scholarly journals The relationship between the nurses’ work environment and the quality and safe nursing care: Slovenian study using the RN4CAST questionnaire

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0261466
Author(s):  
Martina Brešan ◽  
Vanja Erčulj ◽  
Jaro Lajovic ◽  
Mirjam Ravljen ◽  
Walter Sermeus ◽  
...  
Keyword(s):  
Patient Safety ◽  
Patient Care ◽  
Work Environment ◽  
Nursing Care ◽  
Quantitative Research ◽  
Influential Factors ◽  
Quality Of Patient Care ◽  
The University ◽  
Clinical Departments

Introduction The safety and quality of patient care are basic guidelines in finding new and improved solutions in nursing. Important and influential factors shape the nurses’ work environment in hospitals. Purpose With the study, we intended to investigate whether the perception of nurses’ work environment is related to the safety culture and the quality of patient care and whether it differs according to nurses’ level of education. Methods of work The study with a quantitative research method was conducted at the six clinical departments of the University Medical Centre, Ljubljana in 2019. We used a survey questionnaire from the European survey Nurse forecasting in Europe (RN4CAST). Results 270 nurses were included in the study. The response rate was 54%. The study confirmed that there is a correlation between the assessment of the nurses’ work environment and the general assessment of patient safety (r = 0.36; p <0.001), the general assessment of the quality of nursing care (r = 0.32; p <0.001), the confidence in patient self-care at discharge (r = 0.29; p <0.001) and the quality of patient care in the previous year (r = 0.27; p = 0.001). The results showed frequent verbal abuse of nurses, in 44.9% by patients and their relatives and in 35.4% by staff. Graduate nurses rated the work environment more negatively than healthcare technicians (p = 0.003). Discussion and conclusion We confirmed the correlation between the assessment of nurses’ work environment and patient safety and the quality of health care, and that employees’ education influences the assessment and perception of the work environment.

scholarly journals Educational objectives make or break the quality of patient care

Curationis ◽  
1981 ◽  
Vol 4 (2) ◽  
Author(s):  
Charlotte Searle
Keyword(s):  
Nursing Education ◽  
Patient Care ◽  
Nursing Care ◽  
Important Criterion ◽  
Educational Objectives ◽  
Quality Of Patient Care

A most important criterion in nursing education is that a definite end must be kept in view. This end purpose or terminal outcome is the concept of Quality nursing care.

scholarly journals Factors Contributing to Rationed Nursing Care in the Slovak Republic—A Secondary Analysis of Quantitative Data

2022 ◽  
Vol 19 (2) ◽  
pp. 702
Author(s):  
Dominika Kalánková ◽  
Daniela Bartoníčková ◽  
Ewelina Kolarczyk ◽  
Katarína Žiaková ◽  
Agnieszka Młynarska
Keyword(s):  
Job Satisfaction ◽  
Clinical Practice ◽  
Patient Care ◽  
Nursing Care ◽  
Slovak Republic ◽  
Secondary Analysis ◽  
Care Quality ◽  
Targeted Interventions ◽  
Quality Of Patient Care

Rationed nursing care is a significant problem in healthcare facilities worldwide. Awareness of contributing factors to rationed care might support the development and implementation of strategies for reducing this phenomenon from clinical practice. The study examined the association between selected hospital, unit, and staff variables and the prevalence of rationed nursing care. Secondary analysis of cross-sectional data collected between December 2017 and July 2018 from 895 registered nurses in seven acute care hospitals in the Slovak Republic was performed. Data were collected using the questionnaire Perceived Implicit Rationing of Nursing and analyzed by descriptive and inferential statistics in the statistical program SPSS 25.0. Statistically significant associations were found between rationed nursing care and unit type, education, shift type, nurses’ experience in the current unit, overtime hours, missed shifts, intention to leave the position, perceived staff adequacy, quality of patient care, and job satisfaction. Differences in rating rationed nursing care, quality of patient care, and job satisfaction were identified based on hospital type. Together with top hospital management, nurse managers should develop targeted interventions focusing on mitigating rationed nursing care from the clinical practice with a focus placed on university hospitals. Quality and safe care might be ensured through constant monitoring of the quality of patient care and job satisfaction of nurses as these factors significantly predicted the estimates of rationed nursing care.

The Contribution of Work Environment to Nurses' Assessments of the Quality of Patient Care

2012 ◽  
Vol 25 (2) ◽  
pp. 70-79
Author(s):  
Rein Lepnurm ◽  
Roy Dobson ◽  
Lynnette Stamler ◽  
David Persaud ◽  
David Keegan ◽  
...  
Keyword(s):  
Patient Care ◽  
Work Environment ◽  
Quality Of Patient Care

scholarly journals “Pixie dust”

2019 ◽  
Vol 33 (5) ◽  
pp. 635-646
Author(s):  
Susan Brandis ◽  
Stephanie Schleimer ◽  
John Rice
Keyword(s):  
Patient Safety ◽  
Quality Of Care ◽  
Health Service ◽  
Patient Care ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Content Type ◽  
Quality Of Patient Care

Purpose Creating a culture of patient safety and developing a skilled workforce are major challenges for health managers. However, there is limited information to guide managers as to how patient safety culture can be improved. The purpose of this paper is to explore the concept of reflexivity and develop a model for magnifying the effect of patient safety culture and demonstrating a link to improved perceptions of quality of care. Design/methodology/approach This research employed a correlational case study design with empirical hypothesis testing of quantitative scores derived from validated survey items. Staff perceptions of patient safety, reflexivity and quality of patient care were obtained via a survey in 2015 and analysed using inferential statistics. The final sample included 227 health service staff from clinical and non-clinical designations working in a large Australian tertiary hospital and health service delivering acute and sub-acute health care. Findings Both patient safety culture and reflexivity are positively correlated with perceived quality of patient care at the p<0.01 level. The moderating role of reflexivity on the relationship between patient safety culture and quality of care outcomes was significant and positive at the p<0.005 level. Practical implications Improving reflexivity in a health workforce positively moderates the effect of patient safety culture on perceptions of patient quality of care. The role of reflexivity therefore has implications for future pre-professional curriculum content and post-graduate licencing and registration requirements. Originality/value Much has been published on reflection. This paper considers the role of reflexivity, a much less understood but equally important construct in the field of patient safety.

scholarly journals Rationing of Nursing Care in Intensive Care Units

2020 ◽  
Vol 17 (19) ◽  
pp. 6944
Author(s):  
Agnieszka Młynarska ◽  
Anna Krawuczka ◽  
Ewelina Kolarczyk ◽  
Izabella Uchmanowicz
Keyword(s):  
Job Satisfaction ◽  
Intensive Care ◽  
Patient Care ◽  
Intensive Care Units ◽  
Nursing Care ◽  
Sociodemographic Factors ◽  
Quality Of Patient Care ◽  
Wide Range ◽  
Experienced Fatigue

The nursing practice refers to a wide range of tasks and responsibilities. In a situation where there is a problem of limited resources, nurses are forced to ration the patient’s care—that is, minimize and skip some tasks. The main purpose of this work was to assess the rationing level of nursing care among staff in the intensive care units. Methods: The research included 150 anaesthesiological nurses in the Silesian Region in Poland. The research was conducted from July to October 2019 using the standardized Perceived Implicit Rationing of Nursing Care (PRINCA) questionnaire on rationing nursing care, assessing the quality of patient care, and job satisfaction. The Modified Fatigue Impact Scale (MFIS) standardized questionnaire was used to assess the level of fatigue of respondents in the physical, cognitive, and psychosocial spheres. Results: Sociodemographic factors, such as gender, age, place of residence, education, seniority, and type of employment were not found to affect the rationing level of nursing care in the intensive care unit. The average quality of patient care was 6.05/10 points, while the average job satisfaction rating was 7.13/10 points. Analysis of the MFIS questionnaire showed that respondents experienced fatigue between “rare” and “sometimes”, and nursing staff fatigue was the main factor for rationing care. Conclusions: The higher the level of fatigue, the greater the rationing of care and the less satisfaction from work.

scholarly journals Nurse perception of nursing handover at the University Clinical Hospital in Zagreb

2019 ◽  
Vol 3 (1) ◽  
pp. 37-47
Author(s):  
Slađana Režić
Keyword(s):  
Patient Safety ◽  
Nursing Care ◽  
Demographic Data ◽  
Nurse Perception ◽  
Gender Education ◽  
Written Form ◽  
The University ◽  
Female Nurses ◽  
Quality Of Nursing

Introduction. Nursing handover refers to communication occurring between two shifts of nurses with the specific purpose of handing over information about patients under the nurses’ care. Several styles of nursing handover exist, whereas in Croatia written handover is legally required. Aim. The aim of the study was to examine nurses’ perception of the nursing handover: whether nursing handover improves patient safety, whether the content of the handover influences the quality of nursing care and whether the handover is important for continuity of nursing care. The aim was also to determine how the nursing handover is performed, how long it takes and whether written instructions are necessary for the nursing handover. Methods. The study was conducted between 1 October 2017 and 30 October 2017. The study was conducted on the basis of a questionnaire made specifically for this purpose. The questionnaire consisted of 14 questions. The first part of the questionnaire referred to the participants’ demographic data: years of service, age, gender, education level, workplace; the second part of the questionnaire referred to nurses’ perception of the nursing handover. Results. The questionnaire was filled in by 295 nurses. Out of this number, 40 were male and 255 female nurses. The majority of participants finished secondary education and have been working between 11 and 20 years. In most cases, nursing handover is recorded in electronic written form and also at the patient’s bedside. Over 90% of participants feel that the handover contributes to improved patient safety and quality of care. Conclusion. Nursing handover is recorded in electronic written form, as well as at the patient’s bedside on all wards that participated in the study. This form of handover ensures better continuity of care, improves patient safety and reduces loss of vital information. The need to draw up written instructions for the nursing handover was determined.

scholarly journals Reducing sitter use in acute medicine while maintaining safety and quality

2018 ◽  
Vol 9 (2) ◽  
pp. 61
Author(s):  
Delois Long ◽  
Janice Dennis
Keyword(s):  
Patient Safety ◽  
Patient Care ◽  
Assessment Tool ◽  
Medical Center ◽  
Intervention Group ◽  
Post Intervention ◽  
Acute Medicine ◽  
Quality Of Patient Care ◽  
Interventional Group

Background and objective: Sitters are commonplace in acute care facilities throughout the country. Sitters are used to provide close observations and ensure safety for patients who are at risk for falls. These patients suffer from cognitive impairment, inability to follow instructions, and causing harm to themselves or others. The literature shows that one requirement for an effective sitter process is the use of an assessment tool. Sitter usage at the Louis Stokes Cleveland VA Medical Center (LSCVAMC) has escalated to the point that sitters are causing an overall shortage of nursing staff.  This shortage causes excessive overtime, staff burnout, and reduces the quality of patient care provided to non-sitter patients. The purpose of this case-control descriptive pilot study was to reduce sitter usage on an inpatient acute medicine unit, by implementing the Patient Attendant Assessment Tool (PAAT), without reducing patient safety and quality of patient care. The PAAT was developed and utilized by a Midwest hospital for data collection and to assess the need for sitters.Methods: Patients were placed into the Pre- and Post-implementation cohorts, according to the order of their admission. Pre-interventional data was collected from the study group, using the Sitter Justification Form, the 24-hour nursing report and the electronic medical record. The intervention consisted of staff education on the use of a new tool, the PAAT. Following implementation of the tool, the data was collected and analyzed using the SPSS 20 for windows (SPSS.INC), over an 8-month period.Results and conclusions: Sitter usage was reduced without reducing patient safety or quality of care, with the implementation of the PAAT. Among individuals having at least one sitter day, patients in the post intervention group, were less likely to have as many sitter shifts (n = 343, 58.0%) as compared to patients in the Pre-interventional group (n = 451, 75.9%) (Chi Square = 42.88; df = 1, p < .001). As can be seen, there was a significant decrease in the number of sitter shifts after the implementation of the PAAT, as compared to the pre-interventional group. There was a slight increase in the quality of patient care.

Patient Safety in Hospital Acute Care Units

2006 ◽  
Vol 24 (1) ◽  
pp. 103-125 ◽  
Author(s):  
Mary A. Blegen
Keyword(s):  
Patient Safety ◽  
Patient Care ◽  
Nursing Care ◽  
Nurse Staffing ◽  
Hospital Inpatient ◽  
Nursing Administration ◽  
Hospital Nursing ◽  
Safety Research ◽  
State Of The Science

The most visible threats to patient safety associated with nursing care occur on hospital inpatient units. Patient safety research is a new phenomenon, but it builds on the knowledge provided by quality-of-care research done previously. The purpose of this chapter is to describe the current state of the science in the area of nurse staffing and patient safety. The results of research studies published since the last round of reviews (1996-2005) are described by level of analysis, measures of nurse staffing and patient outcomes. Although research linking nurse staffing to the quality of patient care has increased markedly since 1996, the results of recent research projects do not yet provide a thorough and consistent foundation for producing solutions to the crisis in hospital nursing care. The inconsistencies are largely due to differing units of analysis (hospital, patient, care unit), variability in measures of nurse staffing, the variety of quality indicators chosen, the difficulty finding accurate measures of these indicators, and the difficulty creating risk-adjustment strategies for the indicators most sensitive to nursing care. Nursing administration and policy most urgently need research conducted with standardized data collected at the patient care unit level.

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