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Table 2 Average percentages of the components and dimensions of professional nursing practice environments

From: From the first to the fourth critical period of COVID-19: what has changed in nursing practice environments in hospital settings?

Components / Dimensions

After the 1st critical period of COVID-19

After the 4th critical period of COVID-19

 

Meana

Standard Deviation

Meana

Standard Deviation

p values**

STRUCTURE Component

 Dim 1 - People management and service leadership

53.9

18.3

59.5

15.9

< 0.001

 Dim 2 - Physical environment and conditions for appropriate service running

52.3

16.9

54.1

14.8

< 0.001

 Dim 3 - Nurses’ participation and involvement in the institution’s policies, strategies and management

45.4

15.6

46.7

16.5

0.027

 Dim 4 - Institutional policy for professional qualification

49.0

17.1

45.5

17.6

< 0.001

 Dim 5 - Organization and guidance of nursing practice

54.8

17.5

57.0

16.2

0.081

 Dim 6 - Quality and safety of nursing care

59.3

15.6

61.7

17.0

0.026

Structure subscale

51.9

13.6

54.4

12.7

< 0.001

PROCESS Component

 Dim 1 - Collaboration and teamwork

65.9

12.4

61.3

12.0

0.019

 Dim 2 - Strategies for ensuring quality in professional practice

55.0

15.2

58.1

14.7

< 0.001

 Dim 3 - Autonomous practices in professional practice

67.1

13.1

70.4

12.4

< 0.001

 Dim 4 - Care planning, evaluation and continuity

64.0

14.8

66.8

14.9

< 0.001

 Dim 5 - Theoretical and legal support of professional practice

70.7

15.3

71.2

14.6

< 0.001

 Dim 6 - Interdependent practices in professional practice

37.4

14.4

40.6

15.9

< 0.001

Process subscale

61.2

9.5

63.1

9.6

0.001

OUTCOME Component

 Dim 1 - Systematic assessment of nursing care and indicators

49.0

16.4

53.1

15.9

< 0.001

 Dim 2 - Systematic assessment of nurses’ performance and supervision

43.4

19.2

47.4

18.0

< 0.001

Outcome subscale

46.4

16.2

50.4

15.2

< 0.001

  1. Source: Authors. Dim.: Dimension
  2. **Wilcoxon test
  3. aScore < 35% - component of the professional nursing practice environment slightly favourable to the quality of care; between 35 and 55% - component of the professional nursing practice environment moderately favourable to the quality of care; between 55 and 75% - component of the professional nursing practice environment favourable to the quality of care; and, finally, > 75% - component of the professional nursing practice environment very favourable to the quality of care