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

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    Bonner422615-Accepted.pdf (125.7Kb)
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    Accepted Manuscript (AM)
    Author(s)
    Anzai, Eriko
    Douglas, Clint
    Bonner, Ann
    Griffith University Author(s)
    Bonner, Ann J.
    Year published
    2014
    Metadata
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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 ...
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    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.
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    Journal Title
    Nursing & Health Sciences
    Volume
    16
    Issue
    2
    DOI
    https://doi.org/10.1111/nhs.12081
    Copyright Statement
    © 2014 Wiley Publishing Asia Pty Ltd. This is the peer reviewed version of the following article: Nursing practice environment, quality of care, and morale of hospital nurses in Japan, Nursing and Health Sciences, 2014, 16 (2), pp. 171-178, which has been published in final form at https://doi.org/10.1111/nhs.12081. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html)
    Subject
    Nursing
    Science & Technology
    Life Sciences & Biomedicine
    Japan
    morale
    Publication URI
    http://hdl.handle.net/10072/400110
    Collection
    • Journal articles

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