The Effect of Nurses� Individual, Professional and Work Environment Characteristics on Their Perception of Quality of Nursing Care

¹Ko� University School of Nursing
²Koc University Semahat Arsel Nursing Education, Practice and Research Center, Istanbul Turkey
³Ko� University Health Sciences Institute

Aim: The aim of this study is to examine the effect of nurses� individual, professional and work environment
characteristics on their perceptions of quality of care.
Method: This cross-sectional study was conducted in a university hospital where 400 nurses were
employed, and conducted with 154 nurses who have been working in this hospital for at least one year and
volunteered to participate in the study. The data were collected with an online questionnaire consisting of
three parts. The survey form contained questions about the personal, professional characteristics, and
workplace environment of the nurses, and their satisfaction levels about their perceptions of quality of
nursing care, the Practice Environment Scale of the Nursing Work Index. Descriptive statistics and logistic
regression analysis were used in data analysis.
Results: Nurses rated their perceptions of quality of nursing care (mean score: 7.53�1.85; range: 0-10).
The mean score of nursing work environment scale was 2.77�0.54. In the logistic regression analysis, it
was determined that nurses� perception of quality of nursing care was affected by �provision of necessary
funding sources for quality of nursing care, competency level, staffing and resource adequacy total
professional experience, nurse participation in hospital affairs (Nagelkerke R2=58%, p<.05).
Conclusion: The nurses� perception of the quality of care is closely related with nursing work environment
in the hospital, their perceived self-competence and duration of their professional experience. Support
provided by the managers about participation in management processes, providing opportunities for
employees to develop their competencies, as well as providing adequate human and other resources in the
working environment, will contribute and increase the quality of care.

Keywords:

Hem�irelerin Bireysel, Mesleki ve �al��ma Ortam� �zelliklerinin Bak�m Kalitesi Alg�lar�na Etkisi

¹Ko� �niversitesi Hem�irelik Fak�ltesi
²Ko� �niversitesi Semahat Arsel Hem�irelik E�itim, Uygulama ve Ara�t�rma Merkezi (SANERC), �stanbul T�rkiye
³Ko� �niversitesi Sa�l�k Bilimleri Enstit�s�

Ama�: Bu �al��man�n amac�, hem�irelerin bireysel, mesleki ve �al��ma ortam� �zelliklerinin bak�m kalitesi
alg�lar�na etkisini incelemektir.
Y�ntem: Bu kesitsel �al��ma, 400 hem�irenin �al��t�� bir �niversite hastanesinde, en az bir y�ld�r bu
hastanede �al��an ve �al��maya kat�lmaya g�n�ll� olan 154 hem�ire ile ger�ekle�tirilmi�tir. Veriler,
�� b�l�mden olu�an �evrim i�i anket ile toplanm��t�r. Anket, hem�irelerin bireysel, mesleki ve i� ortam�
�zellikleri ile bak�m kalitesinden doyumunu belirlemeye y�nelik sorular ve �Hem�irelik �� ndeksi-Hem�irelik
�al��ma Ortam�n� De�erlendirme �l�e�i�nden olu�mu�tur. Veri analizinde tan�mlay�c� istatistikler ve lojistik
regresyon analizi kullan�lm��t�r.
Bulgular: Hem�ireler, hasta bak�m kalitesini 7,53�1,85 (0-10 �zerinden) olarak de�erlendirmi�tir. Hem�irelik
�al��ma ortam� �l�e�i puan� ortalamas� 2,77�0,54 olarak bulunmu�tur. Lojistik regresyon analizinde,
hem�irelerin bak�m kalitesi alg�s�n�n �hem�irelik �al��ma ortam�na ili�kin bak�m i�in gerekli kaynaklar�n
sa�lanmas�, yetkinlik d�zeyi, insan g�c� ve di�er kaynaklar�n yeterlili�i, mesleki deneyim s�resi ve
hem�irelerin y�netime kat�lmas� ve temsil g�c��nden etkilendi�i saptanm��t�r (Nagelkerke R2=%58, p<,05).
Sonu�: Hem�irelerin bak�m kalitesi alg�s�, hastanede olu�turulan hem�irelik �al��ma ortam� �zelliklerinin
yan� s�ra kendilerini yetkin bulmalar� ve deneyim s�releri ile yak�ndan ili�kilidir. Y�netici hem�irelerin,
�al��ma ortam�nda yeterli insani ve di�er kaynaklar� sa�lamas�n�n yan� s�ra y�netime kat�l�m� desteklemesi,
�al��anlar�n yetkinliklerini geli�tirmelerine f�rsat sa�lamas� bak�m kalitesinin artmas�na katk� sa�layacakt�r.

Anahtar Kelimeler:

Nilg�n G�ktepe, Emine T�rkmen, �brahim Fener, Beg�m Yal��n, Seda Sar�k�se. The Effect of Nurses� Individual, Professional and Work Environment Characteristics on Their Perception of Quality of Nursing Care. Journal of Health and Nursing Management. 2021; 8(2): 139-147

Corresponding Author: Nilg�n G�ktepe, T�rkiye