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The nursing practice environment and job satisfaction, intention to leave, and burnout among primary healthcare nurses: a cross-sectional study

2025-06-25Research article Open access
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dc.contributor.authorLucas, Pedro
dc.contributor.authorJesus, Élvio
dc.contributor.authorAlmeida, Sofia
dc.contributor.authorAraújo, Beatriz
dc.contributor.authorCosta, Patrícia
dc.contributor.authorCruchinho, Paulo
dc.contributor.authorTeixeira, Gisela
dc.date.accessioned2025-09-02T13:31:38Z
dc.date.available2025-09-02T13:31:38Z
dc.date.issued2025-06-25
dc.description.abstractBackground: The nursing practice environment significantly influences nurses’ job satisfaction, turnover, and burnout; therefore, it is essential to promote favorable environments to ensure the retention of qualified professionals. Improving the nursing practice environment is a low-cost organizational strategy associated with satisfaction, retaining professionals, and reducing burnout. The aim of this study was to assess the relationship between the nursing practice environment and job satisfaction, turnover, and burnout among primary healthcare nurses in Portugal. Methods: A descriptive, cross-sectional, and correlational study was carried out based on data from the RN4CAST Portugal Project. The Nurse Survey Instrument (Core Nurse Survey) of the RN4Cast Project (2018) was used for data collection. The sample consisted of 1059 nurses from fifty-five health center groups in mainland Portugal, fifteen health centers in the Autonomous Region of Madeira, and six health centers in the Autonomous Region of the Azores. Results: Primary healthcare nurses in Portugal rated the nursing practice environment as unfavorable or mixed, with an average (x) of 2.5 (standard deviation (SD) = 0.4), which is associated with lower job satisfaction, with an average of 2.0 (SD = 0.4), moderate intention to leave, with 40.3%, and low levels of burnout, with an average of 1.6 (SD = 0.8). There was also a negative correlation between the nursing practice environment and burnout (r = −0.28) and its dimensions. Emotional exhaustion (r = −0.35) represents the individual dimension of stress and physical exhaustion, corresponding to feelings regarding the depletion of emotional and physical resources, depersonalization (r = −0.18) represents the interpersonal context dimension of burnout, and a lack of personal accomplishment (r = −0.15) represents the self-assessment dimension of burnout and refers to feelings of incompetence and a lack of confidence and self-efficacy at work. Conclusions: The quality of the work environment is associated with greater job satisfaction and a reduction in burnout. For this reason, improving the work environment has therefore been associated with increased job satisfaction and reduced burnout among primary healthcare nurses, promoting nurse retention and the well-being of healthcare teams.eng
dc.identifier.citationLucas, P., Jesus, É., Almeida, S., & Costa, P. et al. (2025). The nursing practice environment and job satisfaction, intention to leave, and burnout among primary healthcare nurses: a cross-sectional study. Nursing Reports, 15(7), Article 224. https://doi.org/10.3390/nursrep15070224
dc.identifier.doi10.3390/nursrep15070224
dc.identifier.eid105011521473
dc.identifier.issn2039-439X
dc.identifier.other4e76b911-5a84-4466-8d67-e6f8362e54e3
dc.identifier.urihttp://hdl.handle.net/10400.14/54604
dc.identifier.wos001541906000001
dc.language.isoeng
dc.peerreviewedyes
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectBurnout
dc.subjectJob satisfaction
dc.subjectNursing
dc.subjectPrimary healthcare
dc.subjectTurnover
dc.subjectWork environment
dc.titleThe nursing practice environment and job satisfaction, intention to leave, and burnout among primary healthcare nurses: a cross-sectional studyeng
dc.typeresearch article
dspace.entity.typePublication
oaire.citation.issue7
oaire.citation.titleNursing Reports
oaire.citation.volume15
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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