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The relationship between hospital work environment and nurse outcomes in Guangdong, China: a nurse questionnaire survey

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Listed:
  • Ke Liu
  • Li‐Ming You
  • Shao‐Xian Chen
  • Yuan‐Tao Hao
  • Xiao‐Wen Zhu
  • Li‐Feng Zhang
  • Linda H Aiken

Abstract

Aims and objectives. This study examines the relationship between hospital work environments and job satisfaction, job‐related burnout and intention to leave among nurses in Guangdong province, China. Background. The nursing shortage is an urgent global problem and also of concern in China. Studies in Western countries have shown that better work environments are associated with higher nurse satisfaction and lower burnout, thereby improving retention and lowering turnover rates. However, there is little research on the relationship between nurse work environments and nurse outcomes in China. Design. This is a cross‐sectional study. Survey data were collected from 1104 bedside nurses in 89 medical, surgical and intensive care units in 21 hospitals across the Guangdong province in China. Methods. Stratified convenience sampling was used to select hospitals, and systematic sampling was used to select units. All staff nurses working on participating units were surveyed. The China Hospital Nurse Survey, including the Practice Environment Scale of the Nursing Work Index and Maslach Burnout Inventory, was employed to collect data from nurses. Statistical significance level was set at 0·05. Results. Thirty‐seven per cent of the nurses experienced high burnout, and 54% were dissatisfied with their jobs. Improving nurses’ work environments from poor to better was associated with a 50% decrease in job dissatisfaction and a 33% decrease in job‐related burnout among nurses. Conclusion. Burnout and job dissatisfaction are high among hospital nurses in Guangdong province, China. Better work environments for nurses were associated with decreased job dissatisfaction and job‐related burnout, which may successfully address the nursing shortage in China. Relevance to clinical practice. The findings of this study indicate that improving work environments is essential to deal with the nursing shortage; the findings provide motivation for nurse managers and policy makers to improve work environments of hospital nurses in China.

Suggested Citation

  • Ke Liu & Li‐Ming You & Shao‐Xian Chen & Yuan‐Tao Hao & Xiao‐Wen Zhu & Li‐Feng Zhang & Linda H Aiken, 2012. "The relationship between hospital work environment and nurse outcomes in Guangdong, China: a nurse questionnaire survey," Journal of Clinical Nursing, John Wiley & Sons, vol. 21(9‐10), pages 1476-1485, May.
  • Handle: RePEc:wly:jocnur:v:21:y:2012:i:9-10:p:1476-1485
    DOI: 10.1111/j.1365-2702.2011.03991.x
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    Cited by:

    1. Yamei Bai & Aaron Yao & Yulei Song & Guihua Xu, 2018. "Redesigning the patient classification system in China: A pilot study," Nursing & Health Sciences, John Wiley & Sons, vol. 20(2), pages 181-186, June.
    2. Xia Fu & Jiajia Xu & Li Song & Hua Li & Jing Wang & Xiaohua Wu & Yani Hu & Lijun Wei & Lingling Gao & Qiyi Wang & Zhanyi Lin & Huigen Huang, 2015. "Validation of the Chinese Version of the Quality of Nursing Work Life Scale," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-12, May.
    3. Jharana Shah & A B Hamal & Gayatri Hamal & Mausam Shah & S S Budhathoki, 2019. "Incidence of the Barriers in the Educational Methods with Adolescent Students in Nursing," JOJ Nursing & Health Care, Juniper Publishers Inc., vol. 11(3), pages 45-55, December.
    4. Virya Koy & Jintana Yunibhand & Yupin Angsuroch & Sue Turale & Suwimon Rojnawee, 2020. "Registered nurses' perceptions of factors influencing nursing care quality: A structural equation modeling study," Nursing & Health Sciences, John Wiley & Sons, vol. 22(1), pages 91-98, March.
    5. Yu‐fang Guo & Yuan‐hui Luo & Louisa Lam & Wendy Cross & Virginia Plummer & Jing‐ping Zhang, 2018. "Burnout and its association with resilience in nurses: A cross‐sectional study," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(1-2), pages 441-449, January.
    6. Zainab Ambani & Ann Kutney‐Lee & Eileen T. Lake, 2020. "The nursing practice environment and nurse job outcomes: A path analysis of survey data," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(13-14), pages 2602-2614, July.

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