Journal of Nursing Management最新文献

{"title":"Critical Care Nurses’ Perception of Medication Administration Errors in Kelantan, Malaysia: A Cross-Sectional Study","authors":"Muhammad Solehuddin Ishak,&nbsp;Mohd Ismail Ibrahim","doi":"10.1155/2024/3055826","DOIUrl":"https://doi.org/10.1155/2024/3055826","url":null,"abstract":"<div>\u0000 <p><i>Background</i>. The study investigates critical care nurses’ perceptions of medication administration errors (MAEs) in a tertiary hospital in Kelantan, Malaysia, within the unique sociocultural context of East-Coast Malaysia. The research aims to understand the causes and underreporting of MAEs and assess the proportion of reported incidents according to MAE types. <i>Methods</i>. A cross-sectional study involving 424 critical care nurses from Hospital Raja Perempuan Zainab II (HRPZII), Hospital Sultan Ismail Petra (HSIP), and Hospital Tanah Merah (HTM) was conducted. Nurses in administrative roles or unavailable during the survey period were excluded. The study utilized a validated Medication Administration Errors Survey questionnaire to gauge nurses’ perceptions on the causes of MAEs, reasons for underreporting, and the percentage of reported incidents based on MAE types. <i>Results</i>. Results indicate that illegible medication orders from doctors were identified as the primary cause of MAEs, while a lack of 24-hour pharmacist availability received the lowest score. The most common reason for not reporting MAEs was identified as the nursing administration’s focus on individuals rather than systemic issues when errors occur. The majority of MAEs were non-intravenous, with incorrect timing of administration being the leading cause. <i>Conclusion</i>. The study sheds light on critical care nurses’ perspectives on MAEs in a Malaysian hospital setting, highlighting key factors contributing to these errors and barriers to their reporting. Understanding these perceptions is crucial for developing strategies to mitigate MAEs and enhance patient safety in critical care environments.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":null,"pages":null},"PeriodicalIF":5.5,"publicationDate":"2024-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/3055826","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141182203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of Perceived Job Demands on Professional Quality of Life and Turnover Intentions of Haematology Nurses: A Cross-Sectional Study","authors":"Sheng Lian Tan,&nbsp;Huaqiong Zhou,&nbsp;Huimin J. Thian,&nbsp;Phillip R. Della","doi":"10.1155/2024/6626516","DOIUrl":"10.1155/2024/6626516","url":null,"abstract":"<div>\u0000 <p><i>Background</i>. Haematology nurses in Singapore experience a highly stressful work environment and increased workload due to the growing number of patients and complex treatment regimens. High job demands can lead to burnout and high staff turnover rates, which compromises the quality of patient care. <i>Aims</i>. To assess perceived work demands, levels of social support from colleagues, professional quality of life (ProQOL), and turnover intentions among haematology nurses and examine whether demographic and occupational characteristics, perceived job demands, and support were associated with ProQOL and turnover intentions. <i>Design</i>. A descriptive, correlational, and cross-sectional design was used in this study. <i>Methods</i>. A convenience sample of 60 haematology nurses working at a tertiary hospital in Singapore completed a self-administered survey. Perceived job demands, support from colleagues, ProQOL, and turnover intentions were measured using the Copenhagen Psychosocial Questionnaire (COPSOQ III), Professional Quality of Life Scale version 5 (ProQOL5), and Turnover Intention Scale (TIS-6). Descriptive statistics, chi-square test, and multiple linear regressions were employed for data analysis. <i>Results</i>. Haematology nurses face high cognitive and emotional demands and receive high levels of support from colleagues at work. The majority of the participants reported moderate to high levels of compassion satisfaction (78.3%), burnout (76.7%), and secondary traumatic stress (81.7%). 53.3% of the participants expressed their intention to leave. Perceived job demands were significant predictors of haematology nurses’ ProQOL and turnover intentions. Compassion fatigue also significantly predicts turnover intentions. <i>Conclusion</i>. The high levels of burnout and secondary traumatic stress reported by haematology nurses highlight an urgent need to implement strategies to help nurses cope with the high work demands and reduce their levels of compassion fatigue. <i>Implications for Nursing Management</i>. The findings in this study can help nursing leaders understand haematology nurses’ perceived job demands and ProQOL, to develop strategies to improve the workplace environment and retention.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":null,"pages":null},"PeriodicalIF":5.5,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/6626516","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140226849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facilitating Evidence-Based Practice among Nurses in a Tertiary General Hospital: A Six-Year Practice of an Implementation Strategy Informed by the i-PARIHS Framework","authors":"Yuping Zhang,&nbsp;Zhiting Guo,&nbsp;Shuangyan Xu,&nbsp;Meiqi Yao,&nbsp;Xiuqin Feng,&nbsp;Meijuan Lan,&nbsp;Jingfen Jin","doi":"10.1155/2024/8855667","DOIUrl":"10.1155/2024/8855667","url":null,"abstract":"<div>\u0000 <p><i>Aims</i>. To develop an evidence-based practice (EBP) facilitating strategy informed by the Integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework and evaluates the strategy’s effectiveness on promoting EBP. <i>Background</i>. Nurses are increasingly expected to use research evidence in practice to improve patients’ outcomes, but the application of such evidence is still unsatisfactory. The facilitation of EBP in nursing needs the organization and the individual levels. <i>Methods</i>. Based on an analysis of EBP-promoting strategies and expert consultation, the core team of the nursing department developed an EBP group-based and project-oriented strategy under the guidance of the i-PARIHS framework. The strategy was implemented for six years and evaluated by a longitudinal design. The validated Chinese version of the self-reported Evidence Based Practice Questionnaire (EBPQ) was used to assess the attitudes, knowledge, and practice of the nurses. <i>Results</i>. The mean score of the total EBPQ was 4.46 (SD = 0.92) after one year of the EBP strategy, and the scores for knowledge, attitudes, and practice of EBP members were higher than those of general nurses (<i>p</i> &lt; 0.05). After four years, EBP members’ scores continued to increase. EBP groups conducted 51 EBP projects in the areas of emergency nursing, surgical and medical nursing, critical care, and so forth. Of these, 33 projects improved nursing practice by changing nursing procedures, upgrading nursing tools, and developing nursing standards, resulting in improved patient outcomes. <i>Conclusion</i>. The EBP group-based and project-oriented strategy can promote EBP. The composition of the EBP group, the annual audit of EBP projects, and the roles of internal and external facilitators were key components of this EBP-facilitating strategy. <i>Implications for Nursing Management</i>. The strategy is an organizational-level EBP-facilitation approach which can improve nurses’ academic preparation for EBP through ongoing training and sustained EBP behavior that involves annual projects.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":null,"pages":null},"PeriodicalIF":5.5,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/8855667","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140228128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Individual and Job Characteristics on Nurses’ Scope of Practice in Spanish Hospital Units","authors":"Amaia Saralegui-Gainza,&nbsp;Paula Escalada-Hernandez,&nbsp;Cristina García-Vivar,&nbsp;Leticia San Martín-Rodríguez,&nbsp;Nelia Soto-Ruiz","doi":"10.1155/2024/4796716","DOIUrl":"10.1155/2024/4796716","url":null,"abstract":"<div>\u0000 <p><i>Background</i>. Nurses are one of the largest and costliest groups in healthcare organizations; therefore, it is important to comprehend their scope of practice. <i>Aim</i>. To contribute to the improvement of nursing resource management in medical-surgical and Intensive Care Units by identifying factors that influence the scope of nursing practice. The hypothesis was that the activities carried out by nurses in medical-surgical units and intensive care units are influenced by individual and job-related factors, with job characteristics having an additive and moderating effect on individual characteristics. <i>Materials and Methods</i>. Cross-sectional correlational design to test the relationship between the individual and job characteristics on the nursing scope of practice measured by the Actual Scope of Nursing Practice (ASCOP) questionnaire. The sample consisted of 270 nurses. Linear mixed effects models analysis (LME) was used with the aleatory effect of the intensive care unit (ICU). <i>Results</i>. Belonging to the ICU decreased the scope of practice of nurses. We found a statistically significant effect of psychological demand, practice environment, role ambiguity, and growth need strength on the scope of nursing practice. The models explained a variance up to 24%. <i>Conclusions</i>. Although the survey results revealed the existence of broader scope of practice levels in Spanish hospital units than in the original Canadian study, the use of scope of nursing practice remains suboptimal. Higher levels on the psychological demand, the practice environment and in the individual growth need strength were related with a broader scope of practice. Otherwise, role ambiguity negatively affected the scope of practice. <i>Implications for Nursing Management</i>. This article provides an analysis of the impact of individual and job-related characteristics on the nursing scope of practice. It serves as a valuable resource for both managers and nurses, offering insights to improve nurses’ working conditions and obtain more efficient workforces.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":null,"pages":null},"PeriodicalIF":5.5,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/4796716","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140231896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Latent Classes of Personality Traits and Their Relationship with Workplace Bullying among Acute and Critical Care Nurses","authors":"Meng Sun,&nbsp;Jing Han,&nbsp;Ying Qiao,&nbsp;Juan Wang,&nbsp;Mei Jiang,&nbsp;Min Zhang","doi":"10.1155/2024/3238636","DOIUrl":"10.1155/2024/3238636","url":null,"abstract":"<div>\u0000 <p><i>Objective</i>. To identify the latent classes of personality traits among nurses in acute and critical care departments, as well as the relationship between latent classes of different personality traits and workplace bullying. <i>Methods</i>. A total of 245 nurses working in the acute and critical care department at a 3 A-grade hospital in Shandong Province, China, were recruited by convenient sampling. The Chinese Big Five Personality Inventory brief version was used to assess personality traits, and the Negative Acts Questionnaire was used to measure workplace bullying. Latent profile analysis was used to identify the latent classes of personality traits. Multiple linear regression analysis was used to examine the relationship between latent classes of personality traits and workplace bullying. <i>Results</i>. Four latent classes of personality traits among acute and critical care nurses were identified, namely, the negative group (49.0%), flexible group (16.0%), neurotic group (18.1%), and stable group (16.9%), respectively. Compared with the neurotic group, the negative group (<i>B</i> = −6.227, <i>P</i> &lt; 0.05), stable group (<i>B</i> = −16.562, <i>P</i> &lt; 0.001), and flexible group (<i>B</i> = −19.208, <i>P</i> &lt; 0.001) experienced less workplace bullying. <i>Conclusion</i>. Our findings explore latent classes of personality traits among acute and critical care nurses, identify subgroups susceptible to workplace bullying, and suggest the development of appropriate interventions to reduce workplace bullying. <i>Implications for Nursing Management</i>. Hospital managers can identify nurses who are prone to workplace bullying based on their personality traits and provide them with psychological counseling services and psychological healing groups to help them establish good interpersonal relationships and maintain their mental and physical health.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":null,"pages":null},"PeriodicalIF":5.5,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/3238636","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140237523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurse Interns’ Perception of Clinical Preparation and Readiness for Clinical Internship Experiences","authors":"Noura Almadani,&nbsp;Reda M. Hables,&nbsp;Jalal Alharbi,&nbsp;Majed Alamri,&nbsp;Mukhlid Alshammari","doi":"10.1155/2024/6682600","DOIUrl":"10.1155/2024/6682600","url":null,"abstract":"<div>\u0000 <p><i>Background</i>. As nursing interns enter challenging clinical settings, evaluating their preparation and readiness is vital for adaptation success. Sufficient real-world experience and patient care are crucial preparation components that enable effective practice and higher competencies. <i>Aim</i>. This study aimed to assess nurse interns’ perception of clinical preparation and readiness for clinical internship experiences. <i>Methods</i>. A self-administered questionnaire was distributed, comprising three sections on demographics, clinical preparation requirements, and the Casey–Fink Readiness for Practice Survey. Descriptive statistics as the mean and standard deviation, numbers and percentages, linear regression model, and Pearson correlation coefficient were used for reporting normal distribution, categorical variables, and relationship between a scalar response and one or more explanatory variables and to calculate statistics between two continuous variables. <i>Results</i>. The participants were 130 nurse interns who were involved in an internship between 2016 and 2020, 50% of the nurse interns. They had a moderate level of clinical preparation, and 28.5% of them exhibited a low level. In addition, 53.8% were found to be moderately ready for practice, while 22.3% had a low level of readiness <i>Conclusion</i>. The observed significant positive correlation between perceived preparation and readiness underscores the pivotal role of clinical preparation in influencing practice readiness. <i>Implications</i>. These findings emphasize the importance of targeted interventions aimed at enhancing clinical preparation to directly bolster overall readiness for professional practice among nurse interns.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":null,"pages":null},"PeriodicalIF":5.5,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/6682600","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140241137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of a Haemorrhage-Control Task Simulator for Training Nursing Students: A Quasi-Experimental before-after Study","authors":"Daniel Bertini-Pérez,&nbsp;Luis Martin-Ibañez,&nbsp;Pablo Gómez Chica,&nbsp;Iria Dobarrio-Sanz,&nbsp;Miguel Rodriguez-Arrastia,&nbsp;Pablo Roman,&nbsp;Lola Rueda-Ruzafa","doi":"10.1155/2024/9730765","DOIUrl":"10.1155/2024/9730765","url":null,"abstract":"<div>\u0000 <p><i>Aim</i>. To assess the efficacy of a low-cost haemorrhage-control task simulator integrated in a high-fidelity simulation scenario to facilitate knowledge and practical skills acquisition, as well as self-efficacy in haemorrhage control among nursing students. <i>Design</i>. A quasiexperimental before-after design was conducted at the University of Almeria. <i>Methods</i>. A one-group preintervention, immediate postintervention, and a third assessment at three months were performed, with the Stop the Bleed Education Assessment Tool used to evaluate knowledge of haemorrhage control, as well as a 5-point Likert scale used to evaluate perceived self-efficacy. The success of controlling exsanguinating bleeding was determined by quantifying the millilitres lost during the intervention and calculating the time required to control the haemorrhaging. The data were reported using the TREND guidelines. <i>Results</i>. One hundred and three final-year nursing students participated in this study. Significant improvements (<i>p</i> &lt; 0.001) were observed in pre- and posttest total scores on knowledge of bleeding control, self-efficacy, as well as time is taken and volume loss to control the haemorrhage. Similar results were observed between preassessment and three months postassessment with significant improvements (<i>p</i> &lt; 0.001) in all measures. <i>Conclusions</i>. The use of a haemorrhage-control task simulator within a high-fidelity simulation scenario resulted in noteworthy improvements in nursing students’ practical skills, knowledge retention, and self-efficacy. After three months, performance decreased but remained greater than pretraining levels. Thus, broadening the use of this task-training simulator would be of great value to further develop a first responder training approach with healthcare professionals and other laypersons, allowing for greater knowledge distribution and reaching a larger audience. <i>Implications for Nursing Management</i>. The findings underscore the potential efficacy of this simulator as a valuable resource for nursing educators and supervisors to train nursing students and professionals in terms of practical skills, knowledge retention, and self-efficacy in haemorrhage control, fostering a train-the-trainer cascade approach to reach a wider audience and enhance bleeding control proficiency among professionals.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":null,"pages":null},"PeriodicalIF":5.5,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/9730765","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140246139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the Relationship between the Levels of Patience and Tranquillity and Conflict Resolution Styles of Executive Nurses","authors":"Ayse Gumusler Basaran,&nbsp;Bahar Kefeli Col,&nbsp;Burcu Genc Kose","doi":"10.1155/2024/6651729","DOIUrl":"10.1155/2024/6651729","url":null,"abstract":"<div>\u0000 <p><i>Aims</i>. This study examined nurse managers’ conflict resolution styles, tranquillity and patience levels, and their relationships. <i>Background.</i> Managers are supposed to know how to manage conflict to reduce the destructive effects of conflict and create constructive effects. <i>Methods</i>. The study was a descriptive cross-sectional study and in a city centre in Karadeniz region, in May 2022. It was aimed to reach all executive nurses but was completed with 41 executive nurses. The data were collected face to face using a Sociodemographic Questionnaire, the Rahim Organizational Conflict Inventory, the Patience Scale, and the Tranquillity Scale. <i>Results</i>. 51.2% experienced conflict with colleagues and 46.3% with other employees. In conflict management, the most commonly used style was integrating and the least was dominating, respectively. The Patience Scale score (39.15 ± 6.09) and Tranquillity Scale score (3.70 ± 0.70) were moderate. At the same time, long-term (10.19 ± 2.18), short-term (8.90 ± 2.54), and total patience scores were significantly lower in case of conflict with nurses. Interpersonal patience levels were significantly lower in case of conflict with other employees. There was a negative correlation between working as a manager and compromising style. <i>Conclusion</i>. It was concluded that executive nurses used the integrating style more, and their patience and tranquillity levels were moderate. In addition to using the integration style more, the fact that nurse managers have moderate levels of patience and calmness will reflect positively on the quality of patient care. It will also increase employee satisfaction. Increasing the level of peace in health institutions will support patience, happiness, and a sense of belonging among employees.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":null,"pages":null},"PeriodicalIF":5.5,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/6651729","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140245104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Leveraging Supervisor Knowledge Sharing Behavior and Organizational Absorptive Capacity on Nurses’ Creativity","authors":"Ahmed Abdelwahab Ibrahim El-Sayed,&nbsp;Nariman Ahmed Mohamed Elbassal,&nbsp;Samira Ahmed Alsenany,&nbsp;Sally Mohammed Farghaly Abdelaliem","doi":"10.1155/2024/5480761","DOIUrl":"10.1155/2024/5480761","url":null,"abstract":"<div>\u0000 <p><i>Background</i>. Nurses’ creativity is an imperative necessity for healthcare organizations to grow. The creative abilities of nurses are affected by many factors; some of these factors are stimulants and some of these are inhibitors. Supervisors’ knowledge sharing behavior and the capacity to absorb new knowledge and technologies are important factors in the recent era that delineate the creativity of nurses. <i>Aim of the Study</i>. Assess the effect of supervisor knowledge sharing behavior and organizational absorptive capacity on nurses′ creativity. <i>Method</i>. Cross-sectional multicenter descriptive correlational exploratory research design was used to conduct the study. Data were collected conveniently from 700 nurses recruited from five large hospitals at Alexandria, Egypt, using three self-administered printed questionnaires. Findings were investigated via descriptive and inferential statistics as well as structured equation modeling. <i>Results</i>. Nurses’ creativity was positively associated with supervisor knowledge sharing behavior and organizational absorptive behavior (<i>r</i> = 0.619, <i>p</i> value &lt;0.001, and <i>r</i> = 0.545, <i>p</i> value &lt;0.001, respectively). Supervisor knowledge sharing behavior accounted for 87% of variance in nurses’ creativity, while organizational absorptive capacity accounted for 55% of variance in nurses’ creativity. <i>Conclusion</i>. Supervisors’ knowledge sharing behavior and absorptive capacity of organization are powerful significant stimulants for nurses’ creativity. <i>Implications to Nursing Management</i>. Hospital directors, managers, and nursing leaders should cultivate knowledge sharing behavior in healthcare settings by establishing a reward and incentive system for healthcare workers who share their knowledge with their colleagues for mutual benefit and organizational development.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":null,"pages":null},"PeriodicalIF":5.5,"publicationDate":"2024-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/5480761","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140250360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disruptive Behavior and Factors Associated with Patient Safety Climate: A Cross-Sectional Study of Nurses’ and Physicians’ Perceptions","authors":"Pedro Moreno-Leal,&nbsp;César Leal-Costa,&nbsp;José Luis Díaz-Agea,&nbsp;María de los Ángeles Castaño-Molina,&nbsp;María Belén Conesa-Ferrer,&nbsp;Adriana Catarina De Souza-Oliveira","doi":"10.1155/2024/5568390","DOIUrl":"10.1155/2024/5568390","url":null,"abstract":"<div>\u0000 <p><i>Background</i>. Few studies have analyzed the negative outcomes of disruptive behaviors in the nurse-physician relationship in patient care and their impact on patient safety. These multicausal studies significantly relate to organizational, institutional, and professional attitudinal risk factors. <i>Aim</i>. Analyze healthcare professionals’ perceptions of disruptive behavior and factors associated with patient safety climate in the nurse-physician relationship at the hospital level. <i>Methods</i>. A multicenter cross-sectional study was conducted with a sample of 370 nurses and physicians assigned to different public hospitals in the Murcia/Spain region, applying the adapted and validated Spanish version of the Nurse-Physician Relationship Scale: Impact of Disruptive Behavior on Patient Care. The analysis used proportions or means (standard deviation (SD)), univariate and multivariate linear regression models, and the chi-square test. <i>Results</i>. Disruptive behavior was more prevalent in the ICU (81.6%) and the emergency department (67.8%). Professionals indicate that fear of reprisals is the main barrier to the reporting system. Likewise, stress and frustration are more associated with disruptive behavior and influence the safety climate. <i>Conclusion</i>. Professionals indicate that disruptive behaviors can have a negative impact on clinical outcomes. Age and type of service were identified as the most relevant socio-occupational factors. Stress, frustration, and communication problems are the factors that most influence the safety climate.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":null,"pages":null},"PeriodicalIF":5.5,"publicationDate":"2024-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/5568390","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140248493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}