Effectiveness of intervention programs aimed at improving the nursing work environment: A systematic review
Gutiérrez-Fernández Eva1, Francisco Amo-Setién2, Leal-Costa César3
1Álava University Hospital, Osakidetza, Spain.
International Nursing Review
|January 16, 2023
Summary
Interventions to improve the nursing work environment are effective for increasing job satisfaction. However, the most effective intervention type, combination, and duration require further study.
Area of Science:
- Nursing Science
- Occupational Health
- Healthcare Management
Background:
- Nursing work environments face challenges like workload and stress.
- A positive nursing environment is crucial for nurse well-being and patient care.
- Measures are implemented to enhance the nursing work environment.
Purpose of the Study:
- To evaluate the effectiveness of interventions designed to improve the nursing work environment.
- To identify successful strategies for enhancing the professional environment for nurses.
Main Methods:
- Systematic review of experimental studies with control groups.
- Searched multiple databases (Medline, Scopus, etc.) and conducted manual searches.
- Assessed risk of bias using the Cochrane tool.
Main Results:
- 19 clinical trials involving 1427 nurses were included.
- Interventions focused on personal (e.g., stress management) and environmental (e.g., organization) factors.
- Teamwork and stress were the most studied aspects, with most interventions showing significant improvements.
Conclusions:
- Interventions to improve the nursing work environment effectively increase job satisfaction.
- Data heterogeneity prevented determining the single most effective intervention.
- Intervention efficacy depends on combination, type, and duration.
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