The work environment of haemodialysis nurses and its impact on patients’ outcomes
Panagiotis Prezerakos: conception and design of the study, analysis and interpretation of the data, draft of the paper, editing and critical revision of the final paper, final approval of the version to be published.
Peter Galanis: conception and design of the study, data collection, analysis and interpretation of the data and drafting of the paper, final approval of the version to be published.
Ioannis Moisoglou: conception and design of the study, data collection, analysis and interpretation of the data and drafting of the paper, final approval of the version to be published.
Postal address: University of Peloponnese, Faculty of Nursing,Gr-23100, Sparta, Greece
Phone Number: +30 27310 89722
Postal address: Center for Health Services Management and Evaluation, University of Athens, 123 Papadiamantopoulou Street, GR-11527, Athens, Greece
Phone Number: +30 210 746 14 71
Postal address: General Hospital of Lamia, Hemodialysis Department, Papasiopoulou end, Gr—35100, Lamia, Greece
Phone Number: +30 22310 29188, +30 22310 63977
- Authors state that the protocol for the research project has been approved by Ethics Committee of the 5th Regional Health Authority of Greece, and it conforms to the provisions of the Declaration of Helsinki in 1995 (as revised in Edinburgh 2000).
- Conflict of interest: There is no conflict of interest.
- Financial support: There was no financial support.
The aims of this study were to assess haemodialysis nurses’ work environment and investigate the correlation between work environment and patients’ outcomes. A cross-sectional study was conducted at the 11 public hospital-based haemodialysis units of the 5th Regional Health Authority of Greece. The Practice Environment Scale of the Nursing Work Index (PES-NWI) was used to assess work environment. Nurses were asked to report the frequency of a series adverse events and errors. Study population consisted of 133 nurses (response rate 89.3%). The overall PES-NWI scored just < 2.5 (Mean = 2.48, standard deviation = 0.34) indicating a non-favourable haemodialysis workplace. Nurse–physician Relations, nurse manager ability and nursing foundations for quality of care were the most favourable aspects of work environment. Multivariate logistic regression analysis identified that hypotension (odds ratio (OR) = 0.3, 95% confidence interval (CI) = 0.1–0.9, P = 0.03), venous needle disconnection (OR = 0.14, 95% CI = 0.03–0.65, P = 0.012) and patient fall (OR = 0.02, 95% CI = 0.001–0.51, P = 0.018) were associated with a non-favourable work environment. Findings have important implications for improvement of haemodialysis work environment and enhancement of patients’ safety.