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Work Environment and Its Relationship to Quality Improvement: Health Care Providers' Perspectives

Hussein, Azza Hassan Mohamed DNS, MSc, BSN; Abou Hashish, Ebtsam Aly DNS, MSc, BSN

doi: 10.1097/NCQ.0000000000000189

There is a gap in understanding how work environment contributes to hospitals' readiness for quality improvement (QI) in developing countries; thus, diagnosing work environment problems in health care organizations is the initial step in designing strategies for QI in organizations. This study examines the relationship between nurses' and physicians' perspectives of the work environments and hospitals' climate for QI. Study results indicate that work environment is positively associated with hospitals' readiness for QI.

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Nursing Administration, Faculty of Nursing, Alexandria University, Semoha, Alexandria, Egypt.

Correspondence: Azza Hassan Mohamed Hussein, DNS, MSc, BSN, Nursing Administration, Faculty of Nursing, Alexandria University, Edemon Fermon St, Semoha, Alexandria, Egypt (;

The authors declare no conflicts of interest.

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Accepted for publication: March 21, 2016

Published ahead of print: May 17, 2016

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