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Study of the Strengths and Weaknesses of Nursing Work Environments in Primary Care in Spain

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  • Vicente Gea-Caballero

    (Nursing School La Fe, Adscript Center of Universidad de Valencia, 46026 Valencia, Spain
    Research Group GREIACC, Health Research Institute La Fe, Avda. Fernando Abril Martorell, 106, Pabellón Docente Torre H, Hospital La Fe, 46026 Valencia, Spain)

  • José Ramón Martínez-Riera

    (Departamento Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia, Universidad de Alicante, 03080 Alicante, Spain)

  • Pedro García-Martínez

    (Nursing School La Fe, Adscript Center of Universidad de Valencia, 46026 Valencia, Spain
    Research Group GREIACC, Health Research Institute La Fe, Avda. Fernando Abril Martorell, 106, Pabellón Docente Torre H, Hospital La Fe, 46026 Valencia, Spain)

  • Jorge Casaña-Mohedo

    (Health Department, Universidad Católica de Valencia, C/Quevedo 2, 46001 Valencia, Spain)

  • Isabel Antón-Solanas

    (Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain
    Research Group Nursing Research in Primary Care in Aragón (GENIAPA) (GIIS094), Institute of Research of Aragón, Avenida San Juan Bosco, 13, 50009 Zaragoza, Spain)

  • María Virtudes Verdeguer-Gómez

    (Departament de Salut La Ribera, Atención Primaria, Ctra. Corbera, Alzira, 46600 Valencia, Spain)

  • Iván Santolaya-Arnedo

    (Centro de Investigación Biomédica de la Rioja, Logrono, 26006 La Rioja, Spain
    Department of Nursing, University of La Rioja, Logroño, 26006 La Rioja, Spain)

  • Raúl Juárez-Vela

    (Centro de Investigación Biomédica de la Rioja, Logrono, 26006 La Rioja, Spain
    Department of Nursing, University of La Rioja, Logroño, 26006 La Rioja, Spain)

Abstract

Background: Nursing work environments are defined as the characteristics of the workplace that promote or hinder the provision of professional care by nurses. Positive work environments lead to better health outcomes. Our study aims to identify the strengths and weaknesses of primary health care settings in Spain. Methods: Cross-sectional study carried out from 2018 to 2019. We used the Practice Environment Scale of the Nursing Work Index and the TOP10 Questionnaire of Assessment of Environments in Primary Health Care for data collection. The associations between sociodemographic and professional variables were analyzed. Results: In total, 702 primary care nurses participated in the study. Responses were obtained from 14 out of the 17 Spanish Autonomous Communities. Nursing foundation for quality of care, management and leadership of head nurse and nurse–physician relationship were identified as strengths, whereas nurse participation in center affairs and adequate human resources to ensure quality of care were identified as weaknesses of the nursing work environment in primary health care. Older nurses and those educated to doctoral level were the most critical in the nursing work environments. Variables Age, Level of Education and Managerial Role showed a significant relation with global score in the questionnaire. Conclusion: Interventions by nurse managers in primary health care should focus on improving identified weaknesses to improve quality of care and health outcomes.

Suggested Citation

  • Vicente Gea-Caballero & José Ramón Martínez-Riera & Pedro García-Martínez & Jorge Casaña-Mohedo & Isabel Antón-Solanas & María Virtudes Verdeguer-Gómez & Iván Santolaya-Arnedo & Raúl Juárez-Vela, 2021. "Study of the Strengths and Weaknesses of Nursing Work Environments in Primary Care in Spain," IJERPH, MDPI, vol. 18(2), pages 1-12, January.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:2:p:434-:d:476529
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    References listed on IDEAS

    as
    1. Ying Wang & Weizhen Dong & Kristen Mauk & Peiying Li & Jin Wan & Guang Yang & Lyuying Fang & Wan Huan & Chun Chen & Mo Hao, 2015. "Nurses’ Practice Environment and Their Job Satisfaction: A Study on Nurses Caring for Older Adults in Shanghai," PLOS ONE, Public Library of Science, vol. 10(9), pages 1-13, September.
    2. Martine Selm & Nicholas Jankowski, 2006. "Conducting Online Surveys," Quality & Quantity: International Journal of Methodology, Springer, vol. 40(3), pages 435-456, June.
    3. José Ramón Martínez-Riera & Raúl Juárez-Vela & Miguel Ángel Díaz-Herrera & Raimunda Montejano-Lozoya & Vicente Doménech-Briz & José Vicente Benavent-Cervera & Ana Cristina Cabellos-García & Pedro Melo, 2020. "Qualitative Analysis by Experts of the Essential Elements of the Nursing Practice Environments Proposed by the TOP10 Questionnaire of Assessment of Environments in Primary Health Care," IJERPH, MDPI, vol. 17(20), pages 1-13, October.
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