The role of nurses' adherence to clinical safety guidelines in linking nurse practice environment to missed nursing care.

IF 2.4 3区 医学 Q1 NURSING
Leodoro J Labrague, Sulaiman Al Sabei, Raeda AbuAlRub, Ikram Burney, Omar Al Rawajfah
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引用次数: 0

Abstract

Introduction: While the nurse practice environment's vital role in shaping patient care outcomes is well established, the precise mechanisms through which it influences missed nursing care remain unexplored. Hence, this study examined the mediating role of adherence to clinical safety guidelines in the relationship between the nurse practice environment and missed nursing care.

Methods: This descriptive, cross-sectional study involved 1237 nurses from 11 governorates in the Sultanate of Oman. Data were collected using three standardized scales: the Patient Safety Adherence Scale, the Practice Environment Scale of the Nursing Work Index, and the Missed Nursing Care Scale.

Results: A favorable nurse practice environment was associated with higher adherence to clinical safety guidelines (β = 2.492, p < 0.001) and a lower frequency of missed nursing care (β = -0.2919, p = 0.015). Adherence to clinical safety guidelines partially mediated the relationship between the nurse practice environment and missed nursing care (β = -0.055, p < 0.001).

Conclusion: Enhancing the nurse practice environment plays a crucial role in improving nurses' adherence to clinical safety guidelines, which in turn reduces compromised nursing care.

Clinical relevance: Healthcare administrators and policymakers should prioritize improving working conditions to enhance nurses' adherence to clinical safety guidelines, thereby minimizing the occurrence of missed care and improving overall patient outcomes.

护士遵守临床安全指南在将护士执业环境与护理失误联系起来方面所起的作用。
导言:虽然护士执业环境在影响患者护理结果方面的重要作用已得到公认,但其影响护理遗漏的确切机制仍有待探索。因此,本研究探讨了遵守临床安全指南在护士执业环境与护理服务缺失之间的中介作用:这项描述性横断面研究涉及来自阿曼苏丹国 11 个省的 1237 名护士。数据收集使用了三个标准化量表:患者安全依从性量表、护理工作指数实践环境量表和护理遗漏量表:结果:良好的护士执业环境与较高的临床安全指南依从性相关(β = 2.492,p 结论:良好的护士执业环境与较高的临床安全指南依从性相关:改善护士执业环境在提高护士对临床安全指南的依从性方面起着至关重要的作用,而临床安全指南的依从性又能减少护理工作的失误:医疗管理者和政策制定者应优先考虑改善工作条件,以提高护士对临床安全指南的依从性,从而最大限度地减少护理失误的发生,改善患者的整体治疗效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.30
自引率
5.90%
发文量
85
审稿时长
6-12 weeks
期刊介绍: This widely read and respected journal features peer-reviewed, thought-provoking articles representing research by some of the world’s leading nurse researchers. Reaching health professionals, faculty and students in 103 countries, the Journal of Nursing Scholarship is focused on health of people throughout the world. It is the official journal of Sigma Theta Tau International and it reflects the society’s dedication to providing the tools necessary to improve nursing care around the world.
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