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

Anzai, Eriko, Douglas, Clint, & Bonner, Ann (2014) Nursing practice environment, quality of care and morale of hospital nurses in Japan. Nursing And Health Sciences, 16(2), pp. 171-178.

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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.

Impact and interest:

3 citations in Scopus
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2 citations in Web of Science®

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ID Code: 61247
Item Type: Journal Article
Refereed: Yes
Keywords: Japan, Nursing practice environment, Morale, PES-NWI, Quality of care, Work environment
DOI: 10.1111/nhs.12081
ISSN: 1442-2018
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Clinical Nursing - Secondary (Acute Care) (111003)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Schools > School of Nursing
Copyright Owner: Copyright 2013 Wiley Publishing Asia Pty Ltd.
Deposited On: 10 Jul 2013 05:43
Last Modified: 05 Jul 2015 22:19

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