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Metas de Enfermería

Metas de Enfermería

DICIEMBRE 2018 N° 10 Volumen 21

Organizational environment in the Nursing Care services from a public hospital in Argentina

Section: Originals

How to quote

Mengarelli SP, Calvelo S, Zacharías D, Garibotti G. Clima organizacional en servicios de Enfermería en un hospital público en Argentina. Metas Enferm dic 2018/ene 2019; 21(10):24-31.

Authors

Silvana Paola Mengarelli1, Susana Calvelo2, Daniela Zacharías3, Gilda Garibotti4

Position

1Enfermera. Hospital Zonal Bariloche. San Carlos de Bariloche (Argentina)2Doctora. Universidad Nacional del Comahue. San Carlos de Bariloche (Argentina)3Máster en Estadística. Departamento de Estadística. Universidad Nacional del Comahue. San Carlos de Bariloche (Argentina)4Doctora en Estadística. Departamento de Estadística. Universidad Nacional del Comahue. San Carlos de Bariloche (Argentina)

Contact address

Gilda Garibotti. Centro Regional Universitario Bariloche. Universidad Nacional del Comahue. C/ Quintal, 1250 (Bº Jardín Botánico). 8400 San Carlos de

Contact email: garibottig@comahue-conicet.gob.ar

Abstract

Objective: to evaluate the perception of the Nursing staff about the organizational environment (OE) in the Nursing Care services from a public hospital in Argentina, and its association with the sociodemographical and occupational characteristics of the staff.
Method: a descriptive cross-sectional study conducted in 2014 with the Nursing staff from the Hospital Zonal Bariloche; data were collected through an anonymous and self-administered questionnaire, and included sociodemographical and occupational aspects of the staff. The evaluation of the OE perception considered 10 dimensions grouped along three axes: human potential, organizational design, and organization culture. The perception of each dimension was measured through the perception index (PI), and descriptive statistics was conducted. The association between the PI of the OE and the characteristics of the Nursing staff was calculated through Mann-Whitney-Wilcoxon and Kruskal-Wallis tests.
Results: the study included the participation of 84 subjects: 75% were female, and 50% were nurses. The two dimensions with the highest proportion of unfavorable answers were Leadership (60%) and Reward (63%). Conflict / cooperation and Identity were those evaluated with the highest proportion of favorable answers, with 69% and 87%, respectively. The perception of the OE was more favorable among men than women.
Conclusions: nurses and Nursing Assistants stated a high level of satisfaction at being part of the patient care services. The negative evaluation for the Reward and Leadership dimensions shows a problem that needs to be addressed. The methodology proposed is valuable in order to assess the OE perceived by the Nursing staff, in order to orientate programs for its improvement, as well as for improving the healthcare provided.

Keywords:

Occupational environment; quality culture; organizational design; Nursingdescriptive study

Versión en Español

Título:

Clima organizacional en servicios de Enfermería en un hospital público en Argentina