{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:29:07Z","timestamp":1760146147605,"version":"build-2065373602"},"reference-count":46,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T00:00:00Z","timestamp":1728432000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing Reports"],"abstract":"<jats:p>Background: Assessing the elements of nursing practice environments is crucial, as investing in their improvement will enhance outcomes for nurses, patients, and organizations. Moreover, comparing practice environments from different countries improves the definition of cross-cutting guidelines that can be applied in various contexts. Thus, this study aims to evaluate nursing practice environments in hospitals in Portugal and Brazil. Methods: A multicenter and cross-sectional study was conducted in eight Portuguese and eight Brazilian hospitals. Five hundred eighty-two nurses completed a survey regarding their sociodemographic and professional attributes, as well as the Scale for the Environments Evaluation of Professional Nursing Practice. The data were subjected to comparative analyses between the two countries. We adhered to ethical requirements in both participating countries. Results: In Brazil, the Structure, Process, and Outcome components were considered favorable to the quality of care and well-being of nurses. In Portugal, nurses considered the Structure and Outcome components favorable and the Process component very favorable. Statistically significant differences were found between the two countries in several dimensions of the three subscales. The Structure and Outcome components scored significantly better in hospitals in Brazil, and the Process component scored better in Portuguese hospitals. Conclusions: These conclusions underscore the urgent need for investment in continuous training and a culture of evaluation that promotes continuous improvement. Additionally, promoting the involvement and participation of nurses could simultaneously contribute to the development of more sustainable health systems.<\/jats:p>","DOI":"10.3390\/nursrep14040212","type":"journal-article","created":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T08:16:42Z","timestamp":1728548202000},"page":"2910-2922","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Nursing Practice Environments in Hospitals: A Comparative Study between Portugal and Brazil"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9982-9537","authenticated-orcid":false,"given":"Olga Maria Pimenta Lopes","family":"Ribeiro","sequence":"first","affiliation":[{"name":"Nursing School of Porto, 4200-072 Porto, Portugal"},{"name":"Center for Health Technology and Services Research (CINTESIS@RISE), 4200-450 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2001-8828","authenticated-orcid":false,"given":"Alessandro Rodrigues","family":"Perondi","sequence":"additional","affiliation":[{"name":"Departament of Nursing, Paranaense University, Paran\u00e1 87502-210, Brazil"},{"name":"Southwest Regional Hospital Walter Alberto Pecoits, Paran\u00e1 85601-839, Brazil"}]},{"given":"Jane Tavares","family":"Gomes","sequence":"additional","affiliation":[{"name":"Departament of Nursing, Santa Catarina State University, Florian\u00f3polis 88035-901, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8794-528X","authenticated-orcid":false,"given":"Jo\u00e3o Miguel Almeida","family":"Ventura-Silva","sequence":"additional","affiliation":[{"name":"Center for Health Technology and Services Research (CINTESIS@RISE), 4200-450 Porto, Portugal"},{"name":"Portuguese Red Cross Northern School of Health, 3720-126 Oliveira de Azem\u00e9is, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3041-7731","authenticated-orcid":false,"given":"Marlene Patr\u00edcia","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Abel Salazar Institute of Biomedical Sciences, University of Porto, 4050-313 Porto, Portugal"},{"name":"T\u00e2mega and Sousa Local Health Unit, 4560-136 Penafiel, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8864-8634","authenticated-orcid":false,"given":"Susana Filipa Mendes de","family":"Castro","sequence":"additional","affiliation":[{"name":"Abel Salazar Institute of Biomedical Sciences, University of Porto, 4050-313 Porto, Portugal"},{"name":"Portuguese Oncology Institute of Porto Francisco Gentil, 4200-072 Porto, Portugal"}]},{"given":"T\u00e2nia Dion\u00edsia Ferreira","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Abel Salazar Institute of Biomedical Sciences, University of Porto, 4050-313 Porto, Portugal"},{"name":"Alto Ave Local Health Unit, 4835-044 Guimar\u00e3es, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7119-0230","authenticated-orcid":false,"given":"Let\u00edcia de Lima","family":"Trindade","sequence":"additional","affiliation":[{"name":"Departament of Nursing, Santa Catarina State University, Florian\u00f3polis 88035-901, Brazil"}]}],"member":"1968","published-online":{"date-parts":[[2024,10,9]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1002\/nur.10032","article-title":"Development of the practice environment scale of the Nursing Work Index","volume":"25","author":"Lake","year":"2002","journal-title":"Res. 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