Cent Eur J Public Health 2023, 31(4):240-247 | DOI: 10.21101/cejph.a7883

Opinion of nurses of internal medicine wards regarding factors determining their work – observational and cross-sectional studies

Zuzanna Radosz-Knawa1, Alicja Kamińska2, Iwona Malinowska-Lipień1, Tomasz Brzostek1, Agnieszka Gniadek3
1 Department of Internal Medicine and Environmental Nursing, Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland
2 Laboratory of Theory and Fundamentals of Nursing, Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland
3 Department of Nursing Management and Epidemiology Nursing, Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland

Objectives: The aim of the study was to assess the factors determining the work of nurses in internal medicine departments.

Methods: The study was multicentre, cross-sectional, and observational. The selection of the research group was intentional. The subject of the study were 209 nurses working in 11 internal medicine departments in 10 hospitals in the region of southern Poland.

Results: The number of patients cared for by one nurse, nurses' participation in the decision-making process, and nurses' age were shown to be direct predictors of emotional exhaustion. The number of patients cared for by a single nurse, nurses' participation in the decision-making process, and age were direct predictors of depersonalization. It was shown that significant (p < 0.05) independent (multivariate analysis) variables of the job satisfaction subscale were information on support for nurses at work by managerial staff and nurses' participation in the decision-making process. After analysing the impact of socio-demographic factors on the nurses' working environment, it was found that the participation of nurses in the decision-making process was significantly lower in the youngest group than in the other age groups (p = 0.006).

Conclusions: Participation of nurses in the decision-making process is a direct determinant of occupational burnout. A higher number of patients under the care of a nurse, lack of participation in the decision-making process and a higher age of nurses are predictors of emotional exhaustion and depersonalization.

Keywords: burnout, nurses, work environment, staffing

Received: May 22, 2023; Revised: November 3, 2023; Accepted: November 3, 2023; Published: December 30, 2023  Show citation

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Radosz-Knawa Z, Kamińska A, Malinowska-Lipień I, Brzostek T, Gniadek A. Opinion of nurses of internal medicine wards regarding factors determining their work – observational and cross-sectional studies. Cent Eur J Public Health. 2023;31(4):240-247. doi: 10.21101/cejph.a7883. PubMed PMID: 38309701.
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    References

    1. Jakimiuk B. [Working environment as an area of building self-esteem and relationships with other people]. Ann Univ Mariae Curie Sklodowska Sect J. 2016;29(4):43-54. Polish. Go to original source...
    2. Kułagowska E. [Working conditions in operating rooms]. Med Pr. 2007;58(1):1-5. Polish.
    3. Włodarczyk D, Tobolska B. [Professional image of nurses as perceived by doctors, patients and nurses themselves]. Med Pr. 2011;62(3):269-79. Polish.
    4. Kuriata E, Felińczak A, Grzebiieluch J, Szachniewicz M. [Harmful factors and workload of nurses at hospitals]. Część II Piel Zdr Publ. 2011;1(3):269-73. Polish
    5. Ogata Y, Katsuyama K, Tanaka S, Nagano M, Yumoto Y, Ikeda M. Characteristics of the nursing practice environment related to creating healthy work environments for nurses [Internet]. Indiana: STTI; 2017 [cited 2023 March 30]. Available from: http://hdl.handle.net/10755/621279.
    6. Han RM, Carter P, Champion JD. Relationships among factors affecting advanced practice registered nurses' job satisfaction and intent to leave: a systematic review. J Am Assoc Nurse Pract. 2018;30(2):101-13. Go to original source... Go to PubMed...
    7. Aiken LH, Clarke SP, Sloane DM. Hospital staffing, organization, and quality of care: cross-national findings. Nurs Outlook. 2002;50(5):187-94. Go to original source... Go to PubMed...
    8. Grumbach K, Ash M, Seago JA, Spetz J, Coffman J. Measuring shortages of hospital nurses: how do you know a hospital with a nursing shortage when you see one? Med Care Res Rev. 2001;58(4):387-403. Go to original source... Go to PubMed...
    9. Seidler A, Thinschmidt M, Deckert S, Then F, Hegewald J, Nieuwenhuijsen K, et al. The role of psychosocial working conditions on burnout and its core component emotional exhaustion - a systematic review. J Occup Med Toxic 2014;9(1):10. doi: 10.1186/1745-6673-9-10. Go to original source... Go to PubMed...
    10. Marian M, Borza A, Filimon L, Marginean I. Psychosocial determinants of burnout syndrome: metaanalitic study. JPER. 2011;19:78-93.
    11. Stordeur S, D'hoore W, Vanderberghe C. Leadership, organizational stress, and emotional exhaustion among hospital nursing staff. J Adv Nurs 2001;35(4):533-42. Go to original source... Go to PubMed...
    12. Maresca G, Corallo F, Catanese G, Formica C, Lo Buono V. Coping strategies of healthcare professionals with burnout syndrome: a systematic review. Medicina. 2022;58(2):327. doi: 10.3390/medicina58020327. Go to original source... Go to PubMed...
    13. Van Bogaert P, Timmermans O, Weeks SM, van Heusden D, Wouters K, Franck E. Nursing unit teams matter: impact of unit-level nurse practice environment, nurse work characteristics, and burnout on nurse reported job outcomes, and quality of care, and patient adverse events - a cross-sectional survey. Int J Nurs Stud. 2014;51(8):1123-34. Go to original source... Go to PubMed...
    14. Przewoźniak L, Kózka M, Cisek M, Gajda K, Brzyski P, Ogarek M, et al. [Organization and the scope of the RN4CAST (Registered Nurse Forecasting) study concerning planning of nursing workforce in Poland]. Zdrowie Publiczne i Zarządzanie. 2012;10(2):267-76. Polish.
    15. Misener TR, Cox DL. Development of the Misener Nurse Practitioner Job Satisfaction Scale. J Nurs Meas. 2001;9(1):91-108. Go to original source...
    16. Aiken LH, Sermeus W, Van den Heede K, Sloane DM, Busse R, McKee M, et al. Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ. 2012 Mar 20;344:e1717. doi: 10.1136/bmj.e1717. Go to original source... Go to PubMed...
    17. Cimiotti JP, Aiken LH, Sloane DM, Wu ES. Nurse staffing, burnout, and health care-associated infection. Am J Infect Control. 2012;40(6):486-90. Go to original source... Go to PubMed...
    18. Malinowska-Lipień I, Micek A, Gabryś T, Kózka M, Gajda K, Gniadek A, et al. Impact of the work environment on patients' safety as perceived by nurses in Poland - a cross-sectional study. Int J Environ Res Public Health. 2021;18(22):12057. doi: 10.3390/ijerph182212057. Go to original source... Go to PubMed...
    19. Basińska BA, Wilczek-Rużyczka E. The role of rewards and demands in burnout among surgical nurses. Int J Occup Med Environ Health. 2013;26(4):593-604. Go to original source... Go to PubMed...
    20. Cisek M, Przewoźniak L, Kózka M, Brzostek T, Brzyski P, Ogarek M, et al. [Workload during the last shift in the opinion of hospital nurses involved in RN4CAST project]. Zdrowie Publiczne i Zarządzanie 2013;11(2):210-24. Polish.
    21. Maslach C, Jackson S. The measurement of experienced burnout. J Occup Behav. 1981;2(2):99-113. Go to original source...
    22. Piotrowski A, Sygit-Kowalkowska E, Boe O, Rawat S. Resilience, occupational stress, job satisfaction, and intention to leave the organization among nurses and midwives during the COVID-19 pandemic. Int J Environ Res Public Health. 2022 Jun 2;19(11):6826. doi: 10.3390/ijerph19116826. Go to original source... Go to PubMed...
    23. Dębska G, Kadučáková H, Krátká A, Pasek M. Assessment of psychological burden and occupational burnout in nurses working in Intensive Care Units in Poland, Slovakia and the Czech Republic. Clin Soc Work Health Interv. 2019;10(2):53-61. Go to original source...
    24. Radosz-Knawa Z, Kamińska A, Malinowska-Lipień I, Brzostek T, Gniadek, A. Factors influencing the rationing of nursing care in selected Polish hospitals. Healthcare. 2022;10(11):2190. doi: 10.22359/cswhi_10_2_08. Go to original source...
    25. Ahmadi O, Azizkhani R, Basravi M. Correlation between workplace and occupational burnout syndrome in nurses. Adv Biomed Res. 2014;3:44. doi: 10.4103/2277-9175.125751. Go to original source... Go to PubMed...
    26. Upenieks VV, Kotlerman J, Akhavan J, Esser J, Ngo MJ. Assessing nursing staffing ratios: variability in workload intensity. Policy Polit Nurs Pract. 2007;8(1):7-19. Go to original source... Go to PubMed...
    27. Twigg D, Duffield C. A review of workload measures: a context for a new staffing methodology in Western Australia. Int J Nurs Stud. 2009;46(1):131-9. Go to original source... Go to PubMed...

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