title: Effects of work environment on patient and nurse outcomes.
abstract: BACKGROUND
  Several parameters of the nurse's work environment lead to fewer patient complications and lower nurse burnout. The aim of this systematic review was the analysis of research data related to the effect of nurses' work environments on outcomes for both patients and nurses.
  
  
  METHODS
  Medline was searched by using keywords: 'working conditions', 'work environment', 'nurses', 'nursing staff', 'patients', 'outcomes'.
  
  
  RESULTS
  In total, 10 studies were included, of which 4 were cross-sectional and the remaining were descriptive correlational studies. Patients who were hospitalised in units with good work environments for the nurses were more satisfied with the nursing care than the patients in units with poor work environments. Nurses who perceived their work environment to be good experienced higher job satisfaction and lower rates of burnout syndrome.
  
  
  CONCLUSIONS
  A good work environment constitutes a determinant factor for high care quality and, at the same time, relates to improved outcomes for the nurses.
authors.affiliation: Nurse, Tzaneio General Hospital, Piraeus, Greece.
authors.forename: Panagiota
authors.initials: P
authors.lastname: Copanitsanou
authors.affiliation: Assistant Professor, Faculty of Nursing, School of Health Sciences, National and Kapodistrian University of Athens, Greece.
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Fotos
authors.affiliation: Professor, Faculty of Nursing, School of Health Sciences, National and Kapodistrian University of Athens, Greece.
authors.forename: Hero
authors.initials: H
authors.lastname: Brokalaki
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002055:Burnout, Professional / Q000523:psychology*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D009741:Nursing Staff, Hospital / Q000523:psychology*; D017060:Patient Satisfaction; D011787:Quality of Health Care; D011795:Surveys and Questionnaires; D017132:Workplace / Q000523:psychology*
keywords: Burnout; Nurses; Outcomes; Patient satisfaction; Staffing; Working environment