest dissatisfaction focused on staffing and resource adequacy. Work unit and nursing level, respectively, had significant impacts on perceptions regarding the practice environment. Furthermore, discriminant analysis identified two new compound variables: 1) adequate staffing resources and partnership in the workplace and 2) supportive administrative management environment. Participants who worked in medical and surgical units were significantly more dissatisfied with the adequacy of staffing resources and partnership in the workplace than participants who worked in acute/intensive and special units. Participants at the N2 level were significantly more dissatisfied with the supportive nature of the administrative management environment. Conclusions/Implications for Practice: These findings support that the nursing practice environment of regional hospitals may be improved using several measures, including: modifying the staffing and resource adequacy of nurses, fostering collaborative nurse-physician relationships, and further involving nurses in administrative management and decision-making.

Original languageEnglish
Pages (from-to)54-62
Number of pages9
JournalJournal of Nursing
Volume62
Issue number4
DOIs
Publication statusPublished - 2015 Aug 1

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Taiwan
Teaching Hospitals
Nurses
Nursing
Workplace
Physician-Nurse Relations
Foster Home Care
Quality of Health Care
Discriminant Analysis
Nursing Care
Surveys and Questionnaires
Decision Making
Research Design
Demography

All Science Journal Classification (ASJC) codes

  • Nursing(all)

Cite this

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title = "A survey of the perception of nurses toward the practice environment at a regional teaching hospital in central Taiwan",
abstract = "Background: The nursing practice environment has been shown to wield significant influence on nursing retention and nursing quality of care. Because a large percentage of Taiwan nurses currently work at regional teaching hospitals, exploring the perception toward the practice environment of nurses working at this type of hospital is important. Purpose: This study explored the perception of nurses working at a regional teaching hospital in central Taiwan toward their practice environment. Methods: A cross-sectional research design with a sample of 474 nurses from a regional hospital in central Taiwan was conducted. Instruments including the demographic data and the Chinese-version Practice Environment Scale-Nursing Work Index (CPES-NWI) were anonymously self-administered. Results: Overall, participants were moderately satisfied with their practice environment, with the greatest dissatisfaction focused on staffing and resource adequacy. Work unit and nursing level, respectively, had significant impacts on perceptions regarding the practice environment. Furthermore, discriminant analysis identified two new compound variables: 1) adequate staffing resources and partnership in the workplace and 2) supportive administrative management environment. Participants who worked in medical and surgical units were significantly more dissatisfied with the adequacy of staffing resources and partnership in the workplace than participants who worked in acute/intensive and special units. Participants at the N2 level were significantly more dissatisfied with the supportive nature of the administrative management environment. Conclusions/Implications for Practice: These findings support that the nursing practice environment of regional hospitals may be improved using several measures, including: modifying the staffing and resource adequacy of nurses, fostering collaborative nurse-physician relationships, and further involving nurses in administrative management and decision-making.",
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A survey of the perception of nurses toward the practice environment at a regional teaching hospital in central Taiwan. / Hung, Jui Tai; Lin, Ching Wen; Wen, Wei Chun; Lin, Esther Ching-lan.

In: Journal of Nursing, Vol. 62, No. 4, 01.08.2015, p. 54-62.

Research output: Contribution to journalReview article

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