Work environment factors in coping with patient death among Spanish nurses: a cross-sectional survey
Metadata
Show full item recordEditorial
Universidade de São Paulo; Ribeirao Preto College of Nursing
Materia
Coping skills Nursing End-of-life care Practice Environment evidence-based practice Occupational Stress
Date
2020Referencia bibliográfica
Povedano-Jimenez M, Granados-Gamez G, Garcia-Caro MP. Work environment factors in coping with patient death among Spanish nurses: a cross-sectional survey. Rev. Latino-Am. Enfermagem. 2020;28:e3234 [http://dx.doi.org/10.1590/1518-8345.3279.3234]
Abstract
Objective: to explore self-perception competence among
Spanish nurses dealing with patient death and its relationship
with work environment, evidence-based practice, and
occupational stress. Method: a cross-sectional web-based
survey collected information from a convenience sample of 534
nurses from professional Spanish Colleges who answered four
validated questionnaires: Coping with Death Scale, Practice
Environment Scale of the Nursing Work Index, Perception
of Evidence-Based Practice (EBP) and Nursing Stress Scale.
Results: a total of 79% of the participants were women,
the average age was 40 years old, 38% had a postgraduate
degree and 77% worked in public health settings. Many
nurses evaluated their work environment as unfavorable
(66%), reported high occupational stress (83.5±14.9), and
had high scores on knowledge/skills in EBP (47.9±11.3).
However, 61.2% of them perceived an optimal coping (>157
score). The multivariate logistic model indicated positive
associations with work environment and EBP characteristics
(OR: 1.30, p=0.054; OR: 1.04, p=0.007; OR: 1.13, p<0.001,
respectively) but negative associations with occupational
stress and short work experience (OR: 0.98, p=0.0043; OR:
0.74, p<0.002, respectively). These factors explained 23.1%
of the coping variance (p<0.001). Conclusion: although
most nurses perceived optimal coping, the situation could
be enhanced by modifying several contextual factors. The
identification of these factors would improve the quality of
end-of-life care by facilitating nursing management.