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      The Impact of Work Environment on Nurses’ Compassion: A Multicenter Cross-Sectional Study

      research-article
      , MSc 1 , , PhD 1 , , , PhD 1
      SAGE Open Nursing
      SAGE Publications
      compassionate care, compassion, critical care nurses, work environment

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          Abstract

          Introduction

          Compassionate care is considered as the main part of the nurses’ identity and a core component of nursing care. One clinical environment where patients experience a lot of pain and nurses play a vital role in delivering care is the intensive care unit (ICU).

          Objective

          Considering the importance of compassionate care in intensive care units, this study aimed to assess the relationship between the work environment and nurses’ compassion in intensive care units.

          Methods

          In this cross-sectional survey, a total of 235 nurses were randomly selected from the intensive care units of four educational hospitals of Tabriz University of Medical Sciences from January to March 2021. Data were collected by demographic questionnaire, the Sussex-Oxford Compassion for Others Scale (SOCS-O) and the Practice Environment Scale of the Nursing Work Index (PES-NWI).

          Results

          The results showed that there was a significant and inverse relationship between the patient per nurse ratio and the mean score of nurses’ compassion ( P < .05). Moreover, Pearson correlation coefficient showed that the mean total score of the nursing work index had a significant positive relationship with the mean score of the compassion for others (r = 0.16, P = .016).

          Conclusion

          Health care managers and leaders should pay more attention to the promotion of nurses’ working environments and they should remove the organizational barriers of compassionate care delivery.

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          Most cited references57

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          Determining Sample Size for Research Activities

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            Development of the practice environment scale of the Nursing Work Index.

            Five subscales were derived from the Nursing Work Index (NWI) to measure the hospital nursing practice environment, using 1985-1986 nurse data from 16 magnet hospitals. The NWI comprises organizational characteristics of the original magnet hospitals. The psychometric properties of the subscales and a composite measure were established. All measures were highly reliable at the nurse and hospital levels. Construct validity was supported by higher scores of nurses in magnet versus nonmagnet hospitals. Confirmatory analyses of contemporary data from 11,636 Pennsylvania nurses supported the subscales. The soundness of the new measures is supported by their theoretical and empirical foundations, conceptual integrity, psychometric strength, and generalizability. The measures could be used to study how the practice environment influences nurse and patient outcomes. Copyright 2002 Wiley Periodicals, Inc.
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              The state of the science of nurse work environments in the United States: A systematic review

              A healthy nurse work environment is a workplace that is safe, empowering, and satisfying. Many research studies were conducted on nurse work environments in the last decade; however, it lacks an overview of these research studies. The purpose of this review is to identify, evaluate, and summarize the major foci of studies about nurse work environments in the United States published between January 2005 and December 2017 and provide strategies to improve nurse work environments. Databases searched included MEDLINE via PubMed, CINAHL, PsycINFO, Nursing and Allied Health, and the Cochrane Library. The literature search followed the PRISMA guideline. Fifty-four articles were reviewed. Five major themes emerged: 1) Impacts of healthy work environments on nurses' outcomes such as psychological health, emotional strains, job satisfaction, and retention; 2) Associations between healthy work environments and nurse interpersonal relationships at workplaces, job performance, and productivity; 3) Effects of healthy work environments on patient care quality; 4) Influences of healthy work environments on hospital accidental safety; and 5) Relationships between nurse leadership and healthy work environments. This review shows that nurses, as frontline patient care providers, are the foundation for patient safety and care quality. Promoting nurse empowerment, engagement, and interpersonal relationships at work is rudimental to achieve a healthy work environment and quality patient care. Healthier work environments lead to more satisfied nurses who will result in better job performance and higher quality of patient care, which will subsequently improve healthcare organizations' financial viability. Fostering a healthy work environment is a continuous effort.
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                Author and article information

                Journal
                SAGE Open Nurs
                SAGE Open Nurs
                SON
                spson
                SAGE Open Nursing
                SAGE Publications (Sage CA: Los Angeles, CA )
                2377-9608
                24 August 2022
                Jan-Dec 2022
                : 8
                : 23779608221119124
                Affiliations
                [1 ]Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Ringgold 48432, universityTabriz University of Medical Sciences; , Tabriz, Iran
                Author notes
                [*]Mansour Ghafourifard, Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Shariati-jonubi st., Tabriz, Iran. Email: m.ghafori@ 123456yahoo.com
                Author information
                https://orcid.org/0000-0002-3771-5152
                Article
                10.1177_23779608221119124
                10.1177/23779608221119124
                9411735
                36032413
                32e1ee27-1824-41ff-abca-c83d794d1078
                © The Author(s) 2022

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                : 9 April 2022
                : 19 July 2022
                : 21 July 2022
                Funding
                Funded by: Tabriz University of Medical Sciences, FundRef https://doi.org/10.13039/501100004366;
                Award ID: 65954
                Categories
                Original Research Article
                Custom metadata
                ts19
                January-December 2022

                compassionate care,compassion,critical care nurses,work environment

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