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From the first to the fourth critical period of COVID-19: what has changed in nursing practice environments in hospital settings?

BMC Nurs · 2023 · PMC9958319 · PMID 36841780

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a negative trendno p-value reported
In this context, Portuguese researchers have identified a globally positive impact of the pandemic on the Structure and Outcome components of practice environments, and a negative trend in the Process component (specifically in the hospital context) [ 16 , 21 ].

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.