Versions
- 2025-01-17 (2)
- 2024-12-31 (1)
Keywords
Psychological Well-Being
Working Conditions
Nurses
Nursing, Supervisory
Physician-Nurse Relations
Work-Life Balance
Workload
Health Resources
How to Cite
Abstract
Introduction. A healthcare organization that promotes the well-being of its nurses ensures better quality and safety for patients. Studies have focused on investigating nurses' experiences without examining the differences related to specific clinical contexts in determining their organizational well-being. This study aims to identify which variables in specific nursing clinical contexts are associated with their reported organizational well-being.
Methods. A descriptive cross-sectional study was conducted using the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist. A convenience sample of nurses from different departments (e.g., medicine, surgery, emergency room) was recruited in different hospital settings across Italy. Data were collected through a web survey comprising validated instruments that investigated organizational well-being and associated variables (e.g., work-home conflicts, relationships, resources). Descriptive and inferential analyses were conducted.
Results. The study included 272 nurses. In medical departments, organizational well-being was associated with nurses' relationships with physicians (r = 0.35, p < 0.001), colleagues (r = 0.32, p < 0.01), and head nurse (r = 0.23, p < 0.05), available resources (r = 0.46, p < 0.001), workload (r = -0.23, p < 0.05), and work-home conflicts (r = -0.49, p < 0.001). In surgical departments, it was associated with available resources (r = 0.36, p < 0.01), relationships with the head nurse (r = 0.47, p < 0.001), and work-home conflicts (r = -0.29, p < 0.01). In emergency departments, it was associated with nurses' relationships with physicians (r = 0.24, p < 0.05) and head nurses (r = 0.29, p < 0.01), available resources (r = 0.42, p < 0.001), workload (r = -0.25, p < 0.01), and work-home conflicts (r = -0.38, p < 0.001). The mean scores for workload and relationships with the head nurse differed among the considered departments.
Discussion. The results underlined differences in organizational well-being perception depending on the clinical context. Relationships with physicians and colleagues were only associated with nurses' well-being in specific clinical settings. In contrast, work-family conflicts, availability of resources, and relationships with the head nurse were common clinical context variables influencing the organizational well-being perceived by nurses. This study adds to the existing literature by highlighting how different clinical environments shape nurses' organizational well-being, emphasizing the need for tailored organizational interventions to address context-specific challenges.
References
Sili A, Fiorini J. Gli Infermieri Nei Luoghi Di Cura: Il Nuovo Paradigma Del Benessere Organizzativo. infermieristica Editore; 2024.
International Labour Organization. Workplace well-being. Published online 2009. https://www.ilo.org/safework/areasofwork/workplace-health-promotion-and-well-being/WCMS_118396/lang--en/index.htm#:~:text=Workplace%20Wellbeing%20relates%20to%20all,at%20work%20and%20work%20organization.
Della Bella V, Fiorini J, Gioiello G, Zaghini F, Sili A. Towards a new conceptual model for nurses’ organizational well‐being: An integrative review. J Nurs Manag. 2022; 30:2833-2844. doi:10.1111/jonm.13750
Bakker AB, Demerouti E. Job demands–resources theory: Taking stock and looking forward. J Occup Health Psychol. 2017; 22:273-285. doi:10.1037/ocp0000056
Bui T, Zackula R, Dugan K, Ablah E. Workplace Stress and Productivity: A Cross-Sectional Study. Kans J Med. 2021;14. doi:10.17161/kjm.vol1413424
Fiorini J, Zaghini F, Mannocci A, Sili A. Nursing leadership in clinical practice, its efficacy and repercussion on nursing‐sensitive outcomes: A cross‐sectional multicentre protocol study. J Nurs Manag. 2022; 30:3178-3188. doi:10.1111/jonm.13739
Zaghini F, Biagioli V, Prandi C, Fida R, Sili A. [Nurses and Organizational Citizenship Behavior: contribution to the Italian validation of the Podsakoff et al. scale]. Med Lav. 2015; 106:460-471.
Broetje S, Jenny GJ, Bauer GF. The Key Job Demands and Resources of Nursing Staff: An Integrative Review of Reviews. Front Psychol. 2020;11:84. doi:10.3389/fpsyg.2020.00084
Zaghini F, Fiorini J, Piredda M, Fida R, Sili A. The relationship between nurse managers’ leadership style and patients’ perception of the quality of the care provided by nurses: Cross sectional survey. Int J Nurs Stud. 2020; 101:103446. doi:10.1016/j.ijnurstu.2019.103446
Elsous A, Radwan M, Mohsen S. Nurses and Physicians Attitudes toward Nurse-Physician Collaboration: A Survey from Gaza Strip, Palestine. Nurs Res Pract. 2017; 2017:1-7. doi:10.1155/2017/7406278
McCormick E, Devine S, Crilly J, Brough P, Greenslade J. Measuring occupational stress in emergency departments. Emerg Med Australas. 2023; 35:234-241. doi:10.1111/1742-6723.14101
Zaghini F, Fiorini J, Moons P, Sili A. Cardiovascular nurses and organizational well-being: a systematic review. Eur J Cardiovasc Nurs. Published online August 10, 2023:zvad078. doi:10.1093/eurjcn/zvad078
Pien LC, Cheng WJ, Chou KR, Lin LC. Effect of Work–Family Conflict, Psychological Job Demand, and Job Control on the Health Status of Nurses. Int J Environ Res Public Health. 2021; 18:3540. doi:10.3390/ijerph18073540
Jakobsson J, Jangland E, Engström M, Malmström M, Drott J. Work conditions influencing professional development of specialist nurses in surgical care explored using the Job DEMAND‐RESOURCES theory: A qualitative study. J Adv Nurs. 2023; 79:2610-2621. doi:10.1111/jan.15618
Gillet N, Le Gouge A, Pierre R, et al. Managerial style and well‐being among psychiatric nurses: A prospective study. J Psychiatr Ment Health Nurs. 2019; 26:265-273. doi:10.1111/jpm.12544
Gioiello G, Zaghini F, Della Bella V, Fiorini J, Sili A. Measuring Nurses’ Organizational Well-Being: A Systematic Review of Available Instruments. Eval Health Prof. Published online October 19, 2023:01632787231207018. doi:10.1177/01632787231207018
STROBE Checklists. STROBE Statement—checklist of items that should be included in reports of observational studies. Published online August 27, 2023. Accessed August 27, 2023. file:///Users/vdb/Downloads/STROBE-checklist-v4-combined.pdf
Regulation (EU) 2016/679 of the European Parliament and of the Council of April 27, 2016, on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, Official Journal of the European Union. May 4, 2016.
Legislative Decree No. 196/2003. Personal Data Protection Code. Official Gazette. July 29, 2003.
World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013; 310:2191-2194.
Allen MS, Iliescu D, Greiff S. Single Item Measures in Psychological Science: A Call to Action. Eur J Psychol Assess. 2022; 38:1-5. doi:10.1027/1015-5759/a000699
Lake ET. Development of the practice environment scale of the nursing work index. Res Nurs Health. 2002; 25:176-188. doi:10.1002/nur.10032
Sili A. La salute organizzativa degli infermieri: guida pratica all’utilizzo del questionario infermieristico sulla salute organizzativa (QISO). EdiSES; 2010.
Spector PE, Jex SM. Development of four self-report measures of job stressors and strain: Interpersonal Conflict at Work Scale, Organizational Constraints Scale, Quantitative Workload Inventory, and Physical Symptoms Inventory. J Occup Health Psychol. 1998; 3:356-367. doi:10.1037/1076-8998.3.4.356
Ghislieri C, Gatti P, Molino M, Cortese CG. Work-family conflict and enrichment in nurses: between job demands, perceived organisational support and work-family backlash. J Nurs Manag. 2017; 25:65-75. doi:10.1111/jonm.12442
IBM Corp. IBM SPSS Statistics for Windows. Published online 2022. Accessed September 1, 2022. https://www.ibm.com/products/spss-statistics
Polit DF, Tatano Beck C. Fondamenti di ricerca infermieristica. (Palese A, ed.). McGraw-Hill; 2014.
Espinoza P, Peduzzi M, Agreli HF, Sutherland MA. Interprofessional team member’s satisfaction: a mixed methods study of a Chilean hospital. Hum Resour Health. 2018; 16:30. doi:10.1186/s12960-018-0290-z
Keller EG, Hittle BM, Boch S, Davis K, Gillespie GL. Modeling wellbeing for U.S. correctional nurses: A cross sectional survey. Int J Nurs Stud. 2023; 147:104589. doi:10.1016/j.ijnurstu.2023.104589
Verma AA, Guo Y, Kwan JL, et al. Patient characteristics, resource use and outcomes associated with general internal medicine hospital care: the General Medicine Inpatient Initiative (GEMINI) retrospective cohort study. CMAJ Open. 2017; 5:E842. doi:10.9778/cmajo.20170097
Labrague LJ, McEnroe‐Petitte DM, Leocadio MC, Van Bogaert P, Cummings GG. Stress and ways of coping among nurse managers: An integrative review. J Clin Nurs. 2018; 27:1346-1359. doi:10.1111/jocn.14165
Peace Ukachukwu. The effects of flexible work arrangements on nurses’ engagement and performance. Published online 2024. doi:10.13140/RG.2.2.12095.11683
Twigg DE, Whitehead L, Doleman G, El‐Zaemey S. The impact of nurse staffing methodologies on nurse and patient outcomes: A systematic review. J Adv Nurs. 2021; 77:4599-4611. doi:10.1111/jan.14909
Kohnen D, De Witte H, Schaufeli WB, Dello S, Bruyneel L, Sermeus W. Engaging leadership and nurse well-being: the role of the work environment and work motivation—a cross-sectional study. Hum Resour Health. 2024; 22. doi:10.1186/s12960-023-00886-6
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2024 Valerio Della Bella, Jacopo Fiorini, Francesco Zaghini, Alessandro Sili