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Updated: Jul 2, 2025

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Factors in the Perioperative Nurses' Work Environment That Predict Work Engagement.

M Imelda Wright, Shuying Sha, Lynne A Hall

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    PubMed
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    Perioperative nurse engagement is linked to leadership support and quality care foundations. Certification did not significantly impact engagement levels in this study.

    Keywords:
    culture of safetyleadership supportmixed-methods studynurse engagementperioperative nurse certification

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    Area of Science:

    • Nursing Science
    • Healthcare Management
    • Patient Safety

    Background:

    • Perioperative nurse engagement and certification are vital for a culture of safety.
    • Understanding the interplay between the practice environment, engagement, and certification is essential.

    Purpose of the Study:

    • To examine the relationship between the perioperative practice environment and nurse engagement.
    • To determine if nurse certification influences engagement levels.
    • To identify factors that help or hinder achieving and maintaining certification.

    Main Methods:

    • A multiphase mixed-methods study was conducted.
    • Quantitative data were collected from 379 perioperative nurses.
    • Qualitative interviews with 15 nurses supplemented the quantitative findings.

    Main Results:

    • Leadership support and nursing foundations for quality care significantly predicted nurse engagement.
    • No significant difference in engagement scores was found between certified and noncertified nurses.
    • Qualitative findings supported the quantitative results.

    Conclusions:

    • The perioperative practice environment, particularly leadership support and quality care foundations, influences nurse engagement.
    • Nurse certification alone does not appear to be a significant driver of engagement.
    • Further research into facilitators and barriers for certification is warranted.