SynthesisMedical care2019
A Meta-Analysis of the Associations Between the Nurse Work Environment in Hospitals and 4 Sets of Outcomes.
Synthesis in Medical care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 172 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
172 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- International Benchmarks for the Practice Environment Scale of the Nursing Work Index: A Meta-Analysis.Nursing & health sciences · 2024Pooled it
- Translations of the Practice Environment Scale of the Nursing Work Index: A systematic review.Nursing & health sciences · 2023Pooled it
- Systematic review: Nurses' safety attitudes and their impact on patient outcomes in acute-care hospitals.Nursing open · 2022Pooled it
- The relationship between the nursing practice environment and five nursing-sensitive patient outcomes in acute care hospitals: A systematic review.Nursing open · 2021Pooled it
- Impact of the nursing work environment on patient satisfaction with care: A cluster-randomised organisational intervention.International journal of nursing studies advances · 2026Article
- Self-Perceived Competence and General Happiness Scores Among Acute-Care Nurses in the United Arab Emirates: A Cross-Sectional Study.Nursing open · 2026Article
- The Association Between the Nursing Practice Environment and Culturally Competent Behaviors Among Surgical Nurses in Riyadh, Saudi Arabia: A Multicenter Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Prospective Associations of Behavioural and Organisational Factors with Initial Nursing Diagnosis Use: A Longitudinal Study.Nursing reports (Pavia, Italy) · 2026Article
- Factors Influencing the Attractiveness of Intensive Care Nursing: Nurses' Perspectives and Psychological Implications.Nursing in critical care · 2026Article
- Organizational Support and Job Satisfaction of Nurses in Contemporary Clinical Practice: Indirect Associations Through Distributive Justice and Emotional Exhaustion.Healthcare (Basel, Switzerland) · 2026Article
- From Stress to Strength: Fostering a Positive Learning Climate to Promote Learning, Performance, and Well-Being.The western journal of emergency medicine · 2026Article
- Psychosocial and Organizational Determinants of Perceived Occupational Exposure and Job Satisfaction Among Intensive Care Unit Nurses.Healthcare (Basel, Switzerland) · 2026Article
- Professional Values, Work Environment and Job Satisfaction Among Critical Care Nurses in Palestine: A Descriptive Cross-Sectional Study.Nursing open · 2026Article
- Identifying Elements of a School Nurse's Work Environment That Are Salient to Their Job Outcomes: A Scoping Review.The Journal of school nursing : the official publication of the National Association of School Nurses · 2026Review
- Impact of Quiet Quitting and Nursing Work Environment on Quality of Care and Patient Safety: A Cross-Sectional Study Among Nurses in Greece.Healthcare (Basel, Switzerland) · 2026Article
- Development and Validation of a Decent Work Scale for Hospital Nurses: An Experiential Perspective on Working Conditions.Nursing reports (Pavia, Italy) · 2026Article
- Article
- Factors of the Nursing Practice Environment Shaping Nurses' Perceived Benefits of Adverse Event Reporting: A Cross-Sectional Study Among Primary Healthcare Nurses.Healthcare (Basel, Switzerland) · 2026Article
- Evaluations of nurse managers' work environment: a descriptive study.BMC nursing · 2026Article
- Factors influencing clinical decision-making skills among nurses in Malaysia: A three-level general linear mixed-effects analysis.International journal of nursing studies advances · 2026Article
112 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundThe nurse work environment is theorized to influence the quality of nursing care, nurse job outcomes, and patient outcomes.
objectiveThe aim of this meta-analysis was to evaluate quantitatively the association of the work environment with job and health outcomes. RESEARCH
designRelevant studies published through September 2018 were identified. Inclusion criteria were use of a nationally endorsed work environment measure and reporting of odds ratios (ORs) and 95% confidence intervals from regression models of 4 outcome classes: nurse job outcomes, safety and quality ratings, patient outcomes, and patient satisfaction. Pooled ORs and confidence intervals were estimated for each outcome using fixed or random effects models. SUBJECTS: Of 308 articles reviewed, 40 met inclusion criteria. After excluding 23 due to sample overlap or too few observations to meta-analyze, a set of 17 articles, comprising 21 independent samples, was analyzed. Cumulatively, these articles reported data from 2677 hospitals, 141 nursing units, 165,024 nurses, and 1,368,420 patients, in 22 countries. MEASURES: Practice Environment Scale of the Nursing Work Index, a National Quality Forum nursing care performance standard.
resultsConsistent, significant associations between the work environment and all outcome classes were identified. Better work environments were associated with lower odds of negative nurse outcomes (average OR of 0.71), poor safety or quality ratings (average OR of 0.65), and negative patient outcomes (average OR of 0.93), but higher odds of patient satisfaction (OR of 1.16).
conclusionsThe nurse work environment warrants attention to promote health care quality, safety, and patient and clinician well-being.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.