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(Referência obtida automaticamente do Web of Science, por meio da informação sobre o financiamento pela FAPESP e o número do processo correspondente, incluída na publicação pelos autores.)

Leadership, adequate staffing and material resources, and collegial nurse-physician relationships promote better patients, professionals and institutions outcomes

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Autor(es):
Cristina Gasparino, Renata [1] ; Daiana Mendonca Ferreira, Thelen [1] ; Ceretta Oliveira, Henrique [1] ; Fernanda dos Santos Alves, Daniela [1] ; Pazetto Balsanelli, Alexandre [2]
Número total de Autores: 5
Afiliação do(s) autor(es):
[1] Univ Estadual Campinas, Sch Nursing, Campinas, SP - Brazil
[2] Univ Fed Sao Paulo, Escola Paulista Enfermagem, Sao Paulo, SP - Brazil
Número total de Afiliações: 2
Tipo de documento: Artigo Científico
Fonte: JOURNAL OF ADVANCED NURSING; FEB 2021.
Citações Web of Science: 0
Resumo

Aim To test a theoretical model aiming to understand which characteristics of the professional nursing practice environment most affect patients, professionals and institution outcomes. Design A cross-sectional and correlational study, using a structural equation model. Methods One thousand seven hundred and seventy-three staff nurses were recruited using convenience sampling in five Brazilian hospitals from November 2017 to July 2018. Structural equation modelling was used to assess the relationship between the characteristics of the nursing work environment and patients (climate of safety and quality of care), nursing professionals (job satisfaction and emotional exhaustion) and institutions (intention to leave the job) outcomes. The model was tested using the partial least squares method, considering the bootstrapping technique to estimate the results. The path coefficients and their respective 95% confidence intervals were calculated. The quality of fit of the structural model was assessed by calculating the coefficient of determination (R-2), the predictive validity coefficient (Q(2)) and the effect size (f(2)). Results The characteristics that most affected the outcomes for patients were Nurse manager ability, leadership and support of nurses (lambda=0.27), and Staffing and resource adequacy (lambda=0.26); for nursing professionals, Staffing and resource adequacy (lambda=-0.19), and Collegial nurse-physician relations (lambda=0.19); and for institutions, Nurse manager ability, leadership and support of nurses (lambda=-0.10), and Collegial nurse-physician relations (lambda=-0.10). Conclusion The characteristics of the professional nursing practice environment that most contribute to achieving better outcomes include nurse manager ability, leadership and support of nurses, staffing and resource adequacy, and collegial nurse-physician relations. Impact This study allowed us to assess which strategies should be prioritized in the professional nursing practice environment to achieve better results. Thus, investment in the training of leadership, in the adequacy of resources, and in physician-nurse relations will bring better results for patients, nursing professionals, and institutions. (AU)

Processo FAPESP: 16/20030-0 - O impacto do ambiente da prática nos resultados com pacientes, profissionais e instituições
Beneficiário:Renata Cristina Gasparino
Linha de fomento: Auxílio à Pesquisa - Regular