Abstract

CASTANEDA JIMENEZ DE COSME, Nory Ysabel; COSME URBINA, Manuel Edward; LEON LUYO, Sandra Lizzette  and  MARQUEZ-YAURI, Heyner Yuliano. WORK ENVIRONMENT, BURNOUT, AND PATIENT SAFETY: A SYSTEMATIC REVIEW FOR DESIGNING ORGANIZATIONAL INTERVENTIONS IN HIGH-COMPLEXITY HOSPITALS. Aula Virtual [online]. 2026, vol.7, n.14, e710.  Epub June 04, 2026. ISSN 2665-0398.  https://doi.org/10.5281/zenodo.20489707.

The work environment of nursing staff in high-complexity hospitals is a critical determinant of care quality and patient safety, particularly in contexts characterized by high demand, workload pressure, and organizational constraints. In this context, the aim of this study was to propose an integrated conceptual framework and a set of practical recommendations for organizational interventions aimed at improving the work environment, reducing burnout, and optimizing safety and quality, with an emphasis on institutional-level strategies. To achieve this, a systematic review article was conducted following PRISMA guidelines, enabling the identification, selection, and synthesis of 42 relevant studies from indexed databases. The results showed that factors such as staffing levels, organizational leadership, safety climate, and resource availability significantly influence staff well-being and clinical outcomes. In addition, burnout and missed nursing care emerged as key mediating mechanisms between the work environment and care quality. In conclusion, the implementation of comprehensive organizational interventions focused on strengthening leadership, optimizing staffing, and promoting healthy work environments is essential to improve patient safety and ensure the sustainability of healthcare systems.

Keywords : Work environment; burnout; patient safety; quality of care; organizational interventions.

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