How do intensive work environments affect nurses' absenteeism and turnover intent?

Elsevier

Available online 26 June 2022, 151608

Applied Nursing ResearchHighlights•

Intensive care environments place significant demands on registered nurses’ where their well-being and organizational success can be affected by both the environment and their illness-related absenteeism

This research illustrates that nurses’ positive perceptions about their workplace had significant associations with lower rates of illness-related absenteeism and turnover intent

RNs ranked their “participation in hospital affairs” lowest when comparing work environment domains

Value-based solutions are needed in optimizing these key factors, and staffs’ participation in hospital affairs and patient care policy appears vital for organizational success

AbstractBackground

Intensive hospital work environments can affect staff, patient, and organizational outcomes.

Purpose

(1) To assess quantitatively the relationship between critical care registered nurses' perceptions of their workplace, their absenteeism, and their turnover intent; and (2) to analyze nurses' recommendations for improvements for critical patient care.

Methods

Following STROBE guidelines, a cross-sectional survey sampled registered nurses (n = 302), across the Canadian province of Alberta, in October 2018. We assessed nurses' perceptions of their work environment relative to their health and turnover intent utilizing regression modelling and the Practice Environment Scale of the Nursing Work Index.

Findings

A negative binomial analysis indicated that RNs' positive perceptions about their workplace had significant associations with lower rates of absenteeism. Additionally, participants who scored their work environment higher were found to have decreased intentions of leaving the workplace. RNs ranked their “participation in hospital affairs” lowest when comparing practice environment domains and recommended optimizing staffing as the most important improvement for their work environment and patient care.

Discussion

Considering the demands associated with critical care patient settings, stakeholders can consider these findings that significant associations exist between staffs' perceptions of the workplace relative to their absenteeism and their turnover intent. Implications for Policy: Value-based solutions are needed in optimizing these key factors, and staffs' participation in hospital affairs while improving staffing appears vital for organizational success.

Keywords

Critical care

Registered nurse

Work environment

Illness

Turnover

Well-being

© 2022 Elsevier Inc. All rights reserved.

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