Influence of the work environment of nurses on the 30-day mortality of patients hospitalized in Polish hospitals. cross-sectional studies

• DOI: 10.1186/s12912-024-01762-x
• Publication Date: 2024-02-15T19:02:58Z
• Authors: Iwona Malinowska-...; Dariusz Put; Michał Maluchnik; Teresa Gabryś; Maria Kózka; Krzysztof Gajda; Agnieszka Gniadek; Tomasz Brzostek; Allison Squires
• Keywords: Staffing; Nursing management; Health administration; Cross-sectional study

Abstract Background An optimal work environment for nurses is characterized primarily by appropriate staffing, good team relations, and support from the management staff. These factors are consistently associated with a positive assessment of patient safety hospital’s employees reduction in hospital mortality rates. Aim To understand relationships between as perceived on 30-day patients treated Polish hospitals. Material methods The analysis used discharge data 108,284 hospitalized internal medicine surgery departments 21 hospitals (with 24/7 operations) Poland. Administrative included coded to estimate mortality. A Nurses’ satisfaction questionnaire, including PES-NWI scale SAQ was assess ( n = 1,929). Correlations variables were assessed using Pearson coefficient. Poisson regression model, which belongs class generalized linear models. Results lower rate amongst found among those where personnel feel that they may question decisions or actions their superiors regarding care provided r − 0.50); informed about changes introduced basis reports negligence mistakes ward nurse manager 0.41); receive timely information head department have an impact 0.41). Conclusions Factors related during stay such organization at level, errors, number staff providing direct care, informing without punishment, possibility challenging superiors, concerns providing, affect after end hospitalization