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From the first to the fourth critical period of COVID-19: what has changed in nursing practice environments in hospital settings? | LitMetric

AI Article Synopsis

  • The COVID-19 pandemic prompted significant changes in nursing practice environments, leading to a study that analyzed these impacts between two critical periods of the pandemic.
  • A quantitative study at a University Hospital involved 713 registered nurses and assessed their work conditions through questionnaires and a specialized evaluation scale at two different times in 2020 and 2021.
  • The results revealed a generally positive impact on nursing environments, particularly in areas caring for COVID-19 patients, but highlighted the need for improvement in Medicine Department services due to lower scores in key evaluation components.

Article Abstract

Background: The COVID-19 pandemic reinforced the need to invest in nursing practice environments and health institutions were led to implement several changes. In this sense, this study aimed to analyze the impact of the changes that occurred in nursing practice  environments between the first and fourth critical periods of the pandemic.

Methods: Quantitative, observational study, conducted in a University Hospital, with the participation of 713 registered nurses. Data were collected through a questionnaire with sociodemographic and professional characterization and the Scale for the Environments Evaluation of Professional Nursing Practice, applied at two different points in time: from 1 to 30 June 2020 and from 15 August to 15 September 2021. Data were processed using descriptive and inferential statistics.

Results: Overall, the pandemic had a positive impact on nursing practice environments. However, the Process component remained favourable to quality of care, while the Structure and Outcome components only moderately favourable. Nurses working in Medicine Department services showed lower scores in several dimensions of the Structure, Process and Outcome components. On the other hand, nurses working in areas caring for patients with COVID-19 showed higher scores in several dimensions of the Structure, Process and Outcome components.

Conclusions: The pandemic had a positive impact on various dimensions of nursing practice environments, which denotes that regardless of the adversities and moments of crisis that may arise, investment in work environments will have positive repercussions. However, more investment is needed in Medicine Department services, which have historically been characterised by high workloads and structural conditions that make it difficult to promote positive and sustainable workplaces.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9958319PMC
http://dx.doi.org/10.1186/s12912-023-01207-xDOI Listing

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