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The work environment of haemodialysis nurses and its impact on patients’ outcomes
Author(s) -
Prezerakos Panagiotis,
Galanis Peter,
Moisoglou Ioannis
Publication year - 2015
Publication title -
international journal of nursing practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.62
H-Index - 55
eISSN - 1440-172X
pISSN - 1322-7114
DOI - 10.1111/ijn.12223
Subject(s) - medicine , odds ratio , confidence interval , nursing , logistic regression , work environment , cross sectional study , work (physics) , multivariate analysis , mechanical engineering , pathology , engineering
The aims of this study were to assess haemodialysis nurses’ work environment and investigate the correlation between work environment and patients’ outcomes. A cross‐sectional study was conducted at the 11 public hospital‐based haemodialysis units of the 5th R egional H ealth A uthority of G reece. The P ractice E nvironment S cale of the N ursing W ork I ndex ( PES ‐ NWI ) was used to assess work environment. Nurses were asked to report the frequency of a series adverse events and errors. Study population consisted of 133 nurses (response rate 89.3%). The overall PES ‐ NWI scored just < 2.5 (Mean = 2.48, standard deviation = 0.34) indicating a non‐favourable haemodialysis workplace. Nurse–physician Relations, nurse manager ability and nursing foundations for quality of care were the most favourable aspects of work environment. Multivariate logistic regression analysis identified that hypotension (odds ratio ( OR ) = 0.3, 95% confidence interval ( CI ) = 0.1–0.9, P = 0.03), venous needle disconnection ( OR = 0.14, 95% CI = 0.03–0.65, P = 0.012) and patient fall ( OR = 0.02, 95% CI = 0.001–0.51, P = 0.018) were associated with a non‐favourable work environment. Findings have important implications for improvement of haemodialysis work environment and enhancement of patients’ safety.