ArticleBMC nursing2023
From the first to the fourth critical period of COVID-19: what has changed in nursing practice environments in hospital settings?
Article in BMC nursing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Structural Empowerment of Nurses in the Hospital Setting: A Cross-Sectional Study.Nursing reports (Pavia, Italy) · 2025Article
- Article
- Quiet Quitting Scale: Adaptation and Validation for the Portuguese Nursing Context.Nursing reports (Pavia, Italy) · 2025Article
- Advanced practice nursing in Brazil: bibliometric analysis of dissertations and theses.Revista da Escola de Enfermagem da U S P · 2025Article
- ENVOLVER+: a tool for the promotion of positive nursing practice environments.Frontiers in public health · 2025Article
- Positive Nursing Practice Environment: A Concept Analysis.Nursing reports (Pavia, Italy) · 2024Article
- Nursing Practice Environments in Hospitals: A Comparative Study between Portugal and Brazil.Nursing reports (Pavia, Italy) · 2024Article
- Development and Validation of the "Program to Promote Positive Nursing Practice Environments": Modified Delphi Study.Healthcare (Basel, Switzerland) · 2024Article
- [International exchange program for anesthesia nursing students : Retrospective analysis of sustainable evaluation criteria].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2024Review
- Safety climate in the operating room in the pre-pandemic and pandemic period of COVID-19: A mixed method study.PloS one · 2024Article
- Nurses' perspectives on nurses' work methods.Revista brasileira de enfermagem · 2024Article
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Authors and funding
14 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe COVID-19 pandemic reinforced the need to invest in nursing practice environments and health institutions were led to implement several changes. In this sense, this study aimed to analyze the impact of the changes that occurred in nursing practice environments between the first and fourth critical periods of the pandemic.
methodsQuantitative, observational study, conducted in a University Hospital, with the participation of 713 registered nurses. Data were collected through a questionnaire with sociodemographic and professional characterization and the Scale for the Environments Evaluation of Professional Nursing Practice, applied at two different points in time: from 1 to 30 June 2020 and from 15 August to 15 September 2021. Data were processed using descriptive and inferential statistics.
resultsOverall, the pandemic had a positive impact on nursing practice environments. However, the Process component remained favourable to quality of care, while the Structure and Outcome components only moderately favourable. Nurses working in Medicine Department services showed lower scores in several dimensions of the Structure, Process and Outcome components. On the other hand, nurses working in areas caring for patients with COVID-19 showed higher scores in several dimensions of the Structure, Process and Outcome components.
conclusionsThe pandemic had a positive impact on various dimensions of nursing practice environments, which denotes that regardless of the adversities and moments of crisis that may arise, investment in work environments will have positive repercussions. However, more investment is needed in Medicine Department services, which have historically been characterised by high workloads and structural conditions that make it difficult to promote positive and sustainable workplaces.
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