Differences in Nursing Workplace Quality Between Rural and Urban Hospitals: A Quantitative Analysis
DOI:
https://doi.org/10.64397/nepj.v01i03.2026.a29Keywords:
Quality, Nursing Workplace, Rural Hospitals, Urban Hospitals, Job satisfaction, workplace environment, Support Programs and Services, Physical Working ConditionsAbstract
Introduction: The quality of nursing workplaces differs across rural and urban settings, influencing both staff performance and patient care. This study quantitatively examined workplace quality in one rural and one urban hospital, focusing on workload, available resources, and nurses’ experiences, with the goal of identifying location-specific strategies to improve working conditions
Aim: This study aims to analyze the quality of nursing workplaces in rural and urban hospitals, with a particular focus on identifying key similarities and differences in workplace conditions.
Methods: A quantitative descriptive design was employed, and data were collected using a modified Nursing Workplace Quality Survey administered through physical and online forms. Descriptive statistics were used to analyze five workplace dimensions: Workplace Environment, Personnel Relationships, Physical Working Conditions, Job Perception, and Support Programs and Services.
Results: Findings revealed strong interpersonal relationships in both hospital settings, but notable gaps remained: Physical Working Conditions scored lowest in the rural hospital, while Support Programs and Services were least adequate in the urban hospital.
Conclusion: These results highlight the importance of strengthening infrastructure in rural areas and expanding support systems in urban settings to promote nurse motivation, job satisfaction, and overall performance. The study recommends strategic initiatives such as improved staffing, facility upgrades, mentorship, wellness programs, and burnout prevention. This may be done by conducting a one-day seminar to the concerned offices to relay the results of the study. Future research should expand to larger samples and utilize more robust measurement tools for greater generalizability and reliability.
Downloads
References
Regis College. (2023, March 8). The importance of a healthy work environment for nurses. Regis College Online. https://online.regiscollege.edu/blog/healthy-work-environment/
Nurses in Crisis: Challenges they face in the workplace. (2023, March 24). https://www.1nurse.com/blog/story/2023/03/24/nurses-crisis
challenges-they-face-workplace/?
Tedisel. (2023, September 6). Quality hospital equipment in critical areas: Ensuring effective and safe medical care. Tedisel Medical.
https://tediselmedical.com/en/quality-hospital-equipme nt-in-critical-areas-ensuring-effective-and-safe-medical-care/
Southwick, R. (2022, May 9). It’s National Nurses Week, and many nurses don’t feel valued. OncLive.
https://www.chiefhealthcareexecutive.com/view/it-s-nat
ional-nurses-week-and-many-nurses-don-t-feel-valued
Lasater, K. B., & Muir, K. J. (2024, May 10). What nurses really want: sufficient staffing for patient care. STAT.
https://www.statnews.com/2024/05/10/what-nurses-really
-want-sufficient-staffing-for-patient-care/
PsyD, P. V. P. R. a. S. N., & PsyD, P. V. P. R. a. S.N. (2016, March 17). Building trusting work relationships in healthcare and beyond. RN Journal. https://rn-journal.com/journal-of-nursing/building-trusting-relationships
Angelo, E. (2020). Managing interpersonal conflict. Nursing Management, 50(6), 22–28. https://doi.org/10.1097/01.numa.0000558479.54449.ed
Moyimane, M. B., Matlala, S. F., & Kekana, M. P. (2017). Experiences of nurses on the critical shortage of medical equipment at a rural district hospital in South Africa: a qualitative study. Pan African Medical Journal, 28. https://doi.org/10.11604/pamj.2017.28.100.11641
Mutair, A. A., Bazroun, M. I. A., Almusalami, E. M., Aljarameez, F., Alhasawi, A. I., Alahmed, F., Saha, C., Alharbi, H. F., & Ahmed, G. Y. (2022). Quality of Nursing Work Life among Nurses in Saudi Arabia: A
Descriptive Cross-Sectional Study. Nursing Reports,12(4), 1014–1022.
https://doi.org/10.3390/nursrep12040097
Sibuea, Z., Sulastiana, M., & Fitriana, E. (2024). Factor affecting the quality of work life among nurses: A systematic review. Journal of
Multidisciplinary Healthcare, Volume 17, 491–503. https://doi.org/10.2147/jmdh.s446459
Sy, A. D. R., Gonzales, M. K. D., & Rodriguez, R. C. C. (2023). Work-related quality of life and performance appraisal among nurses at a tertiary hospital in Philippines. Journal of Integrative
Nursing, 5(3), 179–187. https://doi.org/10.4103/jin.jin_7_23
Babapour, A., Gahassab-Mozaffari, N., &Fathnezhad-Kazemi, A. (2022). Nurses’ job stress and its impact on quality of life and caring behaviors: a cross-sectional study. BMC Nursing, 21(1). https://doi.org/10.1186/s12912-022-00852-y
Tran, K. T., Nguyen, P. V., Dang, T. T., & Ton, T. N. (2018). The Impacts of the High-Quality Workplace Relationships on Job Performance: A perspective onstaff nurses in Vietnam. Behavioral Sciences, 8(12),
109. https://doi.org/10.3390/bs8120109
Aouant, N., & Dafogianni, C. P. (2020). "Investigating the perceptions of nurses and patients for the nursing care provided and received ResearchGate. https://doi.org/10.9790/1959-0905080815
Paculan, E. R. (2020). Teleconsultation system for rural
health units (RHUs) for Metro Vigan, Philippines.
1cc286960ea7/Teleconsultation-System-for-Rural-Health-Units-RHUs-for-Metro-Vigan-Philippines.pdf
Kassem, A., & Ahmed, M. (2021). Effect of Work Values and Quality of Work Life on Intention to Stay among Head Nurses working at Oncology Center. https://www.semanticscholar.org/paper/Effect-of-Work-Values-and-Quality-of-Work-Life-on-Kassem-Ahmed/76cd06a
c9d18285b3935167fe39a6878b274f654
Ramelb-Olivar, J. J. (2016). The making of the successful Filipino nurse leaders. St. Paul University System Journal on Global Education, 1(1). https://ejournals.ph/article.php?id=10447
Ulep, V. G. T., Nuevo, C. E. L., Uy, J., & Casas, L. D. D. (2021). Assessment of the service capability and readiness of Philippine hospitals to provide high-quality health care. Philippine Institute for Development Studies.https://ideas.repec.org/p/phd/dpaper/dp_2021-32.html
Downloads
Published
Data Availability Statement
Data is available upon request via email
Issue
Section
License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License. This license permits anyone to copy and redistribute this material in any form or format, modify, and make derivative works of this material for any purpose, including commercial purposes, as long as they credit the author for the original work.