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

{"title":"Association between the practice environment and missed nursing care in the emergency room","authors":"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","doi":"10.1016/j.ienj.2025.101609","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>The demanding and intricate practice environment affects the nursing care provided in the emergency room.</div></div><div><h3>Objective</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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).</div></div><div><h3>Conclusion</h3><div>The perception of an unfavourable practice environment impacted personal and work-related factors and was linked to missed nursing care in the emergency room.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101609"},"PeriodicalIF":1.8000,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Emergency Nursing","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1755599X25000394","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}

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.

查看原文本刊更多论文

求助全文

约1分钟内获得全文求助全文

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.