[Nurses' perception of the organisational context of nursing homes: a descriptive study].

La percezione degli infermieri del contesto organizzativo delle residenze sanitarie per anziani: uno studio descrittivo.

Publisher: Il Pensiero Scientifico Editore Country of Publication: Italy NLM ID: 100901776 Publication Model: Print Cited Medium: Internet ISSN: 2038-1778 (Electronic) Linking ISSN: 15925986 NLM ISO Abbreviation: Assist Inferm Ric

Original Publication: Roma : Il Pensiero Scientifico Editore

Nurses* ; Nursing Homes*; Aged ; Attitude of Health Personnel ; Cross-Sectional Studies ; Humans ; Leadership ; Perception ; Surveys and Questionnaires

. Nurses' perception of the organisational context of nursing homes: a descriptive study.
Introduction: The increasing number of the elders admitted to nursing homes (NH) requires a particular emphasis on improving the quality of nursing care. The evaluation of the organizational context has recently received growing interest, for its contribution to understanding of care outcomes and staff's needs.
Aim: To describe the characteristics and the nurses'perception of organizational context of NHs in which they work.
Methods: A cross-sectional study was conducted in 50 NHs in the Piedmont and Aosta Valley regions. The following data were collected: sociodemographic information on nurses, years of work experience, contract type, and work-hour profile; organizational information included ownership, size, occupancy rate; and for the organizational context, the Alberta Context Tool was administered.
Results: Of the 312 nurses, 266 (85%) participated in the study; 79% had a university degree. Perceived organisational context scored low (median values 2.5) in terms of the availability of Interactions (Formal and Informal), Resources, Personnel and time, but good with median values above 3.5/5 on Leadership, Culture, Evaluation, Social Capital and Space, with differences according to years of experience, type and size of facility; for example, nurses working in private facilities perceived their organisational context as better than those working in public facilities.
Conclusions: NHs are workplaces that are still not frequently chosen by nurses and essentially considered as places of transition or end of the career. In spite of organizational contexts perceived as positive, tangible efforts are needed to improve working conditions and the perception of nurses' role.

Date Created: 20210503 Date Completed: 20211025 Latest Revision: 20211025

20231215

10.1702/3599.35803

33938540