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Nursing practice environment, quality of care, and morale of hospital nurses in Japan

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  • Eriko Anzai
  • Clint Douglas
  • Ann Bonner

Abstract

The purpose of this study was to describe Japanese hospital nurses' perceptions of the nursing practice environment and examine its association with nurse‐reported ability to provide quality nursing care, quality of patient care, and ward morale. A cross‐sectional survey design was used including 223 nurses working in 12 acute inpatient wards in a large Japanese teaching hospital. Nurses rated their work environment favorably overall using the Japanese version of the Practice Environment Scale of the Nursing Work Index. Subscale scores indicated high perceptions of physician relations and quality of nursing management, but lower scores for staffing and resources. Ward nurse managers generally rated the practice environment more positively than staff nurses except for staffing and resources. Regression analyses found the practice environment was a significant predictor of quality of patient care and ward morale, whereas perceived ability to provide quality nursing care was most strongly associated with years of clinical experience. These findings support interventions to improve the nursing practice environment, particularly staffing and resource adequacy, to enhance quality of care and ward morale in Japan.

Suggested Citation

  • Eriko Anzai & Clint Douglas & Ann Bonner, 2014. "Nursing practice environment, quality of care, and morale of hospital nurses in Japan," Nursing & Health Sciences, John Wiley & Sons, vol. 16(2), pages 171-178, June.
  • Handle: RePEc:wly:nuhsci:v:16:y:2014:i:2:p:171-178
    DOI: 10.1111/nhs.12081
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    Cited by:

    1. Seyyed Abolfazl Vagharseyyedin, 2016. "Nurses' perspectives on workplace mistreatment: A qualitative study," Nursing & Health Sciences, John Wiley & Sons, vol. 18(1), pages 70-78, March.
    2. Mieko Omura & Teresa E. Stone & Tracy Levett‐Jones, 2018. "Cultural factors influencing Japanese nurses’ assertive communication: Part 2 – hierarchy and power," Nursing & Health Sciences, John Wiley & Sons, vol. 20(3), pages 289-295, September.
    3. Jong-Yi Wang & Hui-Lin Zhuang & Jeng-Yuan Chiou & Chia-Woei Wang & Chen-Yu Wang & Li-Fan Liu, 2018. "Exploring factors influencing the work-related morale for certified nursing assistants in hospice care: A structural equation modeling study," PLOS ONE, Public Library of Science, vol. 13(10), pages 1-18, October.
    4. Kyung Jin Hong & Youngjin Lee, 2020. "The Moderating Effect of Nursing Practice Environment on the Relationship between Clinical Nurses’ Sleep Quality and Wellness," IJERPH, MDPI, vol. 17(19), pages 1-11, September.
    5. Pedro Lucas & Elvio Jesus & Sofia Almeida & Beatriz Araújo, 2021. "Validation of the Psychometric Properties of the Practice Environment Scale of Nursing Work Index in Primary Health Care in Portugal," IJERPH, MDPI, vol. 18(12), pages 1-11, June.

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