The Relationship between Missed Nursing Care, Work Environment Conditions and Patient Safety Culture

سال انتشار: 1402
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 48

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شناسه ملی سند علمی:

JR_EBCJ-13-3_004

تاریخ نمایه سازی: 10 آبان 1402

چکیده مقاله:

Background: The rate of missed care depends on several factors which can affect the quality of care and treatment.Aim: The present study was conducted with aim to investigate the relationship between missed care, work environment and patient safety culture.Method: This cross-sectional study was conducted on ۳۸۰ nurses working in the teaching hospitals affiliated to Jundishapur University of Medical Sciences in Ahvaz, Iran. Sampling was done through a stratified random sampling method from Jan ۲۰۱۹ to Jul ۲۰۲۰. The data collection tools included a demographic data form, the Missed Nursing Care Questionnaire, the Practice Environment Scale of the Nurse Work Index, and the Hospital Survey on Patient Safety Culture. Data were analyzed using SPSS software (version ۲۵) and one way ANOVA, Pearson correlation and Kolmogorov-Smirnov tests. p<۰.۰۵ was considered statistically significant.Results: Three most prevalent missed nursing care were overall patient assessment in each shift (۹۶.۱%), administering the drugs up to ۳۰ minutes before or after the scheduled time (۹۴.۷%), and measuring the vital signs as ordered (۹۴.۱%). The mean scores of missed care were significantly higher among nurses with lower ages (p<۰.۰۰۰۱) and less work experience (p<۰.۰۰۰۱). A significant inverse correlation was found between missed care and the overall score of patient safety culture (r= -۰.۲۲, p<۰.۰۰۰۱). Also, a significant correlation was found between missed care and the overall score of the work environment index (r=۰.۲۸۵, p<۰.۰۰۰۱).Implications for Practice: Nursing managers can reduce the rate of missed nursing care by improving the working conditions of nurses and educating them about patient safety.

نویسندگان

Mahnaz Amiri Amjad

MSc in Medical and Surgical Nursing, Nursing Care Research Center in Chronic Diseases, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

Simin Jahani

Associate Professor, Nursing Care Research Center in Chronic Diseases, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Neda Sayadi

Assistant Professor, Nursing Care Research Center in Chronic Diseases, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Bahman Cheraghian

Associate Professor, Department of Biostatics and Epidemiology, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

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