The Correlation of Safe Nursing Care with the Quality of Work Life of Nurses

Abstract

Background & Aims: One of the primary goals of health service provision is to prevent patient harm and maintain patient safety. Patient safety is defined as minimizing the risk of unnecessary injuries compared to other treatments or lack of treatment. Safe nursing care has four dimensions of nursing skills, providing physical safety, providing mental safety, and nurses' cooperation with other members. The provision of safe care depends on the quality and efficiency of nursing services. The efficiency of nurses depends on the measures taken to preserve the body and mind of nurses and the improvement of the quality of their work life. Quality of work life emphasizes personal consequences and professional improvement to meet one's needs in the four dimensions of personal life, work framework, work context, and global dimension of work. Safe care and quality of work life are important issues, and their dimensions have been assessed and identified separately in some studies, while they could be fully recognized and promoted through more approaches. The present study aimed to assess the correlation of safe nursing care and the quality of work life of nurses in the public hospitals of Rasht, Iran in 2020. Materials & Methods: This cross-sectional, descriptive-correlational study was conducted to assess the correlation between safe nursing care and quality of work life in eight public hospitals in Rasht. The participants included 250 nurses who were selected via stratified sampling based on the ratio of the total number of the nurses in the public hospitals of Rasht and each hospital department accessibly. Data were collected using a demographic questionnaire, Brooks' quality of work life (QWL) for nurses (2005), and Rashvand safe nursing care questionnaire (2017). Brooks' QWL questionnaire has four dimensions regarding the quality of work life of nurses with 42 items, including personal life (seven items), work framework (10 items), work field (20 items), global work dimension (five items). Each items was assigned a score within the range of 1-6 (Strongly Disagree=1, Strongly Agree=6) within the score range higher, while their cooperation level with the other healthcare team members was lower comparatively. Safe nursing care had no significant correlation with the quality of work life and none of its dimensions. In addition, none of the demographic variables were significantly correlated with the quality of work life of the studied nurses. However, safe nursing care had significant correlations with gender, marital status, employment status, age, and work experience (P>0.001). Conclusion: Despite the moderate quality of work life, safe nursing care was considered favorable. However, no significant correlations were observed between safe nursing care, the quality of working life, and its dimensions. This finding could be due to the prevailing professional rules and beliefs in the nursing profession, which maintains safe care despite the limitations in the factors associated with the quality of work life. Although safe nursing care was favorable, the constantly increasing need for promoting the quality of care and the competition of care service organizations to attract more clients, safe nursing care must be enhanced continuously. According to the findings, the dimension of clinical skills was rather poor in terms of safe nursing care, which requires skills retraining and further monitoring in this regard. Since the global quality of work life mainly concerns nurses, chief executives must pay special attention to the salaries and wages of these individuals, as well as their job security and presenting a correct image of nursing to the society.