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Nurses’ professional practice environment in Brazilian university hospitals: a multicenter cross-sectional study

Abstract

Objective

To analyze and compare the professional practice environment of nurses in three university hospitals in Brazil and verify possible associations with sociodemographic and professional variables.

Methods

Multicenter, cross-sectional study with a quantitative approach, carried out with a total of 427 nurses from three university hospitals in the south and southeast regions of Brazil, using the Nursing Work Index Revised (NWI-R). For data analysis, we used descriptive and inferential statistics.

Results

The means of the NWI-R and its subscales of the three institutions were less than 2.5. The mean in the subscale “Autonomy” in the hospital in Rio Grande do Sul (2.25) is higher when compared to the mean in the hospital in Sao Paulo (2.01), and the mean in the subscale “Physician-Nurse Relations” in the hospital in Rio Grande do Sul (2.30) is higher than the other means (SP mean: 1.99 and SC mean: 2.09).

Conclusion

It is concluded that the environment of the investigated institutions is favorable to the professional practice of nurses, as they have autonomy, control over the environment, good relationships with physicians and organizational support. The perception of the practice environment is related to working time and intention to leave the job.

Working environment; Health facility environment; Hospitals, university; Nurses

Escola Paulista de Enfermagem, Universidade Federal de São Paulo R. Napoleão de Barros, 754, 04024-002 São Paulo - SP/Brasil, Tel./Fax: (55 11) 5576 4430 - São Paulo - SP - Brazil
E-mail: actapaulista@unifesp.br