Domains | N of articlesa | Dimension measures | Aspect | |||||
---|---|---|---|---|---|---|---|---|
A | B | C | D | |||||
1. Autonomy and responsibility | 48 | 2 | 6 | 26 | 17 | |||
Professional autonomy | 28 | 1 | 5 | 15 | 11 | 2 | ||
Unclear responsibilities | 4 | - | 1 | 2 | 1 | 2 | ||
Lack of control | 16 | 1 | - | 9 | 5 | 2 | ||
2. Leadership | 212 | 30 | 44 | 145 | 63 | |||
Involvement of direct managers | 69 | 9 | 14 | 46 | 20 | 1 | ||
Transformational leadership | 42 | 6 | 12 | 28 | 14 | 2 | ||
Adequate conflict management | 6 | 2 | 3 | 4 | 1 | 2 | ||
Qualified and trusted CNO* | 5 | - | - | 5 | 1 | 1 | ||
Perceived trust in management | 15 | - | 1 | 12 | 4 | 2 | ||
Impact in organizational decision making | 36 | 8 | 7 | 23 | 12 | 2 | ||
Leadership focused on nurse engagement | 39 | 5 | 7 | 27 | 11 | 2 | ||
3. Logistics and ergonomics | 45 | 9 | 8 | 14 | 30 | |||
Physical work environment | 30 | 7 | 1 | 11 | 17 | 1 | ||
Lack of- or outdated medical/nursing equipment | 15 | 2 | 7 | 3 | 13 | 1 | ||
4. Relations | 52 | 6 | 9 | 29 | 22 | |||
Relation with patient/family | 15 | - | 2 | 9 | 6 | 2 | ||
Physician - nurse relationship | 36 | 6 | 7 | 20 | 16 | 2 | ||
5. Stress and physical demands | 73 | 5 | 10 | 57 | 25 | |||
Moral or physical stress due to patient care/emotional demands | 28 | 1 | 3 | 21 | 7 | 3 | ||
Physical demands | 8 | 2 | - | 6 | 3 | 3 | ||
Perceived work-related stress | 33 | 2 | 7 | 20 | 13 | 3 | ||
Benefits and rewards | 6 | - | - | 6 | - | 3 | ||
Work-life balance | 4 | - | - | 4 | 2 | 3 | ||
6. Team composition | 171 | 15 | 23 | 57 | 94 | |||
Demographics | 7 | 1 | 2 | 2 | 3 | 1 | ||
Supplemental agency (interim) nurses | 13 | 3 | 1 | 3 | 9 | 1 | ||
Nurse educational level (RN, bachelor) | 71 | 4 | 5 | 13 | 49 | 1 | ||
Team “coreness” - right team, right time and place | 19 | 1 | 3 | 8 | 11 | 1 | ||
Team cohesion/climate | 37 | 4 | 8 | 18 | 14 | 2 | ||
Training, education, professional development | 24 | 2 | 4 | 13 | 8 | 2 | ||
7. Transparency and task clearness | 23 | 3 | 6 | 9 | 12 | |||
Useful guidelines or protocols available | 5 | 1 | 1 | 1 | 3 | 2 | ||
Frequent and clear communication | 18 | 2 | 5 | 8 | 9 | 2 | ||
8. Safety | 47 | 6 | 10 | 16 | 34 | |||
Nurses report unsafe staffing situations | 33 | 3 | 6 | 12 | 23 | 2 | ||
Safety culture (no blame) | 14 | 3 | 4 | 4 | 11 | 2 | ||
9. Workload | 298 | 22 | 24 | 93 | 202 | |||
Nurse staffing levels | 206 | 13 | 19 | 54 | 147 | 1 | ||
Support of other services during patient care | 8 | 2 | - | 5 | 3 | 1 | ||
Care left undone | 34 | 4 | - | 12 | 22 | 3 | ||
Nonnursing taskload | 6 | 1 | - | 3 | 4 | 2 | ||
Shift working | 29 | 2 | 4 | 15 | 14 | 2 | ||
Overtime | 15 | - | 1 | 4 | 12 | 3 |