Relationship between Practice Environment and Nurses’ Job Performance: A Descriptive Cross-Sectional Correlational Study
DOI:
https://doi.org/10.31674/mjn.2025.v17i02.021Abstract
Background: Practice environment significantly affects job performance by influencing the level of support, communication, and resources available to staff. A positive work environment boosts motivation, efficiency, and job satisfaction, ultimately improving performance. Objectives: To examine the relationship between practice environment and nurses’ job performance. Methods: A descriptive cross-sectional correlational study design was adopted. The study took place in the Medical and Surgical Units at the Main Assiut University and the Heart Hospitals, Egypt. A convenience sample of 168 nurses working at these hospitals was included. Tools: First tool; Practice Environment Scale of the Nursing Work Index (PES- NWI) consists of two parts; part I: Personal data sheet; part II: PES- NWI and second tool; observational job performance checklist. Results: The findings revealed that the majority of nurses perceived their practice environment as supportive in both Main Assiut University and the Heart Hospitals (72.6, 90.3) respectively with total supportive perception (79.2%). Additionally, highest percentage of nurses in the Heart Hospital demonstrated satisfactory job performance (83.8%) compared to those in the Main Hospital (67.9%). However, most participants were classified as having satisfactory job performance (73.8%). There was a statistically significant positive association between the practice environment and job performance (p < 0.01). Moreover, significant differences in both practice environment and job performance were observed based on marital status and hospital affiliation. Conclusion: Supportive practice environments enhance nurses' job performance, with variations by hospital type and marital status. This study highlights the importance of shared governance models to boost nurse engagement and workplace support.
Keywords:
Job Performance, Nurses, Practice EnvironmentDownloads
References
Abdullah, F., Silvernayagam, S., & Tan, E. (2021). Perception of nurses on the practice environment: Experience from Malaysia. Medical Journal of Malaysia, 76(1), 73. https://www.e-mjm.org/2021/v76n1/perception-of-nurses.pdf
Al‐Ahmadi, H. (2009). Factors affecting performance of hospital nurses in Riyadh Region, Saudi Arabia. International Journal of Health Care Quality Assurance, 22(1), 40–54. https://doi.org/10.1108/09526860910927943
Aldhafeeri, N. A., Abou Hashish, E. A., & Abo Shereda, H. M. (2025). The effect of work-family conflict on staff nurses’ job performance: The mediating role of emotional intelligence. BMC Nursing, 24(1), 614. https://doi.org/10.1186/s12912-025-03280-w
Ali, H., Mohamed, F., & Ghallab, S. (2020). Relationship between nurses' work life interference and job performance. Assiut Scientific Nursing Journal, 8(21), 57–64. https://doi.org/10.21608/asnj.2020.27804.1007
Alkorbi, S., Almutairi, D., Alghabbashi, M., Aly, S., & Alsulami, S. (2022). The effect of work environment on the job performance among nurses at Makkah City, Saudi Arabia. International Journal of Health Sciences, 6(S6), 4889–4921. https://doi.org/10.53730/ijhs.v6nS6.10634
Almadani, N. A., (2023). Assessment of nursing practice environment in primary healthcare centers in Saudi Arabia: A cross-sectional study. SAGE Open, 13(4), e21582440231208930. https://doi.org/10.1177/21582440231208930
Anwar, G., & Abdullah, N. N. (2021). The impact of human resource management practice on organizational performance. International Journal of Engineering, Business and Management, 5(1), 35–47. https://doi.org/10.22161/ijebm.5.1.4
Dirdjo, M. M., Syahab, S. R., Sureskiarti, E., & Suwanto, S. (2023). Job satisfaction and nurse performance: A cross-sectional study in a hospital surgical ward. Jurnal Ilmu Kesehatan, 11(1), 25-40. https://doi.org/10.30650/jik.v11i1.3700
Dorigan, G. H., & Guirardello, E. D. B. (2018). Effect of the practice environment of nurses on job outcomes and safety climate. Revista Latino-Americana de Enfermagem, 26, e3056. https://doi.org/10.1590/1518-8345.2633.3056
Gad, S. A., Safan, S. M., & Gaballah, A. R. (2021). Staff nurses' perception about teamwork and its effect on their job performance at Menoufia University Hospitals. Menoufia Nursing Journal, 6(1), 131–145. https://doi.org/10.21608/menj.2021.186364
Gurková, E., Mikšová, Z., Labudíková, M., & Chocholková, D. (2021). Nurses’ work environment, job satisfaction, and intention to leave – A cross-sectional study in Czech hospitals. Central European Journal of Nursing and Midwifery, 12(4), 495–504. https://doi.org/10.15452/cejnm.2021.12.0019
Ibrahim, S. E., Elsayed, S. H., & Metwally, F. G. (2019). Effect of professional nursing practice environment and psychological empowerment on nurses' readiness for change. Zagazig Nursing Journal, 15(2), 168-188. https://doi.org/10.21608/znj.2019.118721
Jarrar, M. T., Al-Bsheish, M., Aldhmadi, B. K., Albaker, W., Meri, A., Dauwed, M., & Minai, M. S. (2021). Effect of practice environment on nurse reported quality and patient safety: The mediation role of person-centeredness. Healthcare, 9(11), e1578. https://doi.org/10.3390/healthcare9111578
Kim, S., Park, S., & Lee, M. (2019). Effect of a nursing practice environment on nursing job performance and organizational commitment: Focused on the mediating effects of job embeddedness. Journal of Korean Academy of Nursing Administration, 25(3), 208–219. https://doi.org/10.11111/jkana.2019.25.3.208
Lake, E. T. (2002). Development of the practice environment scale of the Nursing Work Index. Research in Nursing & Health, 25(3), 176–188. https://doi.org/10.1002/nur.10032
Liu, X., Guo, Y., Zhou, Y., & Zhou, Y. (2024). The present situation of the nursing practice environment and its influence on nursing quality in a post-epidemic era: A cross-sectional study. BMC Nursing, 23(1), 543. https://doi.org/10.1186/s12912-024-02202-6
McCaughey, D., McGhan, G. E., Rathert, C., Williams, J. H., & Hearld, K. R. (2020). Magnetic work environments: Patient experience outcomes in Magnet versus non-Magnet hospitals. Health Care Management Review, 45(1), 21–31. https://doi.org/10.1097/HMR.0000000000000198
Mohamed, S., & Ghalab, A. (2022). Effect of physical activity and health behavior on staff nurses' job performance. International Egyptian Journal of Nursing Sciences and Research, 2(2), 118–132. https://doi.org/10.21608/ejnsr.2022.212309
Ni, Y., Wen, Y., Xu, Y., He, L., & You, G. (2023). The relationship between work practice environment and work engagement among nurses: The multiple mediation of basic psychological needs and organizational commitment a cross-sectional survey. Frontiers in Public Health, 11, e1123580. https://doi.org/10.3389/fpubh.2023.1123580
Park, S., & Choi, B. (2020). Empathy, self-efficacy and nursing performance of nurses at care hospitals. International Journal of Advanced Nursing Education and Research, 5(1), 63–70. https://doi.org/10.21742/ijaner.2020.5.1.08
Pereira, S., Ribeiro, M., Mendes, M., Ferreira, R., Santos, E., Fassarella, C., & Ribeiro, O. (2024). Positive nursing practice environment: A concept analysis. Nursing Reports, 14(4), 3052-3068. https://doi.org/10.3390/nursrep14040222
Pereira, S., Santos, E. J., Fassarella, C. S., & Ribeiro, O. M. (2025). Effectiveness of the positive nursing practice environment promotion program in improving patient safety in primary health care: study protocol for a randomized controlled clinical trial. BJGP Open. https://doi.org/10.3399/BJGPO.2025.0025
Poghosyan, L., Kueakomoldej, S., Liu, J., & Martsolf, G. (2022). Advanced practice nurse work environments and job satisfaction and intent to leave: Six‐state cross-sectional and observational study. Journal of Advanced Nursing, 78(8), 2460–2471. https://doi.org/10.1111/jan.15176
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
Saad, N. F., Abd El-Moneim, A. M., & Abd Allah Mohamed, N. A. (2021). Professional nursing practice environment: The pathway to job involvement and readiness to change among staff nurses. Egyptian Journal of Nursing and Health Sciences, 2(2), 64–81. https://journals.ekb.eg/article_234365_2241765b08fb26ddc64515000c0c745e.pdf
Salem, S. M., Bakeer, H. M., & El Shrief, H. A. (2025). Nurses’ perception of the professional practice environment and its relation to organizational dehumanization and work passion. BMC Nursing, 24(1), 668. https://doi.org/10.1186/s12912-025-03241-3
Sarıköse, S., & Göktepe, N. (2022). Effects of nurses’ individual, professional and work environment characteristics on job performance. Journal of Clinical Nursing, 31(5–6), 633–641. https://doi.org/10.1111/jocn.15921
Shaikh, F. (2022). Relationship between employees' performance and workplace environment. OPUS: HR Journal, 13(2), 22–36. http://www.publishingindia.com/opus/
Tate, T., Lartey, F., & Randall, P. (2021). Do performance goals and development, feedback and recognition, and a climate of trust improve employee engagement in small businesses in the United States? International Business Research, 14(6), 1–23. https://doi.org/10.5539/ibr.v14n6p1
Välimäki, M., Hu, S., Lantta, T., Hipp, K., Varpula, J., Chen, J., ... & Li, X. (2024). The impact of evidence-based nursing leadership in healthcare settings: A mixed methods systematic review. BMC Nursing, 23(1), 452. https://doi.org/10.1186/s12912-024-02096-4
Youssif, A., Eid, N., & Safan, S. (2017). Staff performance appraisal system and its relation to their job satisfaction and empowerment: Developing performance appraisal tool. IOSR Journal of Nursing and Health Science, 6(2), 25–26. https://doi.org/10.9790/1959-0602091727
Zhenjing, G., Chupradit, S., Ku, K., Nassani, A., & Haffar, M. (2022). Impact of employees' workplace environment on employees' performance: A multi-mediation model. Frontiers in Public Health, 10, e890400. https://doi.org/10.3389/fpubh.2022.890400
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