Intensive and critical care nurses patient safety, care quality, professional self-efficacy, and missed nursing care: Structural equation model analysis.

IF 3.4 2区医学 Q1 NURSING

Worldviews on Evidence-Based Nursing Pub Date : 2024-10-01 Epub Date: 2024-08-20 DOI:10.1111/wvn.12741

Daniel Joseph E Berdida

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引用次数: 0

Abstract

Background: Globally, nurses' patient safety, care quality, and missed nursing care are well documented. However, there is a paucity of studies on the mediating roles of care quality and professional self-efficacy, particularly among intensive and critical care unit (ICCU) nurses in developing countries like the Philippines.

Aim: To test a model of the interrelationships of patient safety, care quality, professional self-efficacy, and missed nursing care among ICCU nurses.

Methods: A cross-sectional, correlational design study was used. ICCU nurses (n = 335) were recruited via consecutive sampling from August to December 2023 and completed four validated self-report scales. Spearman Rho, structural equation modeling, mediation, and path analyses were utilized for data analysis.

Results: The emerging model demonstrated acceptable fit parameters. Patient safety positively influenced care quality (β = .34, p = .002) and professional self-efficacy (β = .18, p = .011), while negatively affecting missed nursing care (β = -.34, p = .003). Care quality positively and negatively influenced professional self-efficacy (β = .40, p = .003) and missed nursing care (β = -.13, p = .003), respectively. Professional self-efficacy indirectly impacted missed nursing care (β = -.32, p = .003). Care quality (β = -.10, p = .003) and professional self-efficacy (β = .13, p = .003) showed mediating effects between patient safety and missed nursing care.

Linking evidence to action: ICCU nurses' care quality and professional self-efficacy are essential mediating factors that can bolster patient safety practices, hence reducing missed nursing care. Therefore, healthcare organizations, nurse managers, and policymakers should cultivate care quality and self-efficacy by creating support programs and providing a positive practice environment. Nurses and nurse supervisors could directly observe missed nursing care in the ICCU to understand its underreported causes.

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重症和危重症护理护士的患者安全、护理质量、职业自我效能感和护理遗漏：结构方程模型分析。

背景：在全球范围内，护士对患者安全、护理质量和护理遗漏等问题都有充分的记录。然而，有关护理质量和专业自我效能的中介作用的研究却很少，尤其是在菲律宾等发展中国家的重症监护室（ICCU）护士中。目的：测试重症监护室护士中患者安全、护理质量、专业自我效能和护理遗漏的相互关系模型：方法：采用横断面相关设计研究。在 2023 年 8 月至 12 月期间，通过连续抽样的方式招募了 ICCU 护士（n = 335），并完成了四个经过验证的自我报告量表。数据分析采用了斯皮尔曼-罗（Spearman Rho）、结构方程建模、中介和路径分析等方法：结果：新建立的模型显示了可接受的拟合参数。患者安全对护理质量（β = .34，p = .002）和职业自我效能感（β = .18，p = .011）有积极影响，而对护理遗漏（β = -.34，p = .003）有消极影响。护理质量分别对专业自我效能感（β = .40，p = .003）和护理误时（β = -.13，p = .003）产生正向和负向影响。专业自我效能间接影响护理遗漏率（β = -.32, p = .003）。护理质量（β = -.10，p = .003）和专业自我效能（β = .13，p = .003）在患者安全和护理遗漏之间显示出中介效应：证据与行动的联系：ICCU 护士的护理质量和职业自我效能感是重要的中介因素，可促进患者安全实践，从而减少护理遗漏。因此，医疗机构、护士管理者和政策制定者应通过制定支持计划和提供积极的实践环境来培养护理质量和自我效能感。护士和护士长可以直接观察 ICCU 的护理遗漏，以了解其未被充分报告的原因。

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来源期刊

Worldviews on Evidence-Based Nursing 医学-护理

CiteScore

6.10

自引率

11.60%

发文量

审稿时长

>12 weeks

期刊介绍： The leading nursing society that has brought you the Journal of Nursing Scholarship is pleased to bring you Worldviews on Evidence-Based Nursing. Now publishing 6 issues per year, this peer-reviewed journal and top information resource from The Honor Society of Nursing, Sigma Theta Tau International, uniquely bridges knowledge and application, taking a global approach in its presentation of research, policy and practice, education and management, and its link to action in real world settings. Worldviews on Evidence-Based Nursing is written especially for: Clinicians Researchers Nurse leaders Managers Administrators Educators Policymakers Worldviews on Evidence-Based Nursing is a primary source of information for using evidence-based nursing practice to improve patient care by featuring: Knowledge synthesis articles with best practice applications and recommendations for linking evidence to action in real world practice, administra-tive, education and policy settings Original articles and features that present large-scale studies, which challenge and develop the knowledge base about evidence-based practice in nursing and healthcare Special features and columns with information geared to readers’ diverse roles: clinical practice, education, research, policy and administration/leadership Commentaries about current evidence-based practice issues and developments A forum that encourages readers to engage in an ongoing dialogue on critical issues and questions in evidence-based nursing Reviews of the latest publications and resources on evidence-based nursing and healthcare News about professional organizations, conferences and other activities around the world related to evidence-based nursing Links to other global evidence-based nursing resources and organizations.