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From the first to the fourth critical period of COVID-19: what has changed in nursing practice environments in hospital settings?

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Summary:Background The COVID-19 pandemic reinforced the need to invest in nursing practice environments and health institutions were led to implement several changes. In this sense, this study aimed to analyze the impact of the changes that occurred in nursing practice environments between the first and fourth critical periods of the pandemic. Methods Quantitative, observational study, conducted in a University Hospital, with the participation of 713 registered nurses. Data were collected through a questionnaire with sociodemographic and professional characterization and the Scale for the Environments Evaluation of Professional Nursing Practice, applied at two different points in time: from 1 to 30 June 2020 and from 15 August to 15 September 2021. Data were processed using descriptive and inferential statistics. Results Overall, the pandemic had a positive impact on nursing practice environments. However, the Process component remained favourable to quality of care, while the Structure and Outcome components only moderately favourable. Nurses working in Medicine Department services showed lower scores in several dimensions of the Structure, Process and Outcome components. On the other hand, nurses working in areas caring for patients with COVID-19 showed higher scores in several dimensions of the Structure, Process and Outcome components. Conclusions The pandemic had a positive impact on various dimensions of nursing practice environments, which denotes that regardless of the adversities and moments of crisis that may arise, investment in work environments will have positive repercussions. However, more investment is needed in Medicine Department services, which have historically been characterised by high workloads and structural conditions that make it difficult to promote positive and sustainable workplaces.
Main Authors:Ribeiro, Olga
Other Authors:Cardoso, Maria Filomena; de Lima Trindade, Letícia; da Rocha, Carla Gomes; Teles, Paulo João Figueiredo Cabral; Pereira, Soraia; Coimbra, Vânia; Ribeiro, Marlene Patrícia; Reis, Ana; da Conceição Alves Faria, Ana; da Silva, João Miguel Almeida Ventura; Leite, Paula; Barros, Sónia; Sousa, Clemente Neves
Subject:Coronavirus infection Hospitals Pandemic Professional nursing practice Work environment
Year:2023
Country:Portugal
Document type:article
Access type:open access
Associated institution:Escola Superior de Enfermagem da Universidade do Porto
Language:English
Origin:Escola Superior de Enfermagem da Universidade do Porto
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author Ribeiro, Olga
author2 Cardoso, Maria Filomena
de Lima Trindade, Letícia
da Rocha, Carla Gomes
Teles, Paulo João Figueiredo Cabral
Pereira, Soraia
Coimbra, Vânia
Ribeiro, Marlene Patrícia
Reis, Ana
da Conceição Alves Faria, Ana
da Silva, João Miguel Almeida Ventura
Leite, Paula
Barros, Sónia
Sousa, Clemente Neves
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author_facet Ribeiro, Olga
Cardoso, Maria Filomena
de Lima Trindade, Letícia
da Rocha, Carla Gomes
Teles, Paulo João Figueiredo Cabral
Pereira, Soraia
Coimbra, Vânia
Ribeiro, Marlene Patrícia
Reis, Ana
da Conceição Alves Faria, Ana
da Silva, João Miguel Almeida Ventura
Leite, Paula
Barros, Sónia
Sousa, Clemente Neves
author_role author
contributor_name_str_mv Repositório Comum
country_str PT
creators_json_txt [{\"Person.name\":\"Ribeiro, Olga\",\"Person.identifier.orcid\":\"0000-0001-9982-9537\"},{\"Person.name\":\"Cardoso, Maria Filomena\"},{\"Person.name\":\"de Lima Trindade, Letícia\"},{\"Person.name\":\"da Rocha, Carla Gomes\"},{\"Person.name\":\"Teles, Paulo João Figueiredo Cabral\"},{\"Person.name\":\"Pereira, Soraia\"},{\"Person.name\":\"Coimbra, Vânia\"},{\"Person.name\":\"Ribeiro, Marlene Patrícia\"},{\"Person.name\":\"Reis, Ana\"},{\"Person.name\":\"da Conceição Alves Faria, Ana\"},{\"Person.name\":\"da Silva, João Miguel Almeida Ventura\"},{\"Person.name\":\"Leite, Paula\"},{\"Person.name\":\"Barros, Sónia\"},{\"Person.name\":\"Sousa, Clemente Neves\",\"Person.identifier.orcid\":\"0000-0003-2654-0497\"}]
datacite.contributors.contributor.contributorName.fl_str_mv Repositório Comum
datacite.creators.creator.creatorName.fl_str_mv Ribeiro, Olga
Cardoso, Maria Filomena
de Lima Trindade, Letícia
da Rocha, Carla Gomes
Teles, Paulo João Figueiredo Cabral
Pereira, Soraia
Coimbra, Vânia
Ribeiro, Marlene Patrícia
Reis, Ana
da Conceição Alves Faria, Ana
da Silva, João Miguel Almeida Ventura
Leite, Paula
Barros, Sónia
Sousa, Clemente Neves
datacite.date.Accepted.fl_str_mv 2023-01-01T00:00:00Z
datacite.date.available.fl_str_mv 2023-10-10T13:40:20Z
datacite.date.embargoed.fl_str_mv 2023-10-10T13:40:20Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv Coronavirus infection
Hospitals
Pandemic
Professional nursing practice
Work environment
datacite.titles.title.fl_str_mv From the first to the fourth critical period of COVID-19: what has changed in nursing practice environments in hospital settings?
dc.contributor.none.fl_str_mv Repositório Comum
dc.creator.none.fl_str_mv Ribeiro, Olga
Cardoso, Maria Filomena
de Lima Trindade, Letícia
da Rocha, Carla Gomes
Teles, Paulo João Figueiredo Cabral
Pereira, Soraia
Coimbra, Vânia
Ribeiro, Marlene Patrícia
Reis, Ana
da Conceição Alves Faria, Ana
da Silva, João Miguel Almeida Ventura
Leite, Paula
Barros, Sónia
Sousa, Clemente Neves
dc.date.Accepted.fl_str_mv 2023-01-01T00:00:00Z
dc.date.available.fl_str_mv 2023-10-10T13:40:20Z
dc.date.embargoed.fl_str_mv 2023-10-10T13:40:20Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://hdl.handle.net/10400.26/47180
dc.language.none.fl_str_mv eng
dc.rights.cclincense.fl_str_mv http://creativecommons.org/licenses/by/4.0/
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.subject.none.fl_str_mv Coronavirus infection
Hospitals
Pandemic
Professional nursing practice
Work environment
dc.title.fl_str_mv From the first to the fourth critical period of COVID-19: what has changed in nursing practice environments in hospital settings?
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description Background The COVID-19 pandemic reinforced the need to invest in nursing practice environments and health institutions were led to implement several changes. In this sense, this study aimed to analyze the impact of the changes that occurred in nursing practice environments between the first and fourth critical periods of the pandemic. Methods Quantitative, observational study, conducted in a University Hospital, with the participation of 713 registered nurses. Data were collected through a questionnaire with sociodemographic and professional characterization and the Scale for the Environments Evaluation of Professional Nursing Practice, applied at two different points in time: from 1 to 30 June 2020 and from 15 August to 15 September 2021. Data were processed using descriptive and inferential statistics. Results Overall, the pandemic had a positive impact on nursing practice environments. However, the Process component remained favourable to quality of care, while the Structure and Outcome components only moderately favourable. Nurses working in Medicine Department services showed lower scores in several dimensions of the Structure, Process and Outcome components. On the other hand, nurses working in areas caring for patients with COVID-19 showed higher scores in several dimensions of the Structure, Process and Outcome components. Conclusions The pandemic had a positive impact on various dimensions of nursing practice environments, which denotes that regardless of the adversities and moments of crisis that may arise, investment in work environments will have positive repercussions. However, more investment is needed in Medicine Department services, which have historically been characterised by high workloads and structural conditions that make it difficult to promote positive and sustainable workplaces.
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eu_rights_str_mv openAccess
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identifier.url.fl_str_mv http://hdl.handle.net/10400.26/47180
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institution Escola Superior de Enfermagem da Universidade do Porto
instname_str Escola Superior de Enfermagem da Universidade do Porto
language eng
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network_name_str Escola Superior de Enfermagem da Universidade do Porto
oai_identifier_str oai:comum.rcaap.pt:10400.26/47180
organization_str_mv urn:organizationAcronym:esep
person_str_mv Ribeiro, Olga
Ribeiro, Olga
https://www.ciencia-id.pt/5C18-93E5-8187
5C18-93E5-8187
http://orcid.org/0000-0001-9982-9537
0000-0001-9982-9537
Cardoso, Maria Filomena
de Lima Trindade, Letícia
da Rocha, Carla Gomes
Teles, Paulo João Figueiredo Cabral
Pereira, Soraia
Coimbra, Vânia
Ribeiro, Marlene Patrícia
Reis, Ana
da Conceição Alves Faria, Ana
da Silva, João Miguel Almeida Ventura
Leite, Paula
Barros, Sónia
Sousa, Clemente Neves
Sousa, Clemente Neves
https://www.ciencia-id.pt/E215-041D-F66F
E215-041D-F66F
http://orcid.org/0000-0003-2654-0497
0000-0003-2654-0497
publishDate 2023
reponame_str Escola Superior de Enfermagem da Universidade do Porto
repository_id_str urn:repositoryAcronym:esep
service_str_mv urn:repositoryAcronym:esep
spelling engpt_PTBackground The COVID-19 pandemic reinforced the need to invest in nursing practice environments and health institutions were led to implement several changes. In this sense, this study aimed to analyze the impact of the changes that occurred in nursing practice environments between the first and fourth critical periods of the pandemic. Methods Quantitative, observational study, conducted in a University Hospital, with the participation of 713 registered nurses. Data were collected through a questionnaire with sociodemographic and professional characterization and the Scale for the Environments Evaluation of Professional Nursing Practice, applied at two different points in time: from 1 to 30 June 2020 and from 15 August to 15 September 2021. Data were processed using descriptive and inferential statistics. Results Overall, the pandemic had a positive impact on nursing practice environments. However, the Process component remained favourable to quality of care, while the Structure and Outcome components only moderately favourable. Nurses working in Medicine Department services showed lower scores in several dimensions of the Structure, Process and Outcome components. On the other hand, nurses working in areas caring for patients with COVID-19 showed higher scores in several dimensions of the Structure, Process and Outcome components. Conclusions The pandemic had a positive impact on various dimensions of nursing practice environments, which denotes that regardless of the adversities and moments of crisis that may arise, investment in work environments will have positive repercussions. However, more investment is needed in Medicine Department services, which have historically been characterised by high workloads and structural conditions that make it difficult to promote positive and sustainable workplaces.application/pdfpt_PTFrom the first to the fourth critical period of COVID-19: what has changed in nursing practice environments in hospital settings?PersonalRibeiro, OlgaDSpacehttp://dspace.org/items/951b4984-3fff-473c-aadf-fa556cb42a13DSpacehttp://dspace.org/items/951b4984-3fff-473c-aadf-fa556cb42a13RibeiroOlgaCiência IDhttps://www.ciencia-id.pt5C18-93E5-8187ORCIDhttp://orcid.org0000-0001-9982-9537Researcher IDhttps://www.researcherid.comABR-9585-2022Scopus Author IDhttps://www.scopus.com55964342500Cardoso, Maria Filomenade Lima Trindade, Letíciada Rocha, Carla GomesTeles, Paulo João Figueiredo CabralPereira, SoraiaCoimbra, VâniaRibeiro, Marlene PatríciaReis, Anada Conceição Alves Faria, Anada Silva, João Miguel Almeida VenturaLeite, PaulaBarros, SóniaPersonalSousa, Clemente NevesDSpacehttp://dspace.org/items/f794ca21-68d8-4e4e-b8dc-4d10ef6f3f2fDSpacehttp://dspace.org/items/f794ca21-68d8-4e4e-b8dc-4d10ef6f3f2fCiência IDhttps://www.ciencia-id.ptE215-041D-F66FORCIDhttp://orcid.org0000-0003-2654-0497HostingInstitutionOrganizationalRepositório Comume-mailmailto:comum@rcaap.ptcomum@rcaap.ptISSNIsPartOf1472-6955DOIIsPartOf10.1186/s12912-023-01207-x2023-10-10T13:40:20Z20232023-01-01T00:00:00ZHandlehttp://hdl.handle.net/10400.26/47180http://purl.org/coar/access_right/c_abf2open accessCoronavirus infectionHospitalsPandemicProfessional nursing practiceWork environment906233 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal article2023http://creativecommons.org/licenses/by/4.0/http://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://comum.rcaap.pt/bitstreams/5ce7029c-3342-4ad9-92e1-016733fb9890/downloadBMC Nursing221
spellingShingle From the first to the fourth critical period of COVID-19: what has changed in nursing practice environments in hospital settings?
Ribeiro, Olga
Coronavirus infection
Hospitals
Pandemic
Professional nursing practice
Work environment
status SINGLETON
subject.fl_str_mv Coronavirus infection
Hospitals
Pandemic
Professional nursing practice
Work environment
title From the first to the fourth critical period of COVID-19: what has changed in nursing practice environments in hospital settings?
title_full From the first to the fourth critical period of COVID-19: what has changed in nursing practice environments in hospital settings?
title_fullStr From the first to the fourth critical period of COVID-19: what has changed in nursing practice environments in hospital settings?
title_full_unstemmed From the first to the fourth critical period of COVID-19: what has changed in nursing practice environments in hospital settings?
title_short From the first to the fourth critical period of COVID-19: what has changed in nursing practice environments in hospital settings?
title_sort From the first to the fourth critical period of COVID-19: what has changed in nursing practice environments in hospital settings?
topic Coronavirus infection
Hospitals
Pandemic
Professional nursing practice
Work environment
topic_facet Coronavirus infection
Hospitals
Pandemic
Professional nursing practice
Work environment
url http://hdl.handle.net/10400.26/47180
visible 1