The association between the practice environment and selected nurse educator outcomes in public nursing education institutions: A cross-sectional study |
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| Institution: | 1. NUMIQ Research Focus Area, School of Nursing Science, North-West University, Potchefstroom, South Africa;2. Stellenbosch University, Stellenbosch, South Africa;3. Unit for Business, Mathematics and Informatics, North-West University, Potchefstroom, South Africa;1. Trudy Busch Valentine School of Nursing, Saint Louis University, St. Louis, MO 63103, USA;2. Department of Civil, Architectural, and Environmental Engineering, Missouri University of Science and Technology, Rolla, MO 65409, USA;1. Department of Nursing, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya (UIC), Spain;2. Foundation for Domiciliary Care, Sant Joan de Déu Hospital, Barcelona, Spain;1. College of Health and Medicine, University of Tasmania, Locked Bag 5052, Alexandria, 2015 NSW, Australia;2. University College, University of Tasmania, Private Bag 70, Hobart, 7001 Tasmania, Australia;1. Department of Nursing, The Affiliated Hospital of Qingdao University, Qingdao 266000, Shangdong, China;2. Department of Respiratory and Critical Care Medicine, The Affiliated Hospital of Qingdao University, Qingdao 266000, Shangdong, China;3. School of Nursing, Qingdao University, Qingdao 266000, Shangdong, China;1. Department of Nursing, Kaohsiung Veterans General Hospital, Taiwan;2. Adjunct Lecturer, Department of Nursing, Meiho University, Taiwan;3. Department of Public Health, China Medical University, Taiwan;4. Adjunct Supervisor, Department of Nursing, China Medical University Children Hospital, Taiwan;5. School of Nursing, China Medical University, Department of Nursing, China Medical University Children Hospital, Taiwan;1. Monash Nursing and Midwifery, Faculty of Medicine, Nursing & Health Sciences, Monash University, Frankston, Victoria, Australia;2. Monash Centre for Scholarship in Health Education (MCSHE), Faculty of Medicine, Nursing & Health Sciences, Monash University, Clayton, Australia;3. Centre for Research in Assessment and Digital Learning (CRADLE), Deakin University, Melbourne, Victoria, Australia;4. School of Health Sciences, College of Health, Medicine and Wellbeing, The University of Newcastle, Callaghan, NSW, Australia |
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| Abstract: | AimThe purpose of this study is to describe the association between the practice environment and nurse educator outcomes (burnout, engagement, incivility, job satisfaction and intention to leave) in public nursing education institutions in the Gauteng province of South Africa.BackgroundThe practice environment holds the most promise for recruiting and retaining a qualified and engaged nurse workforce; however, the association between the practice environment and nurse educator outcomes has been relatively unexplored.DesignCross-sectional design.MethodsThe Gauteng province was purposively selected, as it has the highest number of public nursing education institutions in South Africa. All-inclusive sampling was applied to public nursing educations institutions in Gauteng province (N = 6) and then to Heads of Department (N = 30; n = 17) and nurse educators (senior lecturers N = 162; n = 45] and lecturers N = 257; n = 80]). Data were collected during March to November 2018. The data were collected using the Practice Environment Scale of the Nursing Work Index; Maslach Burnout Inventory - Educators Survey; Utrecht Work Engagement Scale (UWES); Incivility in Nursing Education-Revised (INE-R); job satisfaction and Propensity to Leave Scale.ResultsThe results show that nurse educators are an aging population, with limited numbers having master’s and doctoral qualifications. The most job dissatisfaction is regarding wages (M=2.0; SD 1.07); appreciation, recognition and rewards for good work (M=2.1; SD 1.01); and opportunities for advancement (M=2.2; SD 1.01). The nurse educators do not experience their public nursing education institutions as having a positive practice environment. Nurse educators experienced high levels of work engagement, moderate levels of burnout and low levels of incivility, that were highly correlated with the subscale of foundations of quality outcomes. They experienced moderate levels of job satisfaction but did not intend to leave their places of employment, which was highly correlated with the subscale of manager’s ability, leadership and support.ConclusionsA positive practice environment improves nurse educator outcomes. The subscale of foundations of quality outcomes and manager’s ability, leadership and support had the most impact on nurse educator outcomes, thus quality teaching practices should be cultivated and recognised; and managers must have the necessary skill and knowledge to lead effectively, while also including nurse educators in decisions that impact them and involving them in the affairs of the nursing education institution. There is a shortage of qualified nurse educators globally and in South Africa and urgent attention must be given to factors that influence the recruitment and retention of nurse educators.Twitter abstractThe practice environment holds the most promise for recruiting and retaining a qualified and engaged nurse educator workforce, especially regarding foundations of quality outcomes and manager’s ability, leadership and support. |
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| Keywords: | Burnout Engagement Intention to leave Job satisfaction Nurse educator Nurse outcomes Practice environment South Africa |
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