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Article: Opinion of nurses of internal medicine wards regarding factors determining their work - observational and cross-sectional studies.

Radosz-Knawa, Zuzanna / Kamińska, Alicja / Malinowska-Lipień, Iwona / Brzostek, Tomasz / Gniadek, Agnieszka

Central European journal of public health

2024 Volume 31, Issue 4, Page(s) 240–247

Abstract: Objectives: The aim of the study was to assess the factors determining the work of nurses in internal medicine departments.: Methods: The study was multicentre, cross-sectional, and observational. The selection of the research group was intentional. ... ...

Abstract	Objectives: The aim of the study was to assess the factors determining the work of nurses in internal medicine departments. Methods: The study was multicentre, cross-sectional, and observational. The selection of the research group was intentional. The subject of the study were 209 nurses working in 11 internal medicine departments in 10 hospitals in the region of southern Poland. Results: The number of patients cared for by one nurse, nurses' participation in the decision-making process, and nurses' age were shown to be direct predictors of emotional exhaustion. The number of patients cared for by a single nurse, nurses' participation in the decision-making process, and age were direct predictors of depersonalization. It was shown that significant (p < 0.05) independent (multivariate analysis) variables of the job satisfaction subscale were information on support for nurses at work by managerial staff and nurses' participation in the decision-making process. After analysing the impact of socio-demographic factors on the nurses' working environment, it was found that the participation of nurses in the decision-making process was significantly lower in the youngest group than in the other age groups (p = 0.006). Conclusions: Participation of nurses in the decision-making process is a direct determinant of occupational burnout. A higher number of patients under the care of a nurse, lack of participation in the decision-making process and a higher age of nurses are predictors of emotional exhaustion and depersonalization.
MeSH term(s)	Humans ; Cross-Sectional Studies ; Nursing Staff, Hospital/psychology ; Workplace/psychology ; Burnout, Professional/epidemiology ; Job Satisfaction ; Emotional Exhaustion ; Surveys and Questionnaires ; Nurses
Language	English
Publishing date	2024-02-02
Publishing country	Czech Republic
Document type	Journal Article
ZDB-ID	1176053-9
ISSN	1803-1048 ; 1210-7778 ; 0022-1732
ISSN (online)	1803-1048
ISSN	1210-7778 ; 0022-1732
DOI	10.21101/cejph.a7883
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Article: Influence of the work environment of nurses on the 30-day mortality of patients hospitalized in Polish hospitals. cross-sectional studies.

Malinowska-Lipień, Iwona / Put, Dariusz / Maluchnik, Michał / Gabryś, Teresa / Kózka, Maria / Gajda, Krzysztof / Gniadek, Agnieszka / Brzostek, Tomasz / Squires, Allison

BMC nursing

2024 Volume 23, Issue 1, Page(s) 117

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 by ... ...

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 by a hospital's employees and a reduction in hospital mortality rates. Aim: To understand the relationships between the work environment as perceived by nurses on the 30-day mortality of patients treated in Polish hospitals. 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 by a hospital's employees and a reduction in hospital mortality rates. Material and methods: The analysis used discharge data from 108,284 patients hospitalized in internal medicine and surgery departments in 21 hospitals (with 24/7 operations) in Poland. Administrative data included coded data to estimate 30-day mortality. A Nurses' satisfaction questionnaire, including the PES-NWI scale and the SAQ questionnaire, was used to assess the work environment of nurses (n = 1,929). Correlations between variables were assessed using the Pearson coefficient. The analysis used a Poisson regression model, which belongs to the class of generalized linear models. Results: A lower 30-day mortality rate amongst patients was found among those treated in hospitals where the personnel feel that they may question the decisions or actions of their superiors regarding the care provided (r = - 0.50); nurses are informed about changes introduced on the basis of reports about negligence and mistakes (r = - 0.50); the ward nurse is a good manager (r = - 0.41); nurses receive timely information from the head of the department that may have an impact on their work (r = - 0.41). Conclusions: Factors related to care during hospital stay such as the organization of care at the ward level, analysis of care errors, the number of staff providing direct patient care, informing nurses about mistakes without punishment, and the possibility of nurses challenging the decisions or actions of superiors, which concerns care providing, affect the 30-day mortality of patients after the end of hospitalization in Polish hospitals.
Language	English
Publishing date	2024-02-15
Publishing country	England
Document type	Journal Article
ZDB-ID	2091496-9
ISSN	1472-6955
ISSN	1472-6955
DOI	10.1186/s12912-024-01762-x
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Article ; Online: Nurses' attitudes towards factors determining the safety of patients treated in intensive care units: Cross-sectional study.

Malinowska-Lipień, Iwona / Sasak, Paulina / Gabryś, Teresa / Kózka, Maria / Gniadek, Agnieszka / Lompart, Łukasz / Brzostek, Tomasz

Nursing in critical care

2024

Abstract: Background: The goal of health care systems is to ensure high quality of medical services provided, including patient safety. The intensive care unit (ICU) is an environment conducive to the occurrence of adverse events and medical errors because of the ...

Abstract	Background: The goal of health care systems is to ensure high quality of medical services provided, including patient safety. The intensive care unit (ICU) is an environment conducive to the occurrence of adverse events and medical errors because of the complexity of the care provided, the severity of the conditions of patients treated in these units and work often performed under stressful conditions. Aims: Assessment of attitudes of nurses working in ICUs towards patient safety. Study design: A cross-sectional, descriptive study was conducted in a group of 214 nurses employed in ICUs in hospitals located in the southern part of Poland. Method: The study used the Polish version of the Attitudes towards safety: (SAQ-SF PL) questionnaire and an original questionnaire consisting of questions on socio-demographic and professional data. Results: The overall SAQ score for the whole group was 61.89, 57.29 for adult ICU nurses and 68.20 for children's ICU. The surveyed nurses in general obtained the highest average results in terms of teamwork climate (TC)-66.92, while the lowest scores were given to the management-hospital management (PM)-45.08 and working conditions (WC)-57.56. job satisfaction (JS) positively correlated with the assessment of the TC, the assessment of the safety climate (SC), the assessment of the management staff (Head of Department) (PM), the assessment of the management staff (hospital management) (PM) and the assessment of work conditions (WC). A statistically significant, negative correlation was found between the assessment of JS and the assessment of stress recognition (SR) (r = -.20; p < .01). Conclusions: In the surveyed ICU branches, there is a low SC, and it is related, among others, to the perception of WC and the role of the management staff. The level of JS among nursing staff mainly depends on the SC, the TC, WC and the support of the management staff. Relevance to clinical practice: The results of the research presented here provide valuable assistance in identifying areas related to patient safety in ICUs. Managers' awareness of the importance of coping with occupational stress, WC or effective teamwork can help to improve staff attitudes and attitudes towards patient safety. When shaping a safe culture in a health care organization, it is important to remember that ensuring safe patient care is not only about programmes, standards or procedures, but safety is primarily about human resources-the staff involved in the treatment process-doctors, nurses, paramedics and physiotherapists. High awareness of safety at work, cooperation in an interdisciplinary team, assessment of safety culture at work and analysis and drawing conclusions may result in a real increase in quality and safety, and the patient will feel safer in 'XX' hospitals.
Language	English
Publishing date	2024-02-13
Publishing country	England
Document type	Journal Article
ZDB-ID	2011956-2
ISSN	1478-5153 ; 1362-1017
ISSN (online)	1478-5153
ISSN	1362-1017
DOI	10.1111/nicc.13040
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Article ; Online: Nurses' intention to leave their jobs in relation to work environment factors in Polish hospitals: Cross-sectional study.

Malinowska-Lipień, Iwona / Gabryś, Teresa / Kózka, Maria / Gniadek, Agnieszka / Brzostek, Tomasz

Medycyna pracy

2023 Volume 74, Issue 5, Page(s) 377–387

Abstract: Background: The lack of nursing staff is a current problem not only in Poland, but also in the world. The decision of nurses to leave the workplace, apart from the financial aspect, often results from unfavourable working conditions related to the work ... ...

Abstract	Background: The lack of nursing staff is a current problem not only in Poland, but also in the world. The decision of nurses to leave the workplace, apart from the financial aspect, often results from unfavourable working conditions related to the work environment. Material and methods: The study was multicentre, cross-sectional. The study was conducted among a group of 1509 nurses employed in surgical and internal medicine wards in 21 hospitals in Poland. The key variables of the study were: the intention of the nurses to leave their jobs, the nurses' working environment, the level of satisfaction, the level of occupational burnout and the number of patients cared for on the last shift, the number of nurses on the last shift. The Results: Almost half of the surveyed nurses (48.84%) declared their willingness to leave their current workplace. The statistical analysis showed that nurses declaring their willingness to quit their job in the hospital where they were employed were significantly younger (42.88 vs. 45.04, p = 0.000), had shorter total length of service overall (19.96 vs. 23.20), and also in the hospital where they were employed (15.86 vs. 18.50, p = 0.000). The increase in the number of patients by one was significantly associated with a 1% increase in the risk of leaving work (OR = 1.01, 95% CI 1.00-1.02). An increase in emotional exhaustion significantly increased the risk of leaving work by 2% (OR = 1.02, 95% CI 0.99-1.03). Conclusions: Younger age of nurses, greater workload resulting from more patients and occupational burnout - emotional exhaustion is correlated with the risk of leaving work in the hospital. A lower risk of leaving the job is associated with a higher level of job satisfaction in the hospital, salary and promotion opportunities. Med Pr Work Health Saf. 2023;74(5):377-87.
MeSH term(s)	Humans ; Burnout, Professional/epidemiology ; Burnout, Professional/psychology ; Cross-Sectional Studies ; Poland ; Intention ; Nursing Staff, Hospital/psychology ; Personnel Turnover ; Workplace/psychology ; Job Satisfaction ; Hospitals ; Working Conditions ; Surveys and Questionnaires ; Nurses
Language	English
Publishing date	2023-12-07
Publishing country	Poland
Document type	Journal Article
ZDB-ID	128739-4
ISSN	2353-1339 ; 0465-5893
ISSN (online)	2353-1339
ISSN	0465-5893
DOI	10.13075/mp.5893.01426
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Article: Factors Influencing the Rationing of Nursing Care in Selected Polish Hospitals.

Radosz-Knawa, Zuzanna / Kamińska, Alicja / Malinowska-Lipień, Iwona / Brzostek, Tomasz / Gniadek, Agnieszka

Healthcare (Basel, Switzerland)

2022 Volume 10, Issue 11

Abstract: Introduction: The rationalization of nursing care can be a direct consequence of the low employment rate or unfavorable working environment of nurses. Aim: The aim of the study was to learn about the factors influencing the rationing of nursing care. ... ...

Abstract	Introduction: The rationalization of nursing care can be a direct consequence of the low employment rate or unfavorable working environment of nurses. Aim: The aim of the study was to learn about the factors influencing the rationing of nursing care. Methods: The study group consisted of 209 nurses working in internal medicine departments. The study used the method of a diagnostic survey, a survey technique with the use of research tools: the BERNCA-R questionnaire and the PES-NWI questionnaire (which includes the occupational burnout questionnaire). Results: The mean total BERNCA score for rationing nursing care was 1.94 ± 0.75 on a scale from 0 to 4. A statistically significant relationship was demonstrated between the work environment and the rationing of nursing care. The results of the BERNCA-R scale correlated statistically significantly and positively (r > 0) with two (out of three) subscales of the occupational burnout questionnaire (MBI—Maslach Burnout Inventory): emotional exhaustion and depersonalization (p < 0.001), and with all types of adverse events analyzed (p < 0.05). Conclusions: The higher the frequency of care rationing, the worse the assessment of working conditions by nurses, and, therefore, more frequent care rationing determined the more frequent occurrence of adverse events. The more frequent the care rationing, the more frequent adverse events occur.
Language	English
Publishing date	2022-10-31
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2721009-1
ISSN	2227-9032
ISSN	2227-9032
DOI	10.3390/healthcare10112190
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Article ; Online: Nurses’ intention to leave their jobs in relation to work environment factors in Polish hospitals

Iwona Malinowska-Lipień / Teresa Gabryś / Maria Kózka / Agnieszka Gniadek / Tomasz Brzostek

Medycyna Pracy, Vol 74, Iss 5, Pp 377-

Cross-sectional study

2023 Volume 387

Abstract: Background The lack of nursing staff is a current problem not only in Poland, but also in the world. The decision of nurses to leave the workplace, apart from the financial aspect, often results from unfavourable working conditions related to the work ... ...

Abstract	Background The lack of nursing staff is a current problem not only in Poland, but also in the world. The decision of nurses to leave the workplace, apart from the financial aspect, often results from unfavourable working conditions related to the work environment. Material and Methods The study was multicentre, cross-sectional. The study was conducted among a group of 1509 nurses employed in surgical and internal medicine wards in 21 hospitals in Poland. The key variables of the study were: the intention of the nurses to leave their jobs, the nurses’ working environment, the level of satisfaction, the level of occupational burnout and the number of patients cared for on the last shift, the number of nurses on the last shift. The Practice Environment Scale of the Nursing Work Index (PES-NWI) and the Maslach Burnout Inventory (MBI) questionnaire were used in the research. Results Almost half of the surveyed nurses (48.84%) declared their willingness to leave their current workplace. The statistical analysis showed that nurses declaring their willingness to quit their job in the hospital where they were employed were significantly younger (42.88 vs. 45.04, p = 0.000), had shorter total length of service overall (19.96 vs. 23.20), and also in the hospital where they were employed (15.86 vs. 18.50, p = 0.000). The increase in the number of patients by one was significantly associated with a 1% increase in the risk of leaving work (OR = 1.01, 95% CI 1.00–1.02). An increase in emotional exhaustion significantly increased the risk of leaving work by 2% (OR = 1.02, 95% CI 0.99–1.03). Conclusions Younger age of nurses, greater workload resulting from more patients and occupational burnout – emotional exhaustion is correlated with the risk of leaving work in the hospital. A lower risk of leaving the job is associated with a higher level of job satisfaction in the hospital, salary and promotion opportunities. Med Pr Work Health Saf. 2023;74(5):377–87.
Keywords	nurses ; work environment ; occupational burnout ; hospitals ; emotional exhaustion ; intention to leave work ; Public aspects of medicine ; RA1-1270
Subject code	300 ; 150
Language	English
Publishing date	2023-12-01T00:00:00Z
Publisher	Nofer Institute of Occupational Medicine
Document type	Article ; Online
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Article ; Online: Factors Influencing the Rationing of Nursing Care in Selected Polish Hospitals

Zuzanna Radosz-Knawa / Alicja Kamińska / Iwona Malinowska-Lipień / Tomasz Brzostek / Agnieszka Gniadek

Healthcare, Vol 10, Iss 2190, p

2022 Volume 2190

Abstract	Introduction: The rationalization of nursing care can be a direct consequence of the low employment rate or unfavorable working environment of nurses. Aim: The aim of the study was to learn about the factors influencing the rationing of nursing care. Methods: The study group consisted of 209 nurses working in internal medicine departments. The study used the method of a diagnostic survey, a survey technique with the use of research tools: the BERNCA-R questionnaire and the PES-NWI questionnaire (which includes the occupational burnout questionnaire). Results: The mean total BERNCA score for rationing nursing care was 1.94 ± 0.75 on a scale from 0 to 4. A statistically significant relationship was demonstrated between the work environment and the rationing of nursing care. The results of the BERNCA-R scale correlated statistically significantly and positively (r ˃ 0) with two (out of three) subscales of the occupational burnout questionnaire (MBI—Maslach Burnout Inventory): emotional exhaustion and depersonalization ( p < 0.001), and with all types of adverse events analyzed ( p < 0.05). Conclusions: The higher the frequency of care rationing, the worse the assessment of working conditions by nurses, and, therefore, more frequent care rationing determined the more frequent occurrence of adverse events. The more frequent the care rationing, the more frequent adverse events occur.
Keywords	BERNCA-R ; rationing ; Polish hospitals ; Medicine ; R
Subject code	650
Language	English
Publishing date	2022-10-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
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Article ; Online: The Correlation between Nurses' COVID-19 Infections and Their Emotional State and Work Conditions during the SARS-CoV-2 Pandemic.

Malinowska-Lipień, Iwona / Suder, Magdalena / Wadas, Tadeusz / Gabryś, Teresa / Kózka, Maria / Gniadek, Agnieszka / Brzostek, Tomasz

International journal of environmental research and public health

2021 Volume 18, Issue 23

Abstract: The COVID-19 pandemic caused by the SARS-CoV-2 virus has significantly influenced the functioning of Polish hospitals, and thus, the working conditions of nurses. Research on the presence of specific negative emotions in nurses may help identify deficits ...

Abstract	The COVID-19 pandemic caused by the SARS-CoV-2 virus has significantly influenced the functioning of Polish hospitals, and thus, the working conditions of nurses. Research on the presence of specific negative emotions in nurses may help identify deficits in the future, as well as directing preventive actions. The present research was performed among nurses (
MeSH term(s)	COVID-19 ; Emotions ; Humans ; Nurses ; Pandemics ; SARS-CoV-2
Language	English
Publishing date	2021-12-02
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph182312715
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Article ; Online: Impact of the Work Environment on Patients' Safety as Perceived by Nurses in Poland-A Cross-Sectional Study.

Malinowska-Lipień, Iwona / Micek, Agnieszka / Gabryś, Teresa / Kózka, Maria / Gajda, Krzysztof / Gniadek, Agnieszka / Brzostek, Tomasz / Fletcher, Jason / Squires, Allison

International journal of environmental research and public health

2021 Volume 18, Issue 22

Abstract: Numerous studies have found that organizational features connected with the work environment of nurses have a significant influence on patients' safety. The aim of this research was to capture nurses' opinions about patients' safety and discern ... ...

Abstract	Numerous studies have found that organizational features connected with the work environment of nurses have a significant influence on patients' safety. The aim of this research was to capture nurses' opinions about patients' safety and discern relationships with work environment characteristics. This cross-sectional study surveyed 1825 nurses. The research used questionnaire consisting of four parts: (1) covered The Practice Environment Scale of the Nursing Work Index (PES-NWI); (2) assessed the quality of nursing care and care safety; (3) contained information on the most recent duty served by the nurses and (4) captured social and demographic data of participants. The research identified strong association between patient safety assessment and work environment of nurses in the aspect of employment adequacy, cooperation between nurses and doctors, support for nurses from the managing staff, the possibility to participate in the management as well as professional promotion of nurses employed in the hospital (
MeSH term(s)	Cross-Sectional Studies ; Humans ; Job Satisfaction ; Nursing Staff, Hospital ; Patient Safety ; Poland ; Surveys and Questionnaires ; Workplace
Language	English
Publishing date	2021-11-17
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph182212057
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Article ; Online: Emotional Control among Nurses against Work Conditions and the Support Received during the SARS-CoV-2 Pandemic.

Malinowska-Lipień, Iwona / Wadas, Tadeusz / Sułkowska, Joanna / Suder, Magdalena / Gabryś, Teresa / Kózka, Maria / Gniadek, Agnieszka / Brzostek, Tomasz

International journal of environmental research and public health

2021 Volume 18, Issue 17

Abstract: Introduction: Working in the state of a pandemic is a huge mental load for the medical environment.: Aim: Evaluation of emotional control among nurses against work conditions and the support received during the SARS-CoV-2 pandemic.: Material and ... ...

Abstract	Introduction: Working in the state of a pandemic is a huge mental load for the medical environment. Aim: Evaluation of emotional control among nurses against work conditions and the support received during the SARS-CoV-2 pandemic. Material and methods: The research was performed among nurses ( Results: In the entire research group, fear had the highest rate of suppression among the negative emotions-18.25 points, 17.91 points in infectious wards and 18.44 points among nurses working in non-infectious wards; Conclusions: A high level of emotion suppression, especially regarding fear, combined with higher stress levels, occurring irrespective of the ward, points at the need for mental support for the researched nurses.
MeSH term(s)	COVID-19 ; Emotions ; Humans ; Nurses ; Pandemics ; SARS-CoV-2
Language	English
Publishing date	2021-09-06
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph18179415
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