title: Influence of socio-demographic, labour and professional factors on nursing perception concerning practice environment in Primary Health Care.
abstract: OBJECTIVE
  To analyze the perception of nursing professionals of the Madrid Primary Health Care environment in which they practice, as well as its relationship with socio-demographic, work-related and professional factors.
  
  
  METHODS
  Cross-sectional, analytical, observational study.
  
  
  METHODS
  Questionnaire sent to a total of 475 nurses in Primary Health Care in Madrid (former Health Care Areas 6 and 9), in 2010.
  
  
  METHODS
  Perception of the practice environment using the Practice Environment Scale of the Nursing Work Index (PES-NWI) questionnaire, as well as; age; sex; years of professional experience; professional category; Health Care Area; employment status and education level.
  
  
  RESULTS
  There was a response rate of 69.7% (331). The raw score for the PES-NWI was: 81.04 [95%CI: 79.18-82.91]. The factor with the highest score was "Support from Managers" (2.9 [95%CI: 2.8-3]) and the lowest "Workforce adequacy" (2.3 [95%CI: 2.2-2.4]). In the regression model (dependent variable: raw score in PES-NWI), adjusted by age, sex, employment status, professional category (coefficient B=6.586), and years worked at the centre (coefficient B=2.139, for a time of 0-2 years; coefficient B=7.482, for 3-10 years; coefficient B=7.867, for over 20 years) remained at p≤0.05.
  
  
  CONCLUSIONS
  The support provided by nurse managers is the most highly valued factor in this practice environment, while workforce adequacy is perceived as the lowest. Nurses in posts of responsibility and those possessing a higher degree of training perceive their practice environment more favourably. Knowledge of the factors in the practice environment is a key element for health care organizations to optimize provision of care and to improve health care results.
authors.affiliation: Departmental Section of Nursing, Department of Preventive Medicine, Faculty of Medicine, Autonomous University of Madrid, Madrid, Spain. Electronic address: aiparro.hpth@salud.madrid.org.
authors.forename: Ana
authors.initials: A
authors.lastname: Parro Moreno
authors.forename: Pilar
authors.initials: P
authors.lastname: Serrano Gallardo
authors.forename: Carmen
authors.initials: C
authors.lastname: Ferrer Arnedo
authors.forename: Lucía
authors.initials: L
authors.lastname: Serrano Molina
authors.forename: M Luisa
authors.initials: ML
authors.lastname: de la Puerta Calatayud
authors.forename: Aurora
authors.initials: A
authors.lastname: Barberá Martín
authors.forename: José Miguel
authors.initials: JM
authors.lastname: Morales Asencio
authors.forename: Joan
authors.initials: J
authors.lastname: de Pedro Gómez
mesh_terms: D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009729:Nursing; D011320:Primary Health Care; D012931:Social Environment; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014937:Work
keywords: Atención primaria de salud; Cuidados de enfermería en atención primaria; Entorno de práctica; Nursing staff; Plantilla de enfermería; Practice Environment Scale of the Nursing Work Index; Primary Care Nursing; Primary Health Care; Working environment
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