Association between the practice environment and missed nursing care in the emergency room

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing Pub Date : 2025-04-15 DOI:10.1016/j.ienj.2025.101609

Larissa Tabata Viana Santana , Camila Fernandes Pollo , José Fausto de Morais , Aniele Fernanda Deplacido de Leo , Juliana Pierami de Freitas , Cesar de Oliveira , Silmara Meneguin

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引用次数: 0

Abstract

Background

The demanding and intricate practice environment affects the nursing care provided in the emergency room.

Objective

To investigate the relationship between the practice environment and missed nursing care in the emergency room while identifying the impact of sociodemographic and work-related factors.

Methods

A cross-sectional study was conducted involving 102 emergency room nursing staff at a public hospital in São Paulo state, Brazil. Data collection included administering the Misscare-Brazil survey and the Practice Environment Scale.

Results

The sample consisted of 28 nurses and 74 nursing technicians. Most were women (n = 89; 87.3 %); the largest segment had a high school education (n = 48; 47.1 %). The mean score on the Practice Environment Scale was 2.17 (±0.60). The multivariate analysis indicated that the practice environment was influenced by workload (p < 0.001), experience in the profession (p = 0.013), experience in the sector (p = 0.029), extra hours (p = 0.005), adequate employee numbers (p = 0.001), job satisfaction (p = 0.033), satisfaction with the profession (p = 0.016), and Part A of the Misscare-Brazil survey (p < 0.001). The mean number of care omissions was 2.64 (± 0.77). It was independently associated with education level (p = 0.040), workload (p < 0.001), extra hours (p = 0.005), number of patients under care (p = 0.004), number of discharges (p = 0.010), and satisfaction with the profession (p = 0.037).

Conclusion

The perception of an unfavourable practice environment impacted personal and work-related factors and was linked to missed nursing care in the emergency room.

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急诊实习环境与护理缺失的关系

背景：急诊科复杂的执业环境影响着急诊科提供的护理。目的探讨急诊实习环境与护理失察的关系，并探讨社会人口统计学和工作相关因素对护理失察的影响。方法对巴西圣保罗州某公立医院102名急诊室护理人员进行横断面研究。数据收集包括管理misscre - brazil调查和实践环境量表。结果调查对象包括28名护士和74名护理技师。大多数是女性(n = 89；87.3%);受过高中教育的人数最多(n = 48；47.1%)。实践环境量表的平均得分为2.17（±0.60）分。多因素分析表明实习环境受工作量的影响(p <；0.001)，专业经验（p = 0.013），行业经验（p = 0.029），加班时间（p = 0.005），充足的员工人数（p = 0.001），工作满意度（p = 0.033），对专业的满意度（p = 0.016），以及misscre - brazil调查的A部分(p <；0.001)。平均疏忽次数为2.64次（±0.77次）。与受教育程度（p = 0.040）、工作量(p <；0.001)、加班时间（p = 0.005）、护理患者人数（p = 0.004）、出院人数（p = 0.010）和职业满意度（p = 0.037）。结论对不良执业环境的感知影响了个人和工作因素，并与急诊室护理遗漏有关。

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

International Emergency Nursing NURSING-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.