title: Effects of nurse work environment on job dissatisfaction, burnout, intention to leave.
abstract: BACKGROUND
  The nursing shortage is a critical issue in many countries. High turnover rates among nurses is contributing to the shortage, and job dissatisfaction, intention to leave, and burnout have been identified as some of the predictors of nurse turnover. A well-established body of evidence demonstrates that the work environment for nurses influences nurse job dissatisfaction, intention to leave, and burnout, but there never has been a study undertaken in Thailand to investigate this relationship.
  
  
  OBJECTIVE
  To investigate how work environment affects job dissatisfaction, burnout, and intention to leave among nurses in Thailand.
  
  
  METHODS
  The study used a cross-sectional survey to collect data from 1351 nurses working in 43 inpatient units in five university hospitals across Thailand. The participants completed the Practice Environment Scale of the Nursing Work Index, the Maslach Burnout Inventory, and measures of job dissatisfaction and intention to leave. Logistical regression models assessed the association between work environment and nurse-reported job dissatisfaction, burnout, and intent to leave.
  
  
  RESULTS
  Nurses working in university hospitals with better work environments had significantly less job dissatisfaction, intention to leave, and burnout.
  
  
  CONCLUSIONS
  The nurse work environment is a significant feature contributing to nurse retention in Thai university hospitals.
  
  
  CONCLUSIONS
  Improving the work environment for nurses may lead to lower levels of job dissatisfaction, intention to leave, and burnout. Focusing on these nurse outcomes can be used as a strategy to retain nurses in the healthcare system. Addressing the challenges of poor work environments requires coordinated action from policymakers and health managers.
authors.affiliation: Faculty of Nursing, Chiang Mai University, ChiangMai, Thailand.
authors.forename: A
authors.initials: A
authors.lastname: Nantsupawat
authors.affiliation: Faculty of Nursing, Chiang Mai University, ChiangMai, Thailand.
authors.forename: W
authors.initials: W
authors.lastname: Kunaviktikul
authors.affiliation: Faculty of Nursing, Chiang Mai University, ChiangMai, Thailand.
authors.forename: R
authors.initials: R
authors.lastname: Nantsupawat
authors.affiliation: Faculty of Nursing, Chiang Mai University, ChiangMai, Thailand.
authors.forename: O-A
authors.initials: OA
authors.lastname: Wichaikhum
authors.affiliation: Nursing Service Division, Maharaj Nakorn Chiang Mai Hospital, ChiangMai, Thailand.
authors.forename: H
authors.initials: H
authors.lastname: Thienthong
authors.affiliation: School of Nursing, Columbia University, New York, NY, USA.
authors.forename: L
authors.initials: L
authors.lastname: Poghosyan
mesh_terms: D000328:Adult; D002055:Burnout, Professional / Q000523:psychology*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009732:Nursing Care / Q000458:organization & administration* / Q000523:psychology; D009741:Nursing Staff, Hospital / Q000523:psychology* / Q000706:statistics & numerical data*; D015279:Organizational Culture; D010563:Personnel Turnover / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D013785:Thailand; D017132:Workplace / Q000523:psychology*; D055815:Young Adult
keywords: Burnout; Intention to Leave; Job Dissatisfaction; Nurse Work Environment; Nurses; Nursing Policy; Thailand; University Hospitals