The Workplace Culture Evaluated by the Designated Nurses Working in Health Care Centers

P Slater, Tarja Suominen

Research output: Contribution to journalArticle

Abstract

Nursing in health care centers is an area that has been studied very little in Finland. The purpose of this study was to describe the workplace culture of designated nurses (i.e. those specifically allocated to care for a particular patient) working in health care centers. The target population was all designated nurses of the health care centers of one town (N=300). Data (n=150) was obtained via an electronic questionnaire. Workplace culture was assessed using the existing Nursing Context Index (NCI) instrument, and data was analyzed statistically.Designated nurses had a fairly positive attitude towards their workplace culture. They occasionally experienced overall job stress, their overall job satisfaction was moderate, and they generally regraded their overall practice environment as good. Workload was the main cause of stress. Personal satisfaction was the highest main reason of job satisfaction. The nurse–doctor relationship operated best in their overall practice environment. Their working experience as a designated nurse was related to their overall job satisfaction (p=.002). Participation in education (p=.019), working experience in current workplace (p=.005), working experience as a designated nurse (p
LanguageEnglish
Pages1-29
JournalHoitotiede
Volume1
Publication statusAccepted/In press - 3 May 2017

Fingerprint

Workplace
Nurses
Delivery of Health Care
Job Satisfaction
Nursing
Health Services Needs and Demand
Finland
Workload
Education

Keywords

  • designated nurse
  • health care center
  • workplace culture

Cite this

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title = "The Workplace Culture Evaluated by the Designated Nurses Working in Health Care Centers",
abstract = "Nursing in health care centers is an area that has been studied very little in Finland. The purpose of this study was to describe the workplace culture of designated nurses (i.e. those specifically allocated to care for a particular patient) working in health care centers. The target population was all designated nurses of the health care centers of one town (N=300). Data (n=150) was obtained via an electronic questionnaire. Workplace culture was assessed using the existing Nursing Context Index (NCI) instrument, and data was analyzed statistically.Designated nurses had a fairly positive attitude towards their workplace culture. They occasionally experienced overall job stress, their overall job satisfaction was moderate, and they generally regraded their overall practice environment as good. Workload was the main cause of stress. Personal satisfaction was the highest main reason of job satisfaction. The nurse–doctor relationship operated best in their overall practice environment. Their working experience as a designated nurse was related to their overall job satisfaction (p=.002). Participation in education (p=.019), working experience in current workplace (p=.005), working experience as a designated nurse (p",
keywords = "designated nurse, health care center, workplace culture",
author = "P Slater and Tarja Suominen",
note = "Reference text: Al Sayah F, Szafran O, Robertson S, Bell NR, Williams B. 2014. Nursing perspectives on factors influencing interdisciplinary teamwork in the Canadian primary care setting. Journal of Clinical Nursing 23 (19/20), 2969–2979. Boswell CA. 1992. Work stress and job satisfaction for community health nurse. Journal of Community Health Nursing 9(4), 221–227. Brown H, Edelmann R. 2000. Project 2000: a study of expected and experienced stressors and support reported by students and qualified nurses. Journal of Advanced Nursing 31(4), 857–64. Burns N, Groves SK. 2009. The practice of nursing research. Appraisal, synthesis, and generation of evidence. Sixth Edition. Saunders. St. Louis, Missouri. Campbell SL, Fowles EL, Weber BJ. 2004. Organizational structure and job satisfaction in public health nursing. Public Health Nursing 21(6), 564–571. Chang EM, Hancock KM, Johnson A, Daly J, Jackson D. 2005. Role stress in nurses: review of related factors and strategies for moving forward. Nursing and Health Sciences 7(1), 57–65. Chu CI, Lee MS, Hsu HM. 2006. The impact of social support and job stress on public health nurses organizational citizenship behaviors in rural Taiwan. Public Health Nursing 23(6), 496–505. Clancy A, Gressnes T, Svensson T. 2013. Public nursing and interprofessional collaboration in Norwegian municipalities: a questionnaire study. Scandinavian Journal of Caring Sciences 27(3), 659–668. Coomber B, Barriball KL. 2007 Impact of job satisfaction components on intent to leave and turnover for hospital-based nurses: a review of the research literature. International Journal of Nursing Studies 44(2), 297–314. Ellenbecker CH, Porell FW, Samia L, Byleckie JJ, Milburn M. 2008. Predictors of home healthcare nurse retention. Journal of Nursing Scholarship 40(2), 151–160. Eskola S, Roos M, McCormark B, Slater P, Hahtela N, Suominen T. 2016. Journal of Nursing Management 24(6), 725–734. Galdikienė N, Asikainen P, Balciunas S, Suominen T. 2014. Do nurses feel stressed? A perspective from primary health care. Nursing and Health Sciences 16(3), 327–334. Glisson C, James LR. 2002. The cross-level effects of culture and climate in human service teams. Journal of Organizational Behavior 23(6), 767–794. Golubic R, Milosevic M, Knezevic B, Mustajbegovic J. 2009. Work-related stress, education and work ability among hospital nurses. Journal of Advanced Nursing 65 (10), 2056–66. Hahtela N, Paavilainen E, McCormack B, Helminen M, Slater P, Suominen T. 2015. Nurses’ perceptions of workplace culture in primary health care in Finland. International Nursing Review 62 (4), 470–478. Han SS, Moon SJ, Yun EK. 2009. Empowerment, job satisfaction and organizational commitment comparison of permanent and temporary nurses in Korea. Applied Nursing Research 22(4), e15-20. Hemmelgarn AL, Glisson C, James LR. 2006. Organizational culture and climate: Implications for services and interventions research. Clinical Psychology and practice 13(1), 73–89. Jalonen P, Virtanen M, Vahtera J, Elovainio M, Kivim{\"a}ki M. 2006. Predictors of sustained organizational commitment among nurses with temporary job contracts. Journal of Nursing Adminstration 36(5), 268–274. Kauppinen T, Mattila-Holppa P, Perki{\"o}-M{\"a}kel{\"a} M, Saalo A, Toikkanen J, Tuomivaara S, Uuksulainen S, Viluksela M, Virtanen S (toim.). 2013. Ty{\"o} ja terveys Suomessa 2012. Seurantatietoa ty{\"o}oloista ja ty{\"o}hyvinvoinnista. Ty{\"o}terveyslaitos, Helsinki. Lee JKL. 2003. Job stress, coping and health perceptions of Hong Kong primary care nurses. International Journal of Nursing Practice 9(2), 86–91. Payne N. 2001. Occupational stressors and coping as determinants of burnout in female hospice nurses. Journal of Advanced Nursing 33(3), 396–405. Pron AL. 2013. Job satisfaction and perceived autonomy for nurse practitioners working in nurse-managed health centers. Journal of the American Association of Nurse Practitioners 25(4), 213–221. Rauramo P. 2008. Ty{\"o}hyvinvoinnin portaat, viisi vaikuttavaa askelta. Edita Prima Oy, Helsinki. Schein EH. 1996. Culture: The missing concept in organization studies. Administrative Science Quarterly 41, 229–240. Sheehan KM. 2006. E-mail Survey Response Rates: A Review. Journal of Computer-Mediated Communication 6(2), Version of Record online: 23 JUN 2006 | DOI: 10.1111/j.1083-6101.2001.tb00117.x Slater P, McCormack B. 2009. The Development and testing on an instrument to measure nurses’ working environment. The Nursing Context Index. Worldviews of Evidence-Based Nursing 6(3), 173–182. Sun Y, Luo YS, Fang P. 2013. Factors influencing the turnover intention of Chinese community health service workers based on the investigation results of five provinces. Journal of Community Health 38(6), 1058–1066. Sutela H, Lehto AM. 2014. Ty{\"o}olojen muutokset 1977–2013. Helsinki, Tilastokeskus. McVicar A. 2003. Workplace stress in nursing: A literature review. Journal of Advanced Nursing 44(6), 633–642. Van Bogaert P, Wouters K, Willem R, Mondelaers M, Clarke S. 2013. Work engagement supports nurse workforce stability and quality of care: nursing team-level analysis in psychiatric hospitals. Journal of Psychiatric and Mental Health Nursing 20(8), 679–686. Willem A, Buelens M, De Jonghe I. 2007. Impact of organizational structure on nurses’ job satisfaction: a questionnaire survey. International Journal of Nursing Studies 44(6), 1011–1020. Yamashita M, Takase M, Wakabayshi C, Kuroda K, Owatari N. 2009. Work satisfaction of Japanese public health nurses. Nursing and Health Sciences 11(4), 417–421. Verbeke W, Volgering M, Hessels M. 1998. Exploring the conceptual expansion within the field of organizational behaviour: organizational climate and organizational culture. Journal of Management Studies 35(3), 303–329. WMA, World Medical Association. 2013. World Medical Association Declaration of Helsinki. Ethical principles for medical research involving human subjects. Journal of the American Medical Association 310(20), 2191–3194.",
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The Workplace Culture Evaluated by the Designated Nurses Working in Health Care Centers. / Slater, P; Suominen, Tarja.

In: Hoitotiede, Vol. 1, 03.05.2017, p. 1-29.

Research output: Contribution to journalArticle

TY - JOUR

T1 - The Workplace Culture Evaluated by the Designated Nurses Working in Health Care Centers

AU - Slater, P

AU - Suominen, Tarja

N1 - Reference text: Al Sayah F, Szafran O, Robertson S, Bell NR, Williams B. 2014. Nursing perspectives on factors influencing interdisciplinary teamwork in the Canadian primary care setting. Journal of Clinical Nursing 23 (19/20), 2969–2979. Boswell CA. 1992. Work stress and job satisfaction for community health nurse. Journal of Community Health Nursing 9(4), 221–227. Brown H, Edelmann R. 2000. Project 2000: a study of expected and experienced stressors and support reported by students and qualified nurses. Journal of Advanced Nursing 31(4), 857–64. Burns N, Groves SK. 2009. The practice of nursing research. Appraisal, synthesis, and generation of evidence. Sixth Edition. Saunders. St. Louis, Missouri. Campbell SL, Fowles EL, Weber BJ. 2004. Organizational structure and job satisfaction in public health nursing. Public Health Nursing 21(6), 564–571. Chang EM, Hancock KM, Johnson A, Daly J, Jackson D. 2005. Role stress in nurses: review of related factors and strategies for moving forward. Nursing and Health Sciences 7(1), 57–65. Chu CI, Lee MS, Hsu HM. 2006. The impact of social support and job stress on public health nurses organizational citizenship behaviors in rural Taiwan. Public Health Nursing 23(6), 496–505. Clancy A, Gressnes T, Svensson T. 2013. Public nursing and interprofessional collaboration in Norwegian municipalities: a questionnaire study. Scandinavian Journal of Caring Sciences 27(3), 659–668. Coomber B, Barriball KL. 2007 Impact of job satisfaction components on intent to leave and turnover for hospital-based nurses: a review of the research literature. International Journal of Nursing Studies 44(2), 297–314. Ellenbecker CH, Porell FW, Samia L, Byleckie JJ, Milburn M. 2008. Predictors of home healthcare nurse retention. Journal of Nursing Scholarship 40(2), 151–160. Eskola S, Roos M, McCormark B, Slater P, Hahtela N, Suominen T. 2016. Journal of Nursing Management 24(6), 725–734. Galdikienė N, Asikainen P, Balciunas S, Suominen T. 2014. Do nurses feel stressed? A perspective from primary health care. Nursing and Health Sciences 16(3), 327–334. Glisson C, James LR. 2002. The cross-level effects of culture and climate in human service teams. Journal of Organizational Behavior 23(6), 767–794. Golubic R, Milosevic M, Knezevic B, Mustajbegovic J. 2009. Work-related stress, education and work ability among hospital nurses. Journal of Advanced Nursing 65 (10), 2056–66. Hahtela N, Paavilainen E, McCormack B, Helminen M, Slater P, Suominen T. 2015. Nurses’ perceptions of workplace culture in primary health care in Finland. International Nursing Review 62 (4), 470–478. Han SS, Moon SJ, Yun EK. 2009. Empowerment, job satisfaction and organizational commitment comparison of permanent and temporary nurses in Korea. Applied Nursing Research 22(4), e15-20. Hemmelgarn AL, Glisson C, James LR. 2006. Organizational culture and climate: Implications for services and interventions research. Clinical Psychology and practice 13(1), 73–89. Jalonen P, Virtanen M, Vahtera J, Elovainio M, Kivimäki M. 2006. Predictors of sustained organizational commitment among nurses with temporary job contracts. Journal of Nursing Adminstration 36(5), 268–274. Kauppinen T, Mattila-Holppa P, Perkiö-Mäkelä M, Saalo A, Toikkanen J, Tuomivaara S, Uuksulainen S, Viluksela M, Virtanen S (toim.). 2013. Työ ja terveys Suomessa 2012. Seurantatietoa työoloista ja työhyvinvoinnista. Työterveyslaitos, Helsinki. Lee JKL. 2003. Job stress, coping and health perceptions of Hong Kong primary care nurses. International Journal of Nursing Practice 9(2), 86–91. Payne N. 2001. Occupational stressors and coping as determinants of burnout in female hospice nurses. Journal of Advanced Nursing 33(3), 396–405. Pron AL. 2013. Job satisfaction and perceived autonomy for nurse practitioners working in nurse-managed health centers. Journal of the American Association of Nurse Practitioners 25(4), 213–221. Rauramo P. 2008. Työhyvinvoinnin portaat, viisi vaikuttavaa askelta. Edita Prima Oy, Helsinki. Schein EH. 1996. Culture: The missing concept in organization studies. Administrative Science Quarterly 41, 229–240. Sheehan KM. 2006. E-mail Survey Response Rates: A Review. Journal of Computer-Mediated Communication 6(2), Version of Record online: 23 JUN 2006 | DOI: 10.1111/j.1083-6101.2001.tb00117.x Slater P, McCormack B. 2009. The Development and testing on an instrument to measure nurses’ working environment. The Nursing Context Index. Worldviews of Evidence-Based Nursing 6(3), 173–182. Sun Y, Luo YS, Fang P. 2013. Factors influencing the turnover intention of Chinese community health service workers based on the investigation results of five provinces. Journal of Community Health 38(6), 1058–1066. Sutela H, Lehto AM. 2014. Työolojen muutokset 1977–2013. Helsinki, Tilastokeskus. McVicar A. 2003. Workplace stress in nursing: A literature review. Journal of Advanced Nursing 44(6), 633–642. Van Bogaert P, Wouters K, Willem R, Mondelaers M, Clarke S. 2013. Work engagement supports nurse workforce stability and quality of care: nursing team-level analysis in psychiatric hospitals. Journal of Psychiatric and Mental Health Nursing 20(8), 679–686. Willem A, Buelens M, De Jonghe I. 2007. Impact of organizational structure on nurses’ job satisfaction: a questionnaire survey. International Journal of Nursing Studies 44(6), 1011–1020. Yamashita M, Takase M, Wakabayshi C, Kuroda K, Owatari N. 2009. Work satisfaction of Japanese public health nurses. Nursing and Health Sciences 11(4), 417–421. Verbeke W, Volgering M, Hessels M. 1998. Exploring the conceptual expansion within the field of organizational behaviour: organizational climate and organizational culture. Journal of Management Studies 35(3), 303–329. WMA, World Medical Association. 2013. World Medical Association Declaration of Helsinki. Ethical principles for medical research involving human subjects. Journal of the American Medical Association 310(20), 2191–3194.

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