Avaliação de aspectos assistenciais, organizacionais e laborais na perspectiva dos profissionais de enfermagem. Avaliação da perspectiva de profissionais de Enfermagem sobre condições de trabalho, satisfação e qualidade do cuidado. A acreditação hospitalar melhora essas percepções.
Introduction: The nursing team plays an important role in the healthcare context, in which it is necessary to align high-cost control with safety and quality of care, which can contribute to management decisions and to the design of public policies capable of influencing outcomes for professionals, patients, and healthcare services. Objective: To evaluate working conditions, quality of nursing care, job satisfaction, and intention to remain in the current job and in the profession from the perspective of nursing professionals. Methods: This was a cross-sectional, descriptive, and correlational study carried out in three general hospitals in Brazil. Data were collected with the support of a form containing personal and professional characterization and evaluation of care, organizational and work aspects. Results: A total of 452 nursing professionals participated. The nursing professionals are satisfied with their work, reported their intention to remain in their current job and in the profession for the next 12 months and reported good working conditions. Conclusion: The institution that had hospital accreditation showed better results, suggesting that quality certifications may favor the perception of nursing professionals regarding the evaluation of care, organizational and work aspects.
This study tackles a highly relevant and critical area concerning the well-being and professional perceptions of nursing staff, a cornerstone of healthcare delivery. By evaluating care, organizational, and labor aspects from the perspective of nursing professionals in Brazilian hospitals, the research provides valuable insights into crucial factors influencing job satisfaction, working conditions, and retention. The clear objective to assess working conditions, quality of care, satisfaction, and intention to remain, coupled with a substantial sample size of 452 professionals across three general hospitals, lends considerable weight to its descriptive and correlational findings. The initial results suggesting overall satisfaction and positive perceptions among nurses, particularly the intriguing observation about accredited institutions showing better outcomes, are highly significant. While the study offers compelling insights, the cross-sectional design inherently limits the ability to infer causality, particularly regarding the suggested link between hospital accreditation and improved professional perceptions. The abstract states that accreditation "may favor" these perceptions, which is an appropriately cautious phrasing, but further longitudinal research would be beneficial to explore this relationship more deeply. Additionally, without specific details on the "form" used for data collection, including the instruments or scales employed to measure "working conditions," "quality of nursing care," and "job satisfaction," it is challenging to fully assess the internal validity and reliability of these key variables. A more nuanced presentation of what constitutes "good" working conditions or "satisfaction" beyond aggregate numbers would also enhance understanding. Despite these methodological considerations, the study makes an important contribution to the literature by highlighting the current state of nursing professionals' perceptions in Brazilian healthcare settings. The conclusion regarding the potential positive influence of hospital accreditation on professional perceptions is particularly noteworthy, offering a tangible direction for healthcare managers and policymakers seeking to enhance the work environment and, consequently, patient outcomes. Future research could build upon these findings by employing mixed-methods or longitudinal designs to elucidate the mechanisms through which accreditation impacts professional experience, thereby strengthening the evidence base for quality improvement initiatives and public health policies aimed at supporting the nursing workforce.
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