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Anales del Sistema Sanitario de Navarra
versión impresa ISSN 1137-6627
Resumen
GEA-CABALLERO, V et al. Perception of the professional nursing environment in Primary Care in the Valencian Community, in departments with public and private management. Anales Sis San Navarra [online]. 2019, vol.42, n.2, pp.159-168. Epub 02-Mar-2020. ISSN 1137-6627. https://dx.doi.org/10.23938/assn.0639.
Background
Nursing practice environments (NPE) improve the quality of care, satisfaction and heath results; there are no studies that compare the Primary Health Care (PHC) environments according to their management model. Our aim is to estimate and compare the perception of the quality of the NPE in the PHC in Health Departments (HD) of the Valencian Community (Spain) with management model public or indirect-private (Administrative concession).
Method
Transversal study on PHC nurses from three HD, one with direct public management and two with indirect-private management. The Practice Environment Scale-Nursing Work Index questionnaire, validated in Spain, was administered. Sociodemographic and professional variables were recorded. Variables related to test score were analyzed by multiple linear regression.
Results
Two hundred and sixty-nine answers (80.3%). All HD perceived NPE quality in a positive way, both globally and for the different dimensions (except D4). Indirect private management model HD obtained higher global scores, the same tendency was observed for D1 and D2, and the opposite for D4. Global score was related to age, professional experience, being a coordinator and management model; only the age of the nurses and being a coordinator showed a significant relationship with the score in the multivariate regression model.
Conclusions
The NPE of the PHC of the Valencian Community are of good quality, without significant differences according to different management models of the HD. Being a coordinator and, particularly, the age of the nurses are variables that are independently related to the global score obtained.
Palabras clave : Primary care; Nursing work environment; Management model; Public-private sector partnerships; Quality of health care.