Nursing Practice Environment in a Hospital Context: Integrative Review
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Abstract
The work context where nurses provide care plays an important role in the results for the client and for the nurses and their teams. The different characteristics of the Nursing Practice Environment are important in the construction of management strategies for the promotion of favorable work environment, which consequently contribute to the continuous improvement of the Quality of Nursing Care. Objectives: to examine the scientific evidence about the EPA in a hospital context. Methods: Integrative review, with 6 steps: 1) identification of the research question; 2) definition of keywords; 3) definition of the information to be extracted from the selected studies; 4) evaluation of the studies included in the review; 5) interpretation of results; 6) presentation of the review / synthesis of knowledge. The selected studies were in the period between 2015 and 2020. Results: 26 articles were included; the vast majority reported findings of the nursing practice environment and results for nurses, for nurse managers, for clients and for the effectiveness of organizations, in the hospital context. Conclusions: Improving the nursing practice environment has consequences for the quality of nursing care, with an increase in results for nursing, clients and the hospital context.
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