Impact of the Work Environment on Nurse Outcomes: A Mediation Analysis

Western Journal of Nursing Research, Journal Year: 2024, Volume and Issue: 46(3), P. 210 - 218

Published: Feb. 11, 2024

Background: The nursing workforce remains in a vulnerable state post pandemic as working conditions are difficult and exacerbated by global shortage. Identifying factors leading to turnover intentions thus critical for health care system recovery. Purpose: purpose of this study was examine the impact nurses’ work environment on missed care, scope practice, emotional exhaustion, intent leave. Methods: This cross-sectional, self-reporting online survey, sent hospital-based nurses Canadian province (n = 419). Mediation analysis used both direct indirect effects COVID-19 nurse outcomes (emotional exhaustion leave) through practice. Results: results showed that 73% were considering leaving profession. Several pathways predicted A better related decreased Nurses’ practice partially mediated relationship between On other hand, did not mediate or Conclusions: While shortage, it is imperative implement strategies promote well-being their retention within system.

Language: Английский

---

Factors associated with missed nursing care and nurse‐assessed quality of care during the COVID‐19 pandemic

Journal of Nursing Management, Journal Year: 2021, Volume and Issue: 30(1), P. 62 - 70

Published: Sept. 30, 2021

The coronavirus outbreak has brought unprecedented pressures to many health care systems worldwide, potentially compromising nursing delivery and overall services.

Language: Английский

---

Clinical Training during the COVID-19 Pandemic: Experiences of Nursing Students and Implications for Education

International Journal of Environmental Research and Public Health, Journal Year: 2022, Volume and Issue: 19(10), P. 6352 - 6352

Published: May 23, 2022

The COVID-19 pandemic has caused difficulties in the organization of clinical classes for nursing students. It is therefore important to explore students’ experiences related participation during and draw conclusions that will allow introduction innovations enabling development required professional competencies as part training current future restrictions. In this study, we aimed students education identify practical implications future. A qualitative study was performed based on individual interviews among Polish (n = 20). reported using COREQ checklist. Content analysis applied, five main categories were identified, including ‘the key role mentor’, ‘theory-practice gap’, ‘ambivalent emotions ethical challenges’, ‘to be team’, ‘strengthened identity’. results our research indicate higher institutions should implement clear strategies support students, both terms psychological compensation skills, which might limited pandemic. Modern technologies, medical simulations, virtual reality, artificial intelligence, telemedicine used teaching educate them how cope with difficult, new situations, build decision-making solve problems.

Language: Английский

---

Turnover intention and coronaphobia among frontline nurses during the second surge of COVID‐19: The mediating role of social support and coping skills

Journal of Nursing Management, Journal Year: 2022, Volume and Issue: 30(3), P. 612 - 621

Published: Jan. 6, 2022

Turnover among frontline health care workers, particularly nurses, reached an alarming rate during the COVID-19 pandemic. This turnover has been attributed, in part, to excessive fear of virus (a condition called coronaphobia). Studies have not yet conducted examining whether social support and coping skills could act as buffers between coronaphobia intention leave.To examine relationship nurses' organisational professional assess can buffer this relationship.A correlational research design was used collect responses through online questionnaire from a convenience sample 687 nurses Central Philippines. Data were analyzed using descriptive (mean, standard deviation percentages) inferential statistics (t test, Pearson r correlation coefficient, ANOVA multiple linear regression).More than half experienced coronaphobia, while 25.8% reported desire leave their job 20.7% profession. Coronaphobia had direct significant effects on (β = .424, p < .001) .316, .001). Social partially mediated .365, .001; β .362, .279, .289, .001).Frontline who more likely quit nursing Increasing enhancing reduced negative resulting improved nurse retention.Institutional approaches reduce pandemic be facilitated by improving innovative (e.g., use technology media) equipping with positive training other empirically based skill-building interventions.

Language: Английский

---

Missed nursing care in acute care hospital settings in low-income and middle-income countries: a systematic review

Human Resources for Health, Journal Year: 2023, Volume and Issue: 21(1)

Published: March 14, 2023

Abstract Background Missed nursing care undermines standards of and minimising this phenomenon is crucial to maintaining adequate patient safety the quality care. The concept a neglected aspect human resource for health thinking, it remains understudied in low-income middle-income country (LMIC) settings which have 90% global workforce shortages. Our objective review was document prevalence missed LMIC, identify categories that are most summarise reasons this. Methods We conducted systematic searching Medline, Embase, Global Health, WHO index medicus CINAHL from their inception up until August 2021. Publications were included if they an LMIC reported on any combination categories, factors associated with within in-patient settings. assessed studies using Newcastle Ottawa Scale. Results Thirty-one met our inclusion criteria. These mainly cross-sectional, upper mostly relied nurses’ self-report measurement tools used, reporting inconsistent across literature. Nursing frequently non-clinical activities including those comfort communication. Inadequate personnel numbers important given Conclusions all key task areas threatening safety. Data suggest nurses prioritise technical more missed, holistic Improving staffing levels seems intervention potentially sharing less skilled activities. More research interventions tackle improve needed LMIC. PROSPERO registration number: CRD42021286897.

Language: Английский

---

Association Between Patient Safety Culture and Missed Nursing Care in Healthcare Settings: A Systematic Review and Meta‐Analysis

Journal of Advanced Nursing, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 23, 2025

ABSTRACT Aim To appraise and synthesise existing research on the relationship between patient safety culture missed nursing care. Design Systematic review meta‐analysis. Methods Peer‐reviewed articles published from 2010 onwards were searched five databases (CINAHL, ProQuest, PubMed, ScienceDirect Web of Science). A total nine studies identified. Among these, seven with a combined sample size 1661 participants included in Results The meta‐analysis revealed significant negative correlation overall care, pooled coefficient −0.205 (95% CI: −0.251 to −0.158) ( p < 0.001). Heterogeneity was low moderate I 2 = 13.18%, 95% 0.00 78.60), publication bias tests indicated no (Egger's test 0.0603; Begg's 0.3476). Conclusion findings underscore inverse highlighting specific predictive roles management support, organisational learning unit‐level culture. Enhancing within healthcare organisations can be strategic approach mitigate Impact Nursing leaders administrators should prioritise fostering safety‐oriented through targeted interventions, continuous education supportive policies improve care outcomes. Reporting Method Preferred reporting items for systematic reviews meta‐analyses (PRISMA) guidelines. Patient or Public Contribution No public contribution.

Language: Английский

---

Missed nursing care in the critical care unit, before and during the COVID-19 pandemic: A comparative cross-sectional study

Intensive and Critical Care Nursing, Journal Year: 2022, Volume and Issue: 72, P. 103276 - 103276

Published: June 1, 2022

Todescribe and evaluate reported missed nursing care in the critical context during different phases of COVID-19 pandemic Sweden.A comparative cross-sectional design was used, comparing three samples: before 2019, second wave spring 2020, third fall 2021.The study conducted at units a university hospital, Sweden.The MISSCARE Survey-Swedish version used to collect data along with two study-specific questions concerning perception patient safety quality care.Significantly more overtime hours number days absent due illness were pandemic. The nurse/patient ratio above recommended level all collection time points. Most items basic care. most reasons for samples concerned inadequate staffing, urgent situations, rise volume. nurses perceived as good, majority had no intention leave their current position.The great impact on workforce but few elements affected. To measure use indicator could be valuable managers, inform them improve ability meet changes needs approaches settings.

Language: Английский

---

Evaluation of moral sensitivity and moral courage in intensive care nurses in Turkey during the COVID‐19 pandemic

Nursing in Critical Care, Journal Year: 2022, Volume and Issue: 28(2), P. 261 - 271

Published: July 12, 2022

Abstract Background During the COVID‐19 pandemic, intensive care nurses may experience ethical issues related to fear of transmission, limited resources, and increased workload. Nurses' moral sensitivity courage have a role in dealing with these problems. Aim The purpose this study was assess nurses' during pandemic. Design Descriptive cross‐sectional survey. Methods A total 362 working units pandemic hospitals Turkey participated between January March 2021. Data were obtained using personal information form, Moral Sensitivity Questionnaire, Courage Scale. link online data collection tools sent management participating institutions, who forwarded it nurses. Reporting followed CHERRIES guidelines. Results In study, response rate 89%. mean score 90.70 ± 28.89 their 82.08 13.51. weak inverse correlation found scores (r = −.176, p .001). Total differed significantly according years Intensive unit (ICU) ( .007). education level .012), nursing .016), willingness work ICU < Conclusion suggests that had moderate high levels courage. sociodemographic characteristics conditions affect Relevance Clinical Practice results can help guide efforts improve address among

Language: Английский

---

Resilience, job satisfaction, intentions to leave nursing and quality of care among nurses during the COVID-19 pandemic – a questionnaire study

BMC Health Services Research, Journal Year: 2023, Volume and Issue: 23(1)

Published: June 14, 2023

The COVID-19 pandemic has challenged nurses and healthcare systems globally raised major concerns for nurses' wellbeing working conditions. This cross-sectional correlational study design aims to describe resilience, job satisfaction, intentions leave quality of care, explain their relationships during the pandemic.Data were collected from Registered Nurses (N = 437) in Finland through an electronic survey between February 2021 June 2021. questionnaire covered background characteristics (seven questions), resilience (four satisfaction (one question), intention nursing (two care requiring factors work (eight questions). variables dependent analyzed presented using descriptive statistics. Structural equation modeling was used relationships. followed procedures recommended STROBE Statement studies efforts maximize reporting results.The surveyed evaluated by mean score 3.92, more had considered leaving (16%) than before (2%). Nurses´ 2.56 overall 5.8. revealed that affected which also influenced rated moderate (7.46 out 10). indices goodness fit NFI 0.988, RFI 0.954, IFI 0.992, TLI 0.97, CFI RMSEA 0.064. No direct relationship found nursing.Good promoted delivery high-quality enhanced reduced nursing. results indicate it is important develop interventions support resilience.The highlights importance pandemic, while may decrease increase. Given number who consider nursing, there are clear needs effective strategies maintain with resilient, committed staff.

Language: Английский

---

Relationship between transformational leadership, adverse patient events, and nurse-assessed quality of care in emergency units: The mediating role of work satisfaction

Australasian Emergency Care, Journal Year: 2023, Volume and Issue: 27(1), P. 49 - 56

Published: Aug. 17, 2023

Language: Английский

---