Effect of Work Environment on Nursing Performance of Nurses in Hemodialysis Units: Focusing on the Effects of Job Satisfaction and Empowerment

Abstract

Purpose: This study was performed to investigate the effect of work environment on nursing performance and the\neffect of job satisfaction and empowerment on nurses performance in hemodialysis units. Methods: Participants in\nthis study were 206 nurses from 22 hemodialysis units in local clinics, general and university hospitals in two metropolitan\nareas. The work environment, nursing performance, job satisfaction and empowerment of the participants were\nmeasured using four self-report questionnaires. Data were analyzed using SPSS/WIN 18.0. Results: Nursing performance\ncorrelated significantly with work environment, job satisfaction, and empowerment in the participants.\nPredictability of work environment for nursing performance was 28%. Job satisfaction and empowerment showed\ncomplete mediating effects, but not moderating effects in the relationship of work environment and nursing performance\nin the participants. Conclusion: Findings indicate that work environment is an important variable affecting nursing\nperformance in nurses in hemodialysis units and that job satisfaction and empowerment are mediating variables\nin the relationship of work environment and nursing performance in nurses in hemodialysis units. Improvements in\nthe work environment are needed to induce the high job satisfaction and empowerment that can lead to improvement\nof nursing performance.