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Nursing practice environment, quality of care, and morale of hospital nurses in J apan
Author(s) -
Anzai Eriko,
Douglas Clint,
Bonner Ann
Publication year - 2014
Publication title -
nursing and health sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.563
H-Index - 47
eISSN - 1442-2018
pISSN - 1441-0745
DOI - 10.1111/nhs.12081
Subject(s) - staffing , nursing , quality (philosophy) , medicine , nursing management , psychological intervention , acute care , perception , work environment , nursing care , family medicine , job satisfaction , psychology , health care , social psychology , philosophy , epistemology , economics , economic growth , neuroscience
The purpose of this study was to describe J apanese hospital nurses' perceptions of the nursing practice environment and examine its association with nurse‐reported ability to provide quality nursing care, quality of patient care, and ward morale. A cross‐sectional survey design was used including 223 nurses working in 12 acute inpatient wards in a large J apanese teaching hospital. Nurses rated their work environment favorably overall using the J apanese version of the P ractice E nvironment S cale of the N ursing W ork I ndex. Subscale scores indicated high perceptions of physician relations and quality of nursing management, but lower scores for staffing and resources. Ward nurse managers generally rated the practice environment more positively than staff nurses except for staffing and resources. Regression analyses found the practice environment was a significant predictor of quality of patient care and ward morale, whereas perceived ability to provide quality nursing care was most strongly associated with years of clinical experience. These findings support interventions to improve the nursing practice environment, particularly staffing and resource adequacy, to enhance quality of care and ward morale in J apan.