Abstract
Background: The work environment in hospitals plays a crucial role in influencing nurses’ job performance, quality of care, and patient outcomes. Supportive environments promote higher motivation and productivity, whereas unfavorable environments contribute to stress, burnout, and decreased performance. Limited research in Pakistan has explored this association in tertiary care hospital settings.
Aim of the Study: To assess the association between the working environment and nurses performance at a tertiary level care hospital.
Methodology: A cross-sectional descriptive study was conducted among 165 nurses at Liaquat University Hospital. Data was collected through a structured questionnaire comprising three parts: (i) demographic information, (ii) Practice Environment Scale of the Nursing Work Index (PES-NWI), and (iii) Shortened Job Performance Scale (SJPS). Data were analyzed using SPSS version 26. Descriptive statistics were applied for demographic variables, while Chi-square test and Spearman’s correlation were used to determine the association between the nurse work environment and job performance.
Results: Among 165 participants, the majority (62.4%) perceived their work environment as favorable, while 24.8% reported it as unfavorable. Regarding job performance, 46.1% demonstrated high performance, 40.0% moderate, and 13.9% low performance. A significant association was found between the work environment and nurse job performance (χ² = 51.811, p < 0.001). Furthermore, Spearman’s correlation revealed a strong positive relationship between the work environment and job performance (r = 0.731, p < 0.001).
Conclusion: The study highlights that a favorable nursing work environment significantly enhances nurse job performance. Hospital administrators and policymakers should focus on strengthening staffing, leadership support, and Interprofessional collaboration to improve nursing outcomes and patient care quality.