Dotaciones, skillmix e indicadores laborales de enfermería en Hospitales Públicos chilenos

Background: International evidence shows that there are organizational factors and nurse job outcomes that may negatively affect healthcare quality. Aim: To measure and analyze associations between nurse organizational factors, such as staffing ratios and skill mix, and job outcomes in public hosp...

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Autores principales: Simonetti,Marta, Soto,Paz, Galiano,Alejandra, Cerón,María Consuelo, Lake,Eileen T., Aiken,Linda H.
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2020
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020001001444
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spelling oai:scielo:S0034-988720200010014442021-02-02Dotaciones, skillmix e indicadores laborales de enfermería en Hospitales Públicos chilenosSimonetti,MartaSoto,PazGaliano,AlejandraCerón,María ConsueloLake,Eileen T.Aiken,Linda H. Burnout, Psychological Chile Job Satisfaction Personnel Turnover Background: International evidence shows that there are organizational factors and nurse job outcomes that may negatively affect healthcare quality. Aim: To measure and analyze associations between nurse organizational factors, such as staffing ratios and skill mix, and job outcomes in public hospitals in Chile. Material and Methods: An observational, cross-sectional study of 1,855 registered nurses working in medical-surgical units in 37 public hospitals was conducted. Data collection followed the RN4CAST research protocol. Inferential analyses used logistic regression models. Results: The survey was answered by 1,395 registered nurses in 34 hospitals. The average staffing ratio was 14 patients-per-nurse, and the average skill mix was 31% registered nurses. Of all nurses, 35% reported burnout, 22% were dissatisfied, and 33% intended to leave. Being burned out increased by 9 and 6% the odds of being dissatisfied and the intent to leave, respectively (Odds ratio (OR) 1.09, p < 0.01 and 1.06, p < 0.01). Being dissatisfied increased by five times the odds of intent to leave (OR 5.19, p < 0.01). Conclusions: Staffing levels, burnout, and intent to leave warrant healthcare and governmental authorities&#8217; attention. All these factors may be threatening healthcare quality and safety.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.148 n.10 20202020-10-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020001001444es10.4067/S0034-98872020001001444
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Burnout, Psychological
Chile
Job Satisfaction
Personnel Turnover
spellingShingle Burnout, Psychological
Chile
Job Satisfaction
Personnel Turnover
Simonetti,Marta
Soto,Paz
Galiano,Alejandra
Cerón,María Consuelo
Lake,Eileen T.
Aiken,Linda H.
Dotaciones, skillmix e indicadores laborales de enfermería en Hospitales Públicos chilenos
description Background: International evidence shows that there are organizational factors and nurse job outcomes that may negatively affect healthcare quality. Aim: To measure and analyze associations between nurse organizational factors, such as staffing ratios and skill mix, and job outcomes in public hospitals in Chile. Material and Methods: An observational, cross-sectional study of 1,855 registered nurses working in medical-surgical units in 37 public hospitals was conducted. Data collection followed the RN4CAST research protocol. Inferential analyses used logistic regression models. Results: The survey was answered by 1,395 registered nurses in 34 hospitals. The average staffing ratio was 14 patients-per-nurse, and the average skill mix was 31% registered nurses. Of all nurses, 35% reported burnout, 22% were dissatisfied, and 33% intended to leave. Being burned out increased by 9 and 6% the odds of being dissatisfied and the intent to leave, respectively (Odds ratio (OR) 1.09, p < 0.01 and 1.06, p < 0.01). Being dissatisfied increased by five times the odds of intent to leave (OR 5.19, p < 0.01). Conclusions: Staffing levels, burnout, and intent to leave warrant healthcare and governmental authorities&#8217; attention. All these factors may be threatening healthcare quality and safety.
author Simonetti,Marta
Soto,Paz
Galiano,Alejandra
Cerón,María Consuelo
Lake,Eileen T.
Aiken,Linda H.
author_facet Simonetti,Marta
Soto,Paz
Galiano,Alejandra
Cerón,María Consuelo
Lake,Eileen T.
Aiken,Linda H.
author_sort Simonetti,Marta
title Dotaciones, skillmix e indicadores laborales de enfermería en Hospitales Públicos chilenos
title_short Dotaciones, skillmix e indicadores laborales de enfermería en Hospitales Públicos chilenos
title_full Dotaciones, skillmix e indicadores laborales de enfermería en Hospitales Públicos chilenos
title_fullStr Dotaciones, skillmix e indicadores laborales de enfermería en Hospitales Públicos chilenos
title_full_unstemmed Dotaciones, skillmix e indicadores laborales de enfermería en Hospitales Públicos chilenos
title_sort dotaciones, skillmix e indicadores laborales de enfermería en hospitales públicos chilenos
publisher Sociedad Médica de Santiago
publishDate 2020
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020001001444
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