Associations between Nursing Work Environment, Patient Safety Culture, and Missed Nursing Care Among Staff nurses

Document Type : Original Article

Authors

1 Nursing Administration department- Faculty of nursing- Mansoura university

2 Nursing administration, Faculty of Nursing Mansoura University

Abstract

Background: The environment of work and culture of patient safety are crucial factors that had a major effect on missing nursing care. Aim: To explore the relationships between the work environment, patient safety culture, and missed nursing care among staff nurses. Method: Descriptive correlational design was used. The study included a convenience sample of 136 staff nurses who were working at all inpatient units of main Mansoura university hospital. Work environment scale, patient safety culture scale, and missed nursing care scale were utilized for data collection. Results: Staff nurses perceived average work environment, good patient safety culture, and low missing nursing care. The work environment and patient safety culture perceptions correlated negatively with missed nursing care. The work environment correlated positively with the culture of patient safety. Conclusion: Work environment and patient safety culture correlated negatively with missed nursing care among staff nurses. There was a positive relationship between work environment, and patient safety culture among staff nurses. Recommendations: Nurse Managers should maintain an effective work environment with adequate staffing, resources, and encourage teamwork to avoid missing nursing care. Nurse managers should continuously monitor and evaluate patient safety culture aspects among nurses to achieve a healthy and safe climate for patients. Clear communication and feedback system should be maintained about the error to avoid reoccurrence, and prevent its negative consequences for nurses, patients, and health care organizations
 

Keywords


Abdi, Z., Delgoshaei, B., Ravaghi, H., Abbasi, M., & Heyrani, A.(2015).The culture of patient safety in an Iranian intensive care unit. Journal of nursing management23(3), 333-345.‏
Aboshaiqah, A. E. (2015). Nursing work environment in Saudi Arabia. Journal of nursing management, 23(4), 510-520.‏
Abu-El-Noor, N. I., Abu-El-Noor, M. K., Abuowda, Y. Z., Alfaqawi, M., & Böttcher, B. (2019). Patient safety culture among nurses working in Palestinian governmental hospital: a pathway to a new policy. BMC Health Services Research19(1), 550.‏
Agency for Healthcare Research and Quality (AHRQ) (2019). Hospital Survey on Patient Safety Culture. Version 2.0. Rockville, MD: retrieved November,2,2019 from https://www.ahrq.gov/sops/surveys/hospital/index.html
Aiken, L. H., Clarke, S. P., Sloane, D. M., Lake, E. T., & Cheney, T. (2008).Effects of hospital care environment on patient mortality and nurse outcomes. The Journal of nursing administration, 38(5), 223. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2586978/.
Al Moosa, M., Eweis Hassanein, S., Alnems, A., Ahmed Abdrbo, A., Minguez, O., & Anwar Al Ghadheeb, F. (2020).Perception of Nurses Work Environment in Tertiary Care Hospital in Saudi Arabia. American Journal of Nursing Science, 9(1), 23.https://doi.org/10.11648/j.ajns.20200901.14
Ali, H., Ibrahem, S. Z., Al Mudaf, B., Al Fadalah, T., Jamal, D., & El-Jardali, F. (2018). Baseline assessment of patient safety culture in public hospitals in Kuwait. BMC health services research18(1), 158.‏
Almuhsen, F.,Alkorashy, H., Baddar, F., & Qasim, A. (2017). Work environment characteristics as perceived by nurses in Saudi Arabia. International Journal of Advanced Nursing Studies, 6(1), 45. https://doi.org/10.14419/ijans.v6i1.7453.
Ammouri, A. A., Tailakh, A. K., Muliira, J. K., Geethakrishnan, R., & Al Kindi, S. N. (2015). Patient safety culture among nurses. International nursing review, 62(1), 102-110.‏
Blackman, I., Papastavrou, E., Palese, A., Vryonides, S., Henderson, J., & Willis, E. (2018). Predicting variations to missed nursing care: A three‐nation comparison. Journal of nursing management26(1), 33-41.‏
Bragadóttir, H., Kalisch, B. J., & Tryggvadóttir, G. B. (2017). Correlates and predictors of missed nursing care in hospitals. Journal of clinical nursing26(11-12), 1524-1534.‏
Clark, R. R., & Lake, E. T. (2020). Association of clinical nursing work environment with quality and safety in maternity care in the United States. MCN: The American Journal of Maternal/Child Nursing45(5), 265-270.‏‏‏.‏
Dirik, H. F., & Intepeler, S. S. (2017). The work environment and empowerment as predictors of patient safety culture in Turkey. Journal of nursing management25(4), 256-265.
Dutra, C. K. D. R., Salles, B. G., & Guirardello, E. D. B. (2019). Situations and reasons for missed nursing care in medical and surgical clinic units. Revista da Escola de Enfermagem da USP53, e03470-e03470.‏
El-Sherbiny, N. A., Ibrahim, E. H., & Abdel-Wahed, W. Y. (2020). Assessment of patient safety culture among paramedical personnel at general and district hospitals, Fayoum Governorate, Egypt. Journal of the Egyptian Public Health Association95(1), 4.‏
Gabr, H., & El-Shaer, A. Factors Affecting Missed Nursing Care and its Relation toNurses' Work Flow in General Medical and Surgical Units.‏ IOSR Journal of Nursing and Health Science, 9(3)21.3.
Ghobashi, M. M., El-Ragehy, H. A. G., Ibrahim, H. M., & Al-Doseri, F. A. (2014). Assessment of patient safety culture in primary health care settings in Kuwait. Epidemiology, Biostatistics and Public Health11(3).
Griffiths, P., Recio‐Saucedo, A., Dall'Ora, C., Briggs, J., Maruotti, A., Meredith, P., & Missed Care Study Group. (2018). The association between nurse staffing and omissions in nursing care: a systematic review. Journal of advanced nursing74(7), 1474-1487.‏
Gurková, E., Zeleníková, R., Friganovic, A., Uchmanowicz, I., Jarošová, D., Papastavrou, E., & Žiaková, K. (2020). Hospital safety climate from nurses’ perspective in four European countries. International nursing review67(2), 208-217.‏
Hayashi, R., Fujita, S., Iida, S., Nagai, Y., Shimamori, Y., & Hasegawa, T. (2020). Relationship of patient safety culture with factors influencing working environment such as working hours, the number of night shifts, and the number of days off among healthcare workers in Japan: A cross-sectional study. BMC Health Services Research, 20(1), 1–9. https://doi.org/10.1186/s12913-020-05114-8
Hessels, A. J., Flynn, L., Cimiotti, J. P., Cadmus, E., & Gershon, R. R. (2015). The impact of the nursing practice environment on missed nursing care. Clinical nursing studies3(4), 60.
Hessels, A. J., Paliwal, M., Weaver, S. H., Siddiqui, D., & Wurmser, T. A. (2019). Impact of patient safety culture on missed nursing care and adverse patient events. Journal of nursing care quality34(4), 287-294.‏
Kalisch, B. J., & Williams, R. A. (2009). Development and psychometric testing of a tool to measure missed nursing care. JONA: The Journal of Nursing Administration, 39(5), 211-219.‏ https://journals.lww.com/jonajournal/Abstract/2009/05000/Development_and_Psychometric_Testing_of_a_Tool_to.4.aspx
Kim, K. J., Yoo, M. S., & Seo, E. J. (2018). Exploring the influence of nursing work environment and patient safety culture on missed nursing care in Korea. Asian nursing research12(2), 121-126.‏
Lake, E. T. (2002). Development of the practice environment scale of the nursing work index. Research in nursing & health, 25(3), 176-188.‏ https://onlinelibrary.wiley.com/doi/abs/10.1002/nur.10032.
Lake, E. T., Riman, K. A., & Sloane, D. M. (2020). Improved work environments and staffing lead to less missed nursing care: A panel study. Journal of Nursing Management.‏ 0 (2) 1-9. https://onlinelibrary.wiley.com/doi/full/10.1111/jonm.12970
Mandal, L., Seethalakshmi, A., & Rajendrababu, A. (2020). Rationing of nursing care, a deviation from holistic nursing: A systematic review. Nursing Philosophy, 21(1), e12257.‏
Marven, A. C. (2016). Missed nursing care-a nurse's perspective: an exploratory study into the who, what and why of missed care.‏published master thesis, Melbourne School of Health Sciences, Department of Nursing, the university of Melbourne. https://minervaaccess.unimelb.edu.au/bitstream/handle/11343/121996/Thesis%20Final1.pdf?sequence=1&isAllowed=y
Mihdawi, M., Al-Amer, R., Darwish, R., Randall, S., & Afaneh, T. (2020). The Influence of Nursing Work Environment on Patient Safety. Workplace Health & Safety, 2165079920901533.‏
Moisoglou, I., Yfantis, A., Galanis, P., Pispirigou, A.,Chatzimargaritis, E., Theoxari, A., & Prezerakos, P. (2020). Nurses work environment and patients’ quality of care. International Journal of Caring Sciences13(1), 108-116.‏
Norman, R. M., & Sjetne, I. S. (2017). Measuring nurses’ perception of work environment: a scoping review of questionnaires. BMC nursing16(1), 66.‏
Park, S. H., Hanchett, M., & Ma, C. (2018). Practice environment characteristics associated with missed nursing care. Journal of Nursing Scholarship, 50(6), 722-730.‏
Putri, E. S. K., Nuswantari, A. T., & Imam, C. W. (2018). Effect of perception of patient safety culture dimensions on the willingness to report patient safety incident. Jurnal Aplikasi Manajemen16(1), 136-147.‏
Recio-Saucedo, A., Dall'Ora, C., Maruotti, A., Ball, J., Briggs, J., Meredith, P., . . . Griffiths, P. (2017). What impact does nursing care left undone have on patient outcomes? Review of the literature. Journal of Clinical Nursing, 00, 1–12. doi: 10.1111/jocn.14058
Reis, C. T., Paiva, S. G., & Sousa, P. (2018). The patient safety culture: a systematic review by characteristics of hospital survey on patient safety culture dimensions. International Journal for Quality in Health Care30(9), 660-677.‏
Ricklin, M. E., Hess, F., & Hautz, W. E. (2019). Patient safety culture in a university hospital emergency department in Switzerland–a survey study. GMS journal for medical education36(2)
Rizalar, S., & Topcu, S. Y.(2017). The patient safety culture perception of Turkish nurses who work in operating room and intensive care unit. Pakistan journal of medical sciences33(2), 374
Saqer, T. J., & AbuAlRub, R. F. (2018). Missed nursing care and its relationship with confidence in delegation among hospital nurses. Journal of clinical nursing27(13-14), 2887-2895.‏
Song, Y., Hoben, M., Norton, P., & Estabrooks, C. A. (2020). Association of work environment with missed and rushed care tasks among care aides in nursing homes. JAMA network open3(1), e1920092-e1920092.‏
White, E.M., Aiken, L. H., & McHugh, M.D. (2019). Registered nurse burnout, job dissatisfaction, and missed care in nursing homes. Journal of the American Geriatrics Society67(10), 2065-2071.‏
Yurdanur  Ege, Kilic D and Yildiz E. (2019). Patient Safety Culture: Evaluating Turkish Nurses' Attitudes and Knowledge. International Journal of Caring Sciences12(1), 430-441.‏
Zeleníková, R., Jarošová, D., Plevová, I., & Janíková, E. (2020). Nurses’ Perceptions of Professional Practice Environment and Its Relation to Missed Nursing Care and Nurse Satisfaction. International Journal of Environmental Research and Public Health17(11), 3805.‏
Zhao, Y., Ma, D., Wan, Z., Sun, D., Li, H., & Sun, J. (2019). Associations between work environment and implicit rationing of nursing care: A systematic review. Journal of Nursing Management.‏