Factors affecting Polish nurses' willingness to recommend the hospital as a place of care.
BACKGROUND
Nurses constitute the major professional group offering constant hospital patients' care. Willingness to recommend their hospital reflects confidence in the offered care, satisfaction and identification with the work place. The aim of the present study has been to investigate which elements of hospital environment and nurse personal related factors predict recommendation of the hospital as a place of care by employed nurses.


METHODS
Cross-sectional, correlation study was, based on 1723 self-reported, anonymous questionnaires of nurses working in 30 acute hospitals. Data was analyzed using the logistic regression model, with general estimation equations.


RESULTS
About 25% of nurses were unwilling to recommend their hospital as the place of care. The odds ratio (OR) of the lack of willingness to recommend the hospital was related to assessment of patients' safety (OR = 0.28, 95% confidence interval (CI): 0.18-0.46, p = 0.00), decrease in the quality of patient care during the preceding year (OR = 0.62, 95% CI: 0.41-0.93, p = 0.02), overall work conditions (OR = 0.35, 95% CI: 0.22-0.57, p = 0.00), weak cooperation between nurses and physicians (OR = 0.37, 95% CI: 0.25-0.54, p = 0.00), poor work schedule flexibility (OR = 0.74, 95% CI: 0.55- 0.99, p = 0.04) and educational opportunities (OR = 0.71, 95% CI: 0.54-0.95, p = 0.02) and the level of nurses depersonalization (OR = 1.78, 95% CI: 1.18-1.68, p = 0.00).


CONCLUSIONS
The hospital manager should consider strategies which improve patients' safety and the staff working conditions. Thanks to that they will also achieve better and more competitive image of the hospital in the local community. Med Pr 2016;67(4):447-454.
Jagiellonian University Medical College / Collegium Medicum Uniwersytetu Jagiellońskiego, Kraków, Poland (Faculty of Health Sciences, Institute of Nursing and Midwifery / Wydział Nauk o Zdrowiu, Instytut Pielęgniarstwa i Położnictwa). maria.kozka@uj.edu.pl.
Maria
M
Kózka
Jagiellonian University Medical College / Collegium Medicum Uniwersytetu Jagiellońskiego, Kraków, Poland (Faculty of Health Sciences, Institute of Nursing and Midwifery / Wydział Nauk o Zdrowiu, Instytut Pielęgniarstwa i Położnictwa). tomasz.brzostek@uj.edu.pl.
Tomasz
T
Brzostek
Jagiellonian University Medical College / Collegium Medicum Uniwersytetu Jagiellońskiego, Kraków, Poland (Faculty of Health Sciences, Institute of Nursing and Midwifery / Wydział Nauk o Zdrowiu, Instytut Pielęgniarstwa i Położnictwa). mcisek@cm-uj.krakow.pl.
Maria
M
Cisek
Jagiellonian University Medical College / Collegium Medicum Uniwersytetu Jagiellońskiego, Kraków, Poland (Department of Medical Sociology, Chair of Epidemiology and Preventive Medicine / Zakład Socjologii Medycyny, Katedra Epidemiologii i Medycyny Zapobiegawczej). mylysy@onet.eu.
Piotr
P
Brzyski
Jagiellonian University Medical College / Collegium Medicum Uniwersytetu Jagiellońskiego, Kraków, Poland (Faculty of Health Sciences, Institute of Public Health / Wydział Nauk o Zdrowiu, Instytut Zdrowia Publicznego). lucyprzewozniak@uj.edu.pl.
Lucyna
L
Przewoźniak
Jagiellonian University Medical College / Collegium Medicum Uniwersytetu Jagiellońskiego, Kraków, Poland (Faculty of Health Sciences, Institute of Nursing and Midwifery / Wydział Nauk o Zdrowiu, Instytut Pielęgniarstwa i Położnictwa). tergab@uj.edu.pl.
Teresa
T
Gabryś
Jagiellonian University Medical College / Collegium Medicum Uniwersytetu Jagiellońskiego, Kraków, Poland (Faculty of Health Sciences, Institute of Nursing and Midwifery / Wydział Nauk o Zdrowiu, Instytut Pielęgniarstwa i Położnictwa). maria.ogarek@uj.edu.pl.
Maria
M
Ogarek
Jagiellonian University Medical College / Collegium Medicum Uniwersytetu Jagiellońskiego, Kraków, Poland (Faculty of Health Sciences, Institute of Public Health / Wydział Nauk o Zdrowiu, Instytut Zdrowia Publicznego). krzysztof.gajda@uj.edu.pl.
Krzysztof
K
Gajda
Medical University of Lublin / Uniwersytet Medyczny w Lublinie, Lublin, Poland (Faculty of Health Science, Chair and Department of Management in Nursing / Wydział Nauk o Zdrowiu, Katedra i Zakład Zarządzania w Pielęgniarstwie). ksykzarz@umlub.pl.
Anna
A
Ksykiewicz-Dorota
D000328:Adult; D002055:Burnout, Professional / Q000453:epidemiology; D016001:Confidence Intervals; D003430:Cross-Sectional Studies; D005260:Female; D006761:Hospitals / Q000592:standards*; D006801:Humans; D007588:Job Satisfaction; D016015:Logistic Models; D008297:Male; D009741:Nursing Staff, Hospital / Q000706:statistics & numerical data*; D016017:Odds Ratio; D061214:Patient Safety; D017060:Patient Satisfaction; D010561:Personnel Staffing and Scheduling; D011787:Quality of Health Care / Q000706:statistics & numerical data*; D017132:Workplace / Q000592:standards; D055815:Young Adult
depersonalisation; environment; hospital; nurses; safety; work