Evaluating the Impact of the Work Environment on Job Outcomes Among Registered Nurses Working in Outpatient Dialysis Centers: A Cross-Sectional Study.

The study evaluates the association between job outcomes and work environments in outpatient hemodialysis and peritoneal dialysis units using a cross-sectional design. It analyzes survey responses from 320 nephrology nurses in New York and Illinois in 2021, focusing on work environment quality, burnout, job dissatisfaction, intent to leave, and willingness to recommend their employer. The Practice Environment Scale of the Nursing Work Index (PES-5), which measures work environment quality, was used. Logistic regression revealed that 64.4% of nurses in poor environments experience burnout, compared to 11.7% in the best environments. Additionally, 47.8% reported intent to leave their employer within a year in poor environments versus 7.6% in the best. Job dissatisfaction affects 38.9% in poor environments, compared to 3.0% in the best. Improving work environments may reduce burnout and job dissatisfaction.