ArticleBMC health services research2022
The changes in the nursing practice environment brought by COVID-19 and improvement recommendations from the nurses' perspective: a cross-sectional study.
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Positivity in the paramedic workplace: pathways to flourishing amidst adversity.BMC health services research · 2026Article
- Nursing Practice Environments and Professional and Care-Related Outcomes in Portuguese Emergency Services: A Descriptive Study of 2018 and 2022.Nursing reports (Pavia, Italy) · 2026Article
- Organizational Climate, Evidence-Based Nursing Competence, and Professional Identity Among Clinical Nurses: A Multicenter Cross-Sectional Study Using Mediation and Latent Profile Analyses.Journal of multidisciplinary healthcare · 2026Article
- Frontline nurses' adherence to COVID-19 policies in care delivery at a Johannesburg Academic Hospital.Curationis · 2025Article
- Nursing Practice Environments in Hospitals: A Comparative Study between Portugal and Brazil.Nursing reports (Pavia, Italy) · 2024Article
- The present situation of the nursing practice environment and its influence on nursing quality in a post-epidemic era: a cross-sectional study.BMC nursing · 2024Article
- Systematic RADaR analysis of responses to the open-ended question in the Culture of Care Barometer survey of a Dutch hospital.BMJ open · 2024Article
- The influence of psychological resilience and nursing practice environment on nurses' moral courage: A cross-sectional study.Nursing open · 2024Article
- Nurses' Personality Traits and Perceived Work Environments During Public Health Emergencies: Implications for Nursing Workforce Planning.Risk management and healthcare policy · 2024Article
- Facilitators Associated with Nursing Burnout in the Ambulatory Care Setting as COVID-19 Subsides: A Rapid Review.Healthcare (Basel, Switzerland) · 2023Review
- From the first to the fourth critical period of COVID-19: what has changed in nursing practice environments in hospital settings?BMC nursing · 2023Article
- The relationship between work practice environment and work engagement among nurses: The multiple mediation of basic psychological needs and organizational commitment a cross-sectional survey.Frontiers in public health · 2023Article
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5 authors.
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Abstract
backgroundThe COVID-19 pandemic has brought an opportunity to increase investment in the nursing practice environment, which has greatly impacted patients, nurses, and organizations. However, there were limited studies concerning the changes in the practice environment since the COVID-19 pandemic and the way to improve it from nurses' perspectives.
methodsA cross-sectional study was conducted among 460 nurses from seven hospitals in Sichuan, China. Both the quantitative and qualitative data were collected from an online questionnaire. The quantitative data were collected using the Chinese version of the Practice Environment Scale-Nursing Work Index and compared with available norms in 2010. The qualitative data were collected through an open question following the scale and analyzed by content analysis.
resultsThe mean of the score of the practice environment scale was 3.44 (SD = 0.56) out of 4.00. The score of the total scale and the dimensions were significantly higher than the norms, apart from nurse-physician relations and nurse participation in hospital affairs. The qualitative findings revealed positive changes in nursing foundations for quality of care, nurse participation in hospital affairs and nurse-physician relations, and poor staffing and resource adequacy. The improvement in the working model and ward environment is the primary concern of nurses.
conclusionsThe COVID-19 pandemic brought some positive changes in the nursing practice environment, but more efforts are needed to solve those nagging and important problems, such as staff shortages and low participation. Nursing managers and hospital leaders were encouraged to listen to nurses' concerns and value this suitable opportunity for changing and improving to achieve better health services and coping ability to deal with emergency events going forward. Improving the ward environment and taking a professional model instead of sticking to the tedious process might be worthwhile.
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