The nursing practice environment and hospital sociotechnical complexity: a mixed-methods study.

IF 1.2 Q3 NURSING Revista Brasileira De Enfermagem Pub Date : 2024-12-16 eCollection Date: 2024-01-01 DOI:10.1590/0034-7167-2023-0315
Caren de Oliveira Riboldi, Renata Cristina Gasparino, Wiliam Wegner, Eder Henriqson, Tarcísio Abreu Saurin, Ana Maria Müller de Magalhães
{"title":"The nursing practice environment and hospital sociotechnical complexity: a mixed-methods study.","authors":"Caren de Oliveira Riboldi, Renata Cristina Gasparino, Wiliam Wegner, Eder Henriqson, Tarcísio Abreu Saurin, Ana Maria Müller de Magalhães","doi":"10.1590/0034-7167-2023-0315","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>to analyze the relationship between the nursing practice environment and hospital sociotechnical complexity as perceived by nurses.</p><p><strong>Methods: </strong>a sequential explanatory mixed-methods study was conducted in a hospital in southern Brazil. The Brazilian version of the Practice Environment Scale-Nursing Work Index and the Complexity Characterization Questionnaire were administered to 132 nurses. Subsequently, semi-structured interviews were conducted with 18 participants, and the data were subjected to thematic analysis. Data integration was achieved through a connection approach.</p><p><strong>Results: </strong>the nursing practice environment was found to be favorable, except in the subscale concerning Staffing and Resource Adequacy, where complexity was present in the activities. The three emerging categories explained human and technical aspects related to complexity in the practice environment, quality of care, and patient safety. Unexpected variability was inversely correlated with the practice environment.</p><p><strong>Conclusions: </strong>the study results indicate a relationship between these constructs, with implications for the quality and the safety of care.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":"77 6","pages":"e20230315"},"PeriodicalIF":1.2000,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654510/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista Brasileira De Enfermagem","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1590/0034-7167-2023-0315","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0

Abstract

Objectives: to analyze the relationship between the nursing practice environment and hospital sociotechnical complexity as perceived by nurses.

Methods: a sequential explanatory mixed-methods study was conducted in a hospital in southern Brazil. The Brazilian version of the Practice Environment Scale-Nursing Work Index and the Complexity Characterization Questionnaire were administered to 132 nurses. Subsequently, semi-structured interviews were conducted with 18 participants, and the data were subjected to thematic analysis. Data integration was achieved through a connection approach.

Results: the nursing practice environment was found to be favorable, except in the subscale concerning Staffing and Resource Adequacy, where complexity was present in the activities. The three emerging categories explained human and technical aspects related to complexity in the practice environment, quality of care, and patient safety. Unexpected variability was inversely correlated with the practice environment.

Conclusions: the study results indicate a relationship between these constructs, with implications for the quality and the safety of care.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
护理实践环境与医院社会技术复杂性:一项混合方法研究。
目的:分析护理实践环境与护士感知的医院社会技术复杂性之间的关系。方法:在巴西南部的一家医院进行顺序解释性混合方法研究。对132名护士进行了巴西版护理工作环境量表和复杂性特征问卷调查。随后,对18名参与者进行了半结构化访谈,并对数据进行了专题分析。通过连接方法实现数据集成。结果:护理实践环境是有利的,除了在人员配备和资源充足的分量表中,在活动中存在复杂性。这三个新兴类别解释了与实践环境、护理质量和患者安全的复杂性相关的人力和技术方面。意外变异性与实践环境呈负相关。结论:研究结果表明这些构念之间存在关系,对护理质量和安全性具有影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
2.30
自引率
7.70%
发文量
477
审稿时长
21 weeks
期刊介绍: The Revista Brasileira de Enfermagem created in 1932, March 20 is the official publication of the Associação Brasileira de Enfermagem (Brazilian Nursing Association) has as purpose to disseminate the scientific production from different nursing interest areas of knowledge, including those which express the political project of the Association. The Revista Brasileira de Enfermagem is the oldest journal of the Brazilian nursing. Its first title was "Annaes de Enfermagem" from 1932 to 1941, being entitled Anais de Enfermagem" until 1955, when its title was changed to the current.
期刊最新文献
ERRATUM. ERRATUM. Individualization of implantable devices in Brazil. An overview of the implementation of the first doctorate program in nursing in the Northern region. Evaluation of care for people with HIV in Primary Health Care: construct validation.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1