title: Nurses well-being in intensive care units: study of factors promoting team commitment.
abstract: BACKGROUND
  Intensive care units (ICUs) are challenging work environments because of the critical condition of patients, and ICU nurses frequently lament low job satisfaction and high staff turnover. Nevertheless, organizational and work characteristics, and the quality of relationships with staff can help to maintain nurses' enthusiasm and increase job satisfaction.
  
  
  OBJECTIVE
  The aim of this study was to analyse how nursing work environment factors affect identification and commitment among ICU nurses.
  
  
  METHODS
  A cross-sectional study was carried out in 12 ICUs from four Italian urban hospitals.
  
  
  METHODS
  A total of 222 nurses participated and completed a self-reported questionnaire.
  
  
  CONCLUSIONS
  Results show that nursing work characteristics are directly related to team commitment, and that the nursing work characteristics and team commitment relationship was mediated by both perceived supervisor support and job satisfaction.
  
  
  CONCLUSIONS
  Our findings may concretely contribute to literature and offer additional suggestions to improve nurses' work conditions and patient health in ICUs.
authors.affiliation: Department of Public Health, Clinical and Molecular Medicine, University of Cagliari, Italy.
authors.forename: Maura
authors.initials: M
authors.lastname: Galletta
authors.affiliation: Department of Public Health, Clinical and Molecular Medicine, University of Cagliari, Italy.
authors.forename: Igor
authors.initials: I
authors.lastname: Portoghese
authors.affiliation: Department of Public Health, Clinical and Molecular Medicine, University of Cagliari, Italy.
authors.forename: Rosa C
authors.initials: RC
authors.lastname: Coppola
authors.affiliation: Anesthesia and Intensive Care Department, Pain Therapy Service, University of Cagliari, Italy.
authors.forename: Gabriele
authors.initials: G
authors.lastname: Finco
authors.affiliation: Department of Public Health, Clinical and Molecular Medicine, University of Cagliari, Italy.
authors.forename: Marcello
authors.initials: M
authors.lastname: Campagna
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration; D007558:Italy; D007588:Job Satisfaction; D007857:Leadership; D008297:Male; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000458:organization & administration / Q000523:psychology*; D010563:Personnel Turnover; D057566:Self Report; D011795:Surveys and Questionnaires
keywords: Intensive care unit; Mediating role; Nurses; Nursing work characteristics; Team commitment