ORGANIZATIONAL CLIMATE AND CULTURE: IMPLICATIONS FOR PRACTICE OF EXTRA-HOSPITAL NURSES

Authors

DOI:

https://doi.org/10.1590/ce.v29i0.94848

Keywords:

Emergency Nursing, Organizational Culture, Nursing Care, Prehospital Emergency Care, Nursing Occupational Health.

Abstract

Aim: This study aims to identify the organizational climate and culture among nurses working in Immediate Life Support Ambulances (ILSA).

Methods: A descriptive, quantitative, and cross-sectional study was conducted with 81 Portuguese nurses working in Immediate Life Support Ambulances at the National Medical Emergency Institute (INEM). The data was analyzed using the Principal Component Analysis (PCA) method, followed by a Varimax rotation, and the models were validated using the Kaiser-Meyer-Olkin test and Bartlett’s test of sphericity.

Findings: Factorial analysis yielded four factors, namely: Support (24.5%), Objectives (13.6%), Rules (9.7%), and Innovation (8.01%), associated with organizational climate and culture. Nurses with an undergraduate degree perceived significantly more support than those with higher qualifications. Support also varied according to relationship status, revealing that married nurses had a higher perception than those cohabiting.

Conclusion: Organizational climate and culture unequivocally contribute to developing a healthy and safe work environment and are decisive for the quality of nursing care.

Author Biographies

Márcio Daniel Dias de Almeida e Silva, Instituto Nacional de Emergência Médica, Portugal.

Instituto Nacional de Emergência Médica.

Enfermeiro, Enfermagem pré-hospitalar.

Enfermeiro Gestor

José Fernando da Silva Monteiro Oliveira de Magalhães, Instituto Nacional de Emergência Médica.

Instituto Nacional de Emergência Médica.

Enfermeiro, Enfermagem pré-hospitalar.

Enfermeiro Gestor

Guilherme Eça Guimarães Gonçalves Azevedo, Instituto Nacional de Emergência Médica.

Instituto Nacional de Emergência Médica.

Enfermeiro, Enfermagem pré-hospitalar.

Cristina Queirós, Faculdade de Psicologia e de Ciências da Educação da Universidade do Porto, Porto

Professora Associada e Investigadora da Faculdade de Psicologia e de Ciências da Educação da Universidade do Porto, Diretora do Laboratório de reabilitação psico-social

Elisabete Borges, Escola Superior de Enfermagem do Porto, Porto

Professora Associada e Investigadora da Escola Superior de Enfermagem do Porto, CINTESIS@RISE. Coordenadora do Projeto HWOPI

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Published

2024-12-03

How to Cite

Silva, M. D. D. de A. e, Magalhães, J. F. da S. M. O. de, Azevedo, G. E. G. G., Queirós, C., & Borges, E. (2024). ORGANIZATIONAL CLIMATE AND CULTURE: IMPLICATIONS FOR PRACTICE OF EXTRA-HOSPITAL NURSES. Cogitare Enfermagem, 29. https://doi.org/10.1590/ce.v29i0.94848

Issue

Vol. 29 (2024)

Section

ORIGINAL ARTICLE

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