Factors affecting Polish nurses’ willingness to recommend the hospital as a place of care

摘要

Background: Nurses constitute the major professional group offering constant hospital patients’ care. Willingness to recommendtheir hospital reflects confidence in the offered care, satisfaction and identification with the work place. The aim of the presentstudy has been to investigate which elements of hospital environment and nurse personal related factors predict recommendationof the hospital as a place of care by employed nurses. Material and Methods: Cross-sectional, correlation study was, basedon 1723 self-reported, anonymous questionnaires of nurses working in 30 acute hospitals. Data was analyzed using the logisticregression model, with general estimation equations. Results: About 25% of nurses were unwilling to recommend their hospitalas the place of care. The odds ratio (OR) of the lack of willingness to recommend the hospital was related to assessment of patients’safety (OR = 0.28, 95% confidence interval (CI): 0.18–0.46, p = 0.00), decrease in the quality of patient care during the precedingyear (OR = 0.62, 95% CI: 0.41–0.93, p = 0.02), overall work conditions (OR = 0.35, 95% CI: 0.22–0.57, p = 0.00), weak cooperationbetween nurses and physicians (OR = 0.37, 95% CI: 0.25–0.54, p = 0.00), poor work schedule flexibility (OR = 0.74, 95% CI: 0.55–0.99, p = 0.04) and educational opportunities (OR = 0.71, 95% CI: 0.54–0.95, p = 0.02) and the level of nurses depersonalization(OR = 1.78, 95% CI: 1.18–1.68, p = 0.00). Conclusions: The hospital manager should consider strategies which improve patients’safety and the staff working conditions. Thanks to that they will also achieve better and more competitive image of the hospital inthe local community. Med Pr 2016;67(4):447–454