The multilevel modeling approach and theoretical model are used in the article. Which is about the relationship among the unit level nursing work environment and individual level health promoting behaviors.
Method: data collection (cross section design) questionnaires from 432 nurses in 57 units at 5 hospitals in Korea. The research staff picked the packages on a given day. This process was depleted to ensure anonymity and to secure concealment. The return rate was 95%, with 487 of the 510 questionnaires being returned.
At the unit-level nursing work environment, nurses reported that nurse manager ability, leadership, and support of nurses were the most adequate characteristics, with staffing and resources being the least adequate. Regarding health-promoting behaviors, care givers were really into mutual relations most periodically and physical activity the least frequent. Nurses who worked in units where the nurse manager provided more backing to nurses and exhibited quality leadership were significantly more tending to report greater health answerability.
Findings suggest that hospitals should focus on helping nurses to maintain a healthy lifestyle, as well as on improving working conditions, to improve the quality of nursing practice. Organizational efforts to provide enough staffing and resources, and to boost the development of personal resources among nurses and promote responsibility for their own health, could be effective strategies for improving nursing performance quality and patient outcomes. Workplace wellness. programs that promote overall healthy lifestyles among nurses should be implemented (Kurnat-Thoma et al., 2017). In addition, nurses themselves should try to make their own plans to practice self-care behaviors even when they have a busy schedule. Future studies should include larger samples of hospitals to allow for the investigation of hospital level effects. Objective indicators of nursing performance quality, working conditions (e.g., administrative staffing data), and nursing care outcomes (e.g., medication errors, falls, infections, and pressure ulcers) should also be used.