Magnet Hospitals and Their Implications for Nurses’ Job Satisfaction
DOI:
https://doi.org/10.12707/RVI25.54.42104Keywords:
work environments, professional satisfaction, nursing, human resources managementAbstract
Background: In Portugal, there is no comprehensive assessment of nurses’ perceptions of their work environments, nor a characterization of these environments as Magnet (favorable) or non-Magnet (unfavorable).
Objective: To analyze the relationship between work environments and nurses’ job satisfaction, as well as to introduce the Magnet concept.
Methodology: A descriptive correlational study was conducted, obtaining 1,015 valid questionnaire responses. Data were collected using the Practice Environment Scale of the Nursing Work Index (PESNWI) and the Nurses’ Job Satisfaction Scale (ESET).
Results: Of the hospitals analyzed, 40.0% were classified as having a mixed (Magnet-aspiring) work environment, 39.5% as having an unfavorable (non-Magnet) work environment, and the remaining 16.5% as having a favorable (Magnet) work environment. Most nurses reported moderate levels of job satisfaction (83.5%). A statistically significant correlation was also found between the work environment and job satisfaction.
Conclusion: There remains a need for hospital management interventions aimed at optimizing work environments in order to promote better organizational conditions and, consequently, increase nurses’ levels of job satisfaction.
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References
Aiken, L., Buchan, J., Ball, J., & Rafferty, A. (2008). Transformative impact of magnet designation: England case study. Journal of Clinical Nursing, 17(24), 3330-3337. https://doi.org/10.1111/j.1365-2702.2008.02640.x
Albashayreh, A., Al Sabei, S. D., AlRawajfah, O. M., & AlAwaisi, H. (2019). Healthy work environments are critical for nurse job satisfaction: Implications for Oman. International Nursing Review, 66(3), 389–395. https://doi.org/10.1111/inr.12529
Alenazy, F., Dettrick, Z., & Keogh, S. (2023). The relationship between practice environment, job satisfaction and intention to leave in critical care nurses. Nursing in Critical Care, 28(2), 167-176. https://doi.org/10.1111/nicc.12737
Al Sabei, S., Labrague, L., Miner Ross, A., Karkada, S., Albashayreh, A., Al Masroori, F., & Al Hashmi, N. (2020). Nursing work environment, turnover Intention, job burnout, and quality of care: The moderating role of job satisfaction. Journal of Nursing Scholarship, 52(1), 95-104. https://doi.org/10.1111/jnu.12528
Al-Haroon, H., & Al-Qahtani, M. (2020). The demographic predictors of job satisfaction among the nurses of a major public hospital in KSA. Journal of Taibah University Medical Sciences, 15(1), 32-38. https://doi.org/10.1016/j.jtumed.2019.11.003
Amaral, A., Ferreira, P., & Lake, E. (2012). Validation of the practice environment scale of the nursing work Iidex (PES-NWI) for the Portuguese nurse population. International Journal of Caring Sciences, 5(3), 280-288. https://scispace.com/pdf/validation-of-the-practice-environment-scale-of-the-nursing-266ztzo2lc.pdf
American Nurses Credentialing Center. (2023). Find a magnet organization. https://www.nursingworld.org/organizationalprograms/Magnet/find-a-Magnet-organization
Beal, J., & Riley, J. (2019). Best organizational practices that foster scholarly nursing practice in Magnet® hospitals. Journal of Professional Nursing, 35(3), 187-194. https://doi.org/10.1016/j.profnurs.2019.01.001
Berndt, A. (2020). Sampling methods. Journal of Human Lactation, 36(2), 224–226. https://doi.org/10.1177/0890334420906850
Blackwell, C. (2020). Demonstrating nursing excellence through equality: The relationship between Magnet® status and organizational LGBTQ client services and support. Journal of Transcultural Nursing, 31(2), 209-215 https://doi.org/10.1177/1043659619865585
ElKhateeb, S. H., El Dahshan, M. E., & Shokry, W. A. (2022). Using Magnet components in nursing practice. Menoufia Nursing Journal, 7(1), 63–72. https://doi.org/10.21608/menj.2022.226372
González-Gancedo, J., Fernández-Martínez, E., & Rodríguez-Borrego, M. (2019). Relationships among general health, job satisfaction, work engagement and job features in nurses working in a public hospital: A cross-sectional study. Journal of Clinical Nursing, 28(7-8), 1273-1288. https://doi.org/10.1111/jocn.14740
Huang, S., Chen, C., Kau, K., Tsai, J., & Tsay, S. (2023). Key determinates of job satisfaction for acute care nurse practitioners in Taiwan. BMC Nursing, 22(1), 6. https://doi.org/10.1186/s12912-022-01156-x
João, A. L., Alves, C. P., Silva, C., Diogo, F., & Ferreira, N. (2017). Validação de uma escala de satisfação dos enfermeiros com o trabalho para a população portuguesa. Revista de Enfermagem Referência, 4(12), 117-130. https://doi.org/10.12707/RIV16066
Kunecka D., & Skowron L. (2019) The model of professional satisfaction of nursing staff in Poland: Brief communication. International Journal of Occupational Safety and Ergonomics, 25(4), 646-649. https://doi.org/10.1080/10803548.2018.1480152
Labrague, L., Al Sabei, S., Al Rawajfah, O., Abualrub, R., & Burney, I. (2022). Interprofessional collaboration as a mediator in the relationship between nurse work environment, patient safety outcomes and job satisfaction among nurses. Journal of Nursing Management, 30, 268-278. https://doi.org/10.1111/jonm.13491
Lake, E., & Friese, C. (2006). Variations in nursing practice environments: Relation to staffing and hospital characteristics. Nursing Research, 55(1), 1-9. https://doi.org/10.1097/00006199-200601000-00001
Norelho, O., Borges, E., & Abreu, M. (2019). Job satisfaction and presenteeism of workers of a private institution of social solidarity. International Journal on Working Conditions, 18, 17-34. https://doi.org/10.25762/yt3y-e364
Patrician, P., Olds, D., Breckenridge-Sproat, S., Taylor-Clark, T., Swiger, P., & Loan, L. (2022). Comparing the nurse work environment, job satisfaction, and intent to leave among military, Magnet®, magnet-aspiring, and non-magnet civilian hospitals. Journal of Nursing Administration, 52(6), 365-370. https://doi.org/10.1097/NNA.0000000000001164
Pursio, K., Kankkunen, P., Mikkonen, S., & Kvist, T. (2024). Organizational characteristics of nursing practice environments related to registered nurses’ professional autonomy and job satisfaction in two finnish magnet-aspiring hospitals: Structural equation modeling study. BMC Nursing, 23(1),100. https://doi.org/10.1186/s12912-024-01772-9
Rezaie, F., Mohammadi-Shahboulaghi, F., Fadayevatan, R., Shati, M., & Ghaedamini-Harouni, G. (2023). Working condition and job satisfaction of nurses as predicting factors of the prevalence of health care-associated infections among elderly inpatients. Iranian Journal of Nursing and Midwifery Research, 28(6), 684-689. https://doi.org/10.4103/ijnmr.ijnmr_87_22
Rizany, I., Hariyati, R., Afifah, E., & Rusdiyansyah. (2019). The impact of nurse scheduling management on nurses’ job satisfaction in army hospital: A cross-sectional research. Sage Open, 9(2), 2158244019856189. https://doi.org/10.1177/2158244019856189
Stone, A. A., Schneider, S., Smyth, J. M., Junghaenel, D. U., Couper, M. P., Couper, Mick P., Wen, C., Mendez, M., Velasco, S., & Goldstein, S. (2024). A populationbased investigation of participation rate. Current Psychology, 43, 2074–2090. https://doi.org/10.1007/s12144-023-04426-2
Stordeur, S., D’Hoore, W., & The Next-Study Group. (2007). Organizational configuration of hospitals succeeding in attracting and retaining nurses. Journal of Advanced Nursing, 57(1), 45-58. https://doi.org/10.1111/j.1365-2648.2006.04095.x
Skela Savic, B., Pagon, M., & Robida, A. (2023). Magnet principles and their implementation in European hospitals: A qualitative study. International Journal of Nursing Studies, 137, 104392.
https://doi.org/10.1016/j.ijnurstu.2023.104392
Svensson, I., Bridges, J., Ellis, J., Brady, N., Dello, S., Hooft, J., & Magnet4Europe Consortium. (2024). Laying the foundations for implementing magnet principles in hospitals in Europe: A qualitative analysis. International Journal of Nursing Studies, 154, Article 104754. https://doi.org/10.1016/j.ijnurstu.2024.104754
Wei, H., Sewell, K., Woody, G., & Rose, M. (2018). The state of the science of nurse work environments in the United States: A systematic review. International Journal of Nursing Sciences, 5(3), 287-300. https://doi.org/10.1016/j.ijnss.2018.04.010
Wei, H., Horsley, L., Cao, Y., Haddad, L., Hall, K., Robinson, R., & Anderson, D. (2023). The associations among nurse work engagement, job satisfaction, quality of care, and intent to leave: A national survey in the United States. International Journal of Nursing Sciences, 10, 476-484. https://doi.org/10.1016/j.ijnss.2023.09.010
Xue, B., Feng, Y., Hu, Z., Chen, Y., Zhao, Y., Li, X., Yang, Y., Zhang, J., Zhang, Y., & Luo, H. (2024). Assessing the mediation path ways: How decent work affects turnover intention through job satisfaction and burnout in nursing. International Nursing Review, 71(4), 860–867. https://doi.org/10.1111/inr.12939
Yang, Y., Hatanaka, K., Takahashi, K., & Shimizu, Y. (2023). Working conditions among Chinese nurses employed in Japan: A cross-sectional survey-based study. Sage Open Nursing, 9(1), 23779608231169382. https://doi.org/10.1177/23779608231169382



















