Hospital Work Environment and Nursing Performance: Insight from Mosul, Iraq

Abstract

Objective: To examine the relationship between the hospital work environment and nursing performance and to identify the key environmental factors associated with variations in nurses’ effectiveness and productivity.

Study Design: Cross-sectional study
Place and Duration of Study: This study was conducted at the Department of Nursing Clinical Sciences, University of Mosul, College of Nursing, Mosul, Iraq from 13th October 2024 to 4th May 2025.

Methods: This cross-sectional study was conducted at in Mosul city, the Governorate of Nineveh, Iraq, in four large hospitals namely the Al-Salam Teaching Hospital, Ibn-Sena Teaching Hospital, Ibn Al-Atheer Teaching Hospital, and Mosul General Hospital from 13th October 2024 to 4th May 2025 among 250 nurses selected using a convenience sampling technique.

Results: More than 75% of nurses agreed or strongly agreed that they perform their duties efficiently, emphasize quality of care, and are willing to work overtime. Nursing performance demonstrated a positive correlation with all dimensions of the work environment, with the highest correlation observed for the overall work environment scale (r=0.660). Additionally, training (r=0.497), incentives (r=0.449), and technological empowerment (r=0.468) were identified as significant predictors of performance.

Conclusion: The significant influence of the work environment on nursing performance. While training and technological empowerment appear to be adequately supported, improvements in incentives and nurses’ involvement in decision-making are necessary to enhance job satisfaction and overall performance.