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Article

Study of the Strengths and Weaknesses of Nursing Work Environments in Primary Care in Spain

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Nursing School La Fe, Adscript Center of Universidad de Valencia, 46026 Valencia, Spain
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Research Group GREIACC, Health Research Institute La Fe, Avda. Fernando Abril Martorell, 106, Pabellón Docente Torre H, Hospital La Fe, 46026 Valencia, Spain
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Departamento Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia, Universidad de Alicante, 03080 Alicante, Spain
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Health Department, Universidad Católica de Valencia, C/Quevedo 2, 46001 Valencia, Spain
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Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain
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Research Group Nursing Research in Primary Care in Aragón (GENIAPA) (GIIS094), Institute of Research of Aragón, Avenida San Juan Bosco, 13, 50009 Zaragoza, Spain
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Departament de Salut La Ribera, Atención Primaria, Ctra. Corbera, Alzira, 46600 Valencia, Spain
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Centro de Investigación Biomédica de la Rioja, Logrono, 26006 La Rioja, Spain
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Department of Nursing, University of La Rioja, Logroño, 26006 La Rioja, Spain
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Authors to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2021, 18(2), 434; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18020434
Received: 24 November 2020 / Revised: 23 December 2020 / Accepted: 1 January 2021 / Published: 7 January 2021
(This article belongs to the Special Issue Nursing and Society)
Background: Nursing work environments are defined as the characteristics of the workplace that promote or hinder the provision of professional care by nurses. Positive work environments lead to better health outcomes. Our study aims to identify the strengths and weaknesses of primary health care settings in Spain. Methods: Cross-sectional study carried out from 2018 to 2019. We used the Practice Environment Scale of the Nursing Work Index and the TOP10 Questionnaire of Assessment of Environments in Primary Health Care for data collection. The associations between sociodemographic and professional variables were analyzed. Results: In total, 702 primary care nurses participated in the study. Responses were obtained from 14 out of the 17 Spanish Autonomous Communities. Nursing foundation for quality of care, management and leadership of head nurse and nurse–physician relationship were identified as strengths, whereas nurse participation in center affairs and adequate human resources to ensure quality of care were identified as weaknesses of the nursing work environment in primary health care. Older nurses and those educated to doctoral level were the most critical in the nursing work environments. Variables Age, Level of Education and Managerial Role showed a significant relation with global score in the questionnaire. Conclusion: Interventions by nurse managers in primary health care should focus on improving identified weaknesses to improve quality of care and health outcomes. View Full-Text
Keywords: nursing; primary care; workplace; quality of health care; nurse’s role nursing; primary care; workplace; quality of health care; nurse’s role
MDPI and ACS Style

Gea-Caballero, V.; Martínez-Riera, J.R.; García-Martínez, P.; Casaña-Mohedo, J.; Antón-Solanas, I.; Verdeguer-Gómez, M.V.; Santolaya-Arnedo, I.; Juárez-Vela, R. Study of the Strengths and Weaknesses of Nursing Work Environments in Primary Care in Spain. Int. J. Environ. Res. Public Health 2021, 18, 434. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18020434

AMA Style

Gea-Caballero V, Martínez-Riera JR, García-Martínez P, Casaña-Mohedo J, Antón-Solanas I, Verdeguer-Gómez MV, Santolaya-Arnedo I, Juárez-Vela R. Study of the Strengths and Weaknesses of Nursing Work Environments in Primary Care in Spain. International Journal of Environmental Research and Public Health. 2021; 18(2):434. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18020434

Chicago/Turabian Style

Gea-Caballero, Vicente, José R. Martínez-Riera, Pedro García-Martínez, Jorge Casaña-Mohedo, Isabel Antón-Solanas, María V. Verdeguer-Gómez, Iván Santolaya-Arnedo, and Raúl Juárez-Vela. 2021. "Study of the Strengths and Weaknesses of Nursing Work Environments in Primary Care in Spain" International Journal of Environmental Research and Public Health 18, no. 2: 434. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18020434

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