scholarly journals Effect of Practice Environment on Nurse Reported Quality and Patient Safety: The Mediation Role of Person-Centeredness

2021 ◽  
Author(s):  
Mu’taman Jarrar ◽  
Mohammad Al-Bsheish ◽  
Badr Aldhmadi ◽  
Waleed Albaker ◽  
Ahmed Meri ◽  
...  
Keyword(s):  
Patient Safety ◽  
Work Environment ◽  
Practice Environment ◽  
Person Centered Care ◽  
Centered Care ◽  
Care Outcomes ◽  
Nurse Work Environment ◽  
Quality And Patient Safety ◽  
High Level

Abstract Background Patient safety and quality are concerns of healthcare systems, and several reforms and efforts have focused on this concern. Person-centeredness and nurse work environment are key elements for providing high quality and safe patient care, as structural and process factors. Limited existing studies suggest a mediation role of person-centeredness from a nursing perspective. Accordingly, this study aim to explore the potential mediation role of person-centeredness between the effects of the work environment and nurse reported quality and patient safety. Methods A quantitative cross-sectional survey collected data from 1,055 nurses working in medical and surgical units in twelve Malaysian private hospitals. The data collection used structured questionnaires. The Hayes macro explored the mediation effect of person-centeredness between the associations of work environment dimensions and care outcomes, controlling nurses’ demographics and practice characteristics. Results A total of 652 nurses responded completely to the survey (61.8% response rate). About 47.7% of nurses worked 7-hour shifts, and 37.0% were assigned more than 15 patients. Higher workload was associated with unfavorable outcomes. Nurses working in 12-hour shifts reported a lower work environment rating (3.46 ± 0.41, p < 0.01) and person-centered care (3.55 ± 0.35, p < 0.01). Nurses assigned for more than 15 patients were less likely to report a favorable practice environment (3.53 ± 0.41, p < 0.05), perceived lower person-centered care (3.61 ± 0.36, p < 0.01), and rated lower patient safety (3.54 ± 0.62, p < 0.05). Person-centeredness mediates the effect of nurse work environment dimensions on quality and patient safety. Conclusion Medical and surgical nurses working in a healthy environment had a high level of person-centeredness, which is, in turn, positively affected the reported outcomes. The function of person-centeredness was to complement the effects of the nurse work environment on care outcomes. Improving the nurse work environment (task-oriented) with a high level of person-centeredness (patient-oriented) was a mechanism through which future initiatives could improve nursing care and preventing patient harm.

scholarly journals Effect of Practice Environment on Nurse Reported Quality and Patient Safety: The Mediation Role of Person-Centeredness

Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1578
Author(s):  
Mu’taman Jarrar ◽  
Mohammad Al-Bsheish ◽  
Badr K. Aldhmadi ◽  
Waleed Albaker ◽  
Ahmed Meri ◽  
...  
Keyword(s):  
Patient Safety ◽  
Work Environment ◽  
Practice Environment ◽  
Person Centered Care ◽  
Centered Care ◽  
Care Outcomes ◽  
Nurse Work Environment ◽  
Quality And Patient Safety ◽  
High Level

This study aims to explore the potential mediation role of person-centeredness between the effects of the work environment and nurse reported quality and patient safety. A quantitative cross-sectional survey collected data from 1055 nurses, working in medical and surgical units, in twelve Malaysian private hospitals. The data collection used structured questionnaires. The Hayes macro explored the mediation effect of person-centeredness between the associations of work environment dimensions and care outcomes, controlling nurses’ demographics and practice characteristics. A total of 652 nurses responded completely to the survey (61.8% response rate). About 47.7% of nurses worked 7-h shifts, and 37.0% were assigned more than 15 patients. Higher workload was associated with unfavorable outcomes. Nurses working in 12-h shifts reported a lower work environment rating (3.46 ± 0.41, p < 0.01) and person-centered care (3.55 ± 0.35, p < 0.01). Nurses assigned to more than 15 patients were less likely to report a favorable practice environment (3.53 ± 0.41, p < 0.05), perceived lower person-centered care (3.61 ± 0.36, p < 0.01), and rated lower patient safety (3.54 ± 0.62, p < 0.05). Person-centeredness mediates the effect of nurse work environment dimensions on quality and patient safety. Medical and surgical nurses, working in a healthy environment, had a high level of person-centeredness, which, in turn, positively affected the reported outcomes. The function of person-centeredness was to complement the effects of the nurse work environment on care outcomes. Improving the nurse work environment (task-oriented) with a high level of person-centeredness (patient-oriented) was a mechanism through which future initiatives could improve nursing care and prevent patient harm.

scholarly journals A Perception of health care providers toward quality work environment and patients’ safety culture at hemodialysis units.

2016 ◽  
Vol 4 (12) ◽  
pp. 110-128
Author(s):  
Maha Adel Salem ◽  
Hala Ahmed Abdou ◽  
Hoda Ibrahim El-Trawy
Keyword(s):  
Patient Safety ◽  
Work Environment ◽  
Health Care Providers ◽  
Nursing Staff ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Practice Environment ◽  
Care Providers ◽  
Ministry Of Health ◽  
Safety Work

Many changes have been made in the healthcare practice environment. Understanding of quality practice environment in hemodialysis units has certain implications for maximizing outcomes for clients, nurses, and systems. Developing quality practice environments takes time and commitment to promote and support patients’ safety. Hence improving safety patient culture is vital in dialysis units because it requires for reducing risks for harm, errors of patients and delivering high quality of patients care. The Study aimed to determine the perception of nursing staff’ toward quality practice environment and patients’ safety at Hemodialysis units. Methodology, data collection was utilized a descriptive correlational design for this study, all nursing staff amounted to (n= 90) They are classified into: all head nurses n = 7,, and all nurses who have either diploma (n = 40) or baccalaureate degree (n = 43) who are affiliated to all hemodialysis units (n =7) at Ministry of Health ,Egypt. A package composed of two instruments was used, namely: Environment Scale-Nursing Work Index (PES-NWI) and Hospital Survey on Patient Safety Culture (HSPSC). Results, the major findings indicated that there is a positive correlation significant among practice work environment and patient safety culture except for staffing and resource adequacy in all hemodialysis units of Ministry of Health Hospitals. Also, results point out that the organizational structure of the Ministry of Health Hospitals is characterized by unhealthy environment and unsafe climate that force the nursing staff to have low perception toward most of quality practice environment and patient safety culture factors. The study recommended that initiating a blame-free reporting system to prevent re-occurrence of problems and actions to eliminate them from the workplace by detecting, evaluating, preventing and treating safety work environment

scholarly journals Care Quality, Patient Safety, and Nurse Outcomes at Hospitals Serving Economically Disadvantaged Patients: A Case for Investment in Nursing

2022 ◽  
pp. 152715442110695
Author(s):  
Molly Kreider Viscardi ◽  
Rachel French ◽  
Heather Brom ◽  
Eileen Lake ◽  
Connie Ulrich ◽  
...  
Keyword(s):  
Patient Safety ◽  
Work Environment ◽  
Economically Disadvantaged ◽  
Intent To Leave ◽  
Secondary Data ◽  
Care Quality ◽  
Work Environments ◽  
Cross Sectional ◽  
Nurse Work Environment ◽  
Nurse Outcomes

We sought to evaluate if better work environments or staffing were associated with improvements in care quality, patient safety, and nurse outcomes across hospitals caring for different proportions of patients who are economically disadvantaged. Few actionable approaches for hospitals with quality and resource deficits exist. One solution may be to invest in the nurse work environment and staffing. This cross-sectional study utilized secondary data from 23,629 registered nurses in 503 hospitals from a four-state survey collected in 2005–2008. Each 10% increase in the proportion of patients who are economically disadvantaged was associated with 27% and 22% decreased odds of rating unit-level care quality as excellent and giving an “A” safety grade, respectively. Each 10% increase was also associated with 9%, 25%, and 11% increased odds of job dissatisfaction, intent to leave, and burnout, respectively. The work environment had the largest association with each outcome. Accounting for the nurse work environment lessened or eliminated the negative outcomes experienced at hospitals serving high proportions of patients who are economically disadvantaged. Leaders at hospitals serving high proportions of patients who are economically disadvantaged, as well as state and federal policymakers, should work to improve quality, safety, and nurse outcomes by strengthening nurse work environments. Improving work environments highlights the role of nursing in the health care system, and policies focused on work environments are needed to improve the experiences of patients and nurses, especially at hospitals that care for many patients who are economically disadvantaged.

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