title: Work climate in Mexican hemodialysis units: a cross-sectional study.
abstract: BACKGROUND
  The work climate (WC) affects the performance of service providers and has an impact on the care provided to users. This is important in the case of conditions that affect the quality of life, as is the case of chronic kidney disease (CKD) treated with haemodialysis. In Mexico, the demand for the care of CKD cases is increasing and the haemodialysis offer is limited. The purpose of this study was to describe and compare the WC in public, private and social security haemodialysis units in Mexico and to validate a tool to measure WC in haemodialysis units (HU).
  
  
  METHODS
  372 professionals from 84 HU in 27 states were interviewed using a questionnaire. This included questions about the WC, quality of care and structure and organisation of the HU. Variables were compared by type of institution and profession.
  
  
  RESULTS
  Significant correlations were observed between the WC and indicators of the quality of care. Nine out of fourteen variables presented important differences by type of unit, with a better perception of WC in private units and a poorer perception in social security ones.
  
  
  CONCLUSIONS
  The perception of WC relies on the organisation and planning of the institutions, as well as on their infrastructure. In the case of Social Security HU in Mexico, these appear to be the areas that require improvement in order to encourage a better work climate.
authors.affiliation: Faculty of Medicine, UNAM, México, DF, México.
authors.forename: M
authors.initials: M
authors.lastname: Rojas Russell
authors.forename: L L
authors.initials: LL
authors.lastname: Tirado Gómez
authors.forename: R L
authors.initials: RL
authors.lastname: Pacheco Domínguez
authors.forename: R
authors.initials: R
authors.lastname: Escamilla Santiago
authors.forename: M
authors.initials: M
authors.lastname: López Cervantes
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006436:Hemodialysis Units, Hospital / Q000706:statistics & numerical data*; D006740:Hospital Administrators / Q000523:psychology / Q000706:statistics & numerical data; D016304:Hospitals, Private / Q000706:statistics & numerical data*; D006779:Hospitals, Public / Q000706:statistics & numerical data*; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008505:Medical Staff, Hospital / Q000523:psychology / Q000706:statistics & numerical data; D008800:Mexico; D008875:Middle Aged; D009741:Nursing Staff, Hospital / Q000523:psychology / Q000706:statistics & numerical data; D015279:Organizational Culture; D010564:Personnel, Hospital / Q000523:psychology / Q000706:statistics & numerical data*; D012938:Social Perception; D012943:Social Security / Q000458:organization & administration*; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D017132:Workplace; D055815:Young Adult