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Nursing Practice Environments and Professional and Care-Related Outcomes in Portuguese Emergency Services: A Descriptive Study of 2018 and 2022

2026-03-28Artigo científico Acesso aberto
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datacite.subject.fosCiências Médicas::Ciências da Saúde
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorPragosa, Ângela
dc.contributor.authorRoque, Sofia
dc.contributor.authorAraújo, Beatriz
dc.contributor.authorJesus, Élvio
dc.date.accessioned2026-09-09T14:35:40Z
dc.date.available2026-09-09T14:35:40Z
dc.date.issued2026-03-28
dc.descriptionThis article belongs to the Special Issue Nursing Leadership: Contemporary Challenges.
dc.descriptionArticle nr. 111
dc.descriptionGuidelines and Standards Statement This manuscript was drafted in accordance with the STROBE guidelines (Strengthening the Reporting of Observational Studies in Epidemiology) for observational research.
dc.descriptionUse of Artificial Intelligence Artificial intelligence–assisted tools were used during the preparation of this manuscript to support language editing and improve clarity and readability. All content was critically reviewed, revised, and approved by the authors, who take full responsibility for the accuracy, integrity, and originality of the manuscript.
dc.descriptionAcknowledgments The authors acknowledge the support of ciTechCare - Center for Innovative Care and Health Technology and Centre for Interdisciplinary Research in Health.
dc.description.abstractBackground/Objectives: Emergency Services (ESs) are highly demanding clinical settings where Nursing Practice Environments (NPEs) play a critical role in shaping professional- and care-related outcomes. International evidence suggests that unfavorable NPEs are associated with reduced job satisfaction, compromised care quality, and increased safety risks. This study aimed to describe NPEs and selected professional and care-related outcomes among ESs nurses in Portugal in 2018 and 2022. Methods: A descriptive, cross-sectional study was conducted using data from two national surveys of ESs nurses collected in 2018 (n = 390) and 2022 (n = 434). Data were collected through an online questionnaire including the Practice Environment Scale of the Nursing Work Index (PES-NWI), measures of job satisfaction, intention to leave, perceived quality and safety of care, safety culture, incident occurrence, and missed nursing care. Descriptive statistics were used to summarize results across both samples. Results: NPEs were predominantly classified as unfavorable in both samples, with around 70% of nurses working in unfavorable environments. The most compromised dimensions were staffing and resource adequacy, nurses’ participation in hospital affairs, and nurse manager ability, leadership, and support of nurses. Job satisfaction was low in both samples, and a high proportion of nurses reported an intention to leave the organization. Differences were observed between samples in perceived quality and safety of care, incident occurrence, and missed nursing care, particularly in relational and autonomous interventions. Collegial nurse–physician relations emerged as the only favorable dimension in both samples. Conclusions: The findings indicate that NPEs in Portuguese ESs were predominantly unfavorable in both study periods, reflecting structural and organizational challenges. These findings may be associated with nurses’ professional outcomes and perceived care quality and safety, highlighting the importance of targeted organizational interventions to improve practice environments.eng
dc.description.sponsorshipThis work was supported by FCT - Fundação para a Ciência e Tecnologia, I.P., by project reference “UID/05704/2025” and DOI identifier https://doi.org/10.54499/UID/05704/2025 (accessed on 1 February 2026).
dc.identifier.citationPragosa, Â.; Roque, S.; Araújo, B.; Jesus, É. Nursing Practice Environments and Professional and Care-Related Outcomes in Portuguese Emergency Services: A Descriptive Study of 2018 and 2022. Nurs. Rep. 2026, 16, 111. https://doi.org/10.3390/nursrep16040111
dc.identifier.doi10.3390/nursrep16040111
dc.identifier.issn2039-4403
dc.identifier.urihttp://hdl.handle.net/10400.8/16835
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relationCenter for Innovative Care and Health Technology
dc.relation.hasversionhttps://www.mdpi.com/2039-4403/16/4/111
dc.relation.ispartofNursing Reports
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectnursing practice environment
dc.subjectPatient safety
dc.subjectQuality of health care
dc.subjectIntention to leave
dc.subjectMissed nursing care
dc.subjectEmergency service
dc.subjectHospital
dc.titleNursing Practice Environments and Professional and Care-Related Outcomes in Portuguese Emergency Services: A Descriptive Study of 2018 and 2022eng
dc.typejournal article
dspace.entity.typePublication
oaire.awardNumberUID/05704/2025
oaire.awardTitleCenter for Innovative Care and Health Technology
oaire.awardURIhttp://hdl.handle.net/10400.8/16827
oaire.citation.endPage22
oaire.citation.issue4
oaire.citation.startPage1
oaire.citation.titleNursing Reports
oaire.citation.volume16
oaire.fundingStreamAvaliação UID 2023/2024
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameda Costa Pragosa
person.givenNameÂngela Marina
person.identifier.ciencia-id1915-19A1-40DF
person.identifier.orcid0000-0002-5999-5431
relation.isAuthorOfPublication4c5d6de9-4ad1-4377-978a-e296f7c49c46
relation.isAuthorOfPublication.latestForDiscovery4c5d6de9-4ad1-4377-978a-e296f7c49c46
relation.isProjectOfPublicationb3f2eb8e-a1ba-49fe-b6e0-8b3f533e3f62
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