Published: Jan. 1, 2024
Language: Английский
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
Citations
1
Journal of Nursing Scholarship, Journal Year: 2024, Volume and Issue: unknown
Published: Aug. 19, 2024
While the nurse practice environment's vital role in shaping patient care outcomes is well established, precise mechanisms through which it influences missed nursing remain unexplored. Hence, this study examined mediating of adherence to clinical safety guidelines relationship between environment and care.
Language: Английский
Citations
5
Journal of Advanced Nursing, Journal Year: 2025, Volume and Issue: unknown
Published: Feb. 19, 2025
Globally, the rapid expansion of aging population and increasing healthcare demands are intensifying public health challenges (Khan et al. 2024). Paradoxically, while needs continue to rise, workforce responsible for service delivery, particularly nurses, is also aging, further exacerbating ongoing nurse shortage crisis. This aggravated by rising burnout among increased churn a decreasing career lifespan (Haddad 2025). Key contributing factors include excessive workloads, chronic fatigue sustained occupational stress (Wang 2024), with additional burden uncertain long-COVID prevalence compounding issue (Tangsathajaroenporn As these mount, they set off self-perpetuating cycle attrition. Burnout creates damaging cycle: as nurses experience reduced job satisfaction declining physical mental health, quality-of-care declines, turnover rises nursing shrinks. not only affects patient care but places strain on systems, raising serious concerns about long-term sustainability delivery. The has become critical necessitating internal staff reorganisation, temporary/contract staffing international recruitment. Although popular, recruitment irresponsible global citizenship, serving Band-Aid solution low- middle-income countries (LMICs) in long term. Recent data predict 4.5 million 2030, largest gaps expected Africa, Southeast Asia, World Health Organisation's (WHO) Eastern Mediterranean region parts Latin America (Boniol 2022). Highly trained nurse-to-patient ratios required ensure safety (McHugh 2021). will an issue, concerning how we best train, recruit retain future. To address gaps, high-income (HICs) increasingly recruiting from LMICs, even though disproportionately impacts LMICs. Additionally, many grappling economic inflation lasting by-product COVID-19 pandemic, making cost-saving systems essential. Simultaneously, demand services, coupled gross domestic product (GDP), perfect storm maintaining high standards safety, all climate change systems. Climate yet often underestimated threat both current projected (Austin Nurses encounter linked environment, including malnutrition crop yields, higher rates infectious respiratory diseases trauma extreme weather events (Watts 2019). Extreme delivery patients, emergency limiting access regular medical services due disruptions financial challenges. Infectious diseases, along issues, may worsen, causing secondary effects such mass migration, poverty, medication shortages disrupted supply chains regarding available medications (Dewi intensify, driven population, costs associated change, need adapt innovate models meet evolving complex needs. Adaptation be mitigate negative dynamic conditions (Figure 1). Preventable errors adverse events, those considered within research, lead avoidable quality. Given prominence professional group, it incumbent upon seek evidence-based insights solutions promote services' future effectiveness areas. pandemic posed significant worldwide (Ross 2020), straining resources (Garcia Godoy 2020) compromising (Jazieh 2020). Due overburdened missed treatment delays during underscore system-wide reforms (Labrague Kostovich Reflecting lessons learned, five key areas have emerged improving safety. exposed infection control knowledge practices, airborne transmission Despite substantial evidence accumulated since 2020, inconsistent adoption measures, mask-wearing air filtration underscores greater education universally adhered-to policies. Establishing consistent biocontainment protocols mitigating spread safeguarding workers patients Cultural organisations hindered effective responses pandemic. These included barriers transparency communication, punitive approach errors, insufficient teamwork inadequate leadership support, highlighted Brborović (2022). Such discourage reporting incidents, thereby obstructing opportunities learning improvement. Similarly, integrative review identified administration fear blame, lack feedback after limited organisational support. study emphasised that addressing through implementation non-punitive fostering supportive environment can significantly enhance error confidence. research open, collaborative culture enhances resilience (Afaya Furthermore, support been enhanced improved outcomes (Bragadóttir 2023). benefits practices extend beyond immediate outcomes. By psychological emphasising value resilience, better equipped new innovations. Initiatives WHO Patient Safety Programme demonstrate improvements drive measurable enhancements indicators (World Organization adaptability became evident which acted catalyst widespread remote monitoring (RPM), virtual individualised based risks. Hospitals utilised home patients' oxygen saturation prevent overcrowding manage effectively at (Pronovost RPM programs had impact. They hospitalisation rates, ICU admissions, mortality high-risk who actively participated developments pandemic's role integrating advanced personalised strategies into Building advancements, necessary establish monitoring, enabling expanded prioritising exacerbated existing issues intense care, extended work hours emotional stress. previously gradually, surged (Ge situation highlights urgent institutions improve working prioritise wellbeing burnout. Comprehensive well-being initiatives, like American Foundation's Nurse Well-Being: Peer Leadership Support Program, funded three-year, $3.1 grant United Foundation, focus managing recovering Early survey results indicate this program successfully mitigated (American Association (ANA) n.d.). Programs underline importance risks proper nutrition, rest, activity more resilient leaders crises, reducing excess sustaining their contributions, protection other led 2%–8% increase expenditures. pivotal guiding teams, collaboration morale under pressure. Supporting empowering essential strengthening crisis preparedness response (Jackson learnt should meaningful innovations (Wynne implementing robust transparency, advancing technologies leadership, provide roadmap building resilient, responsive patient-centered system, crises (such environmental disasters pandemics). Overcoming interrelationships requires comprehensive understanding appreciation evidence, development new, innovative solutions. pandemics, resource scarcity populations, profession witnessing positive developments. includes emergence specialised practice roles, Practitioners focusing disaster response, vital growing demands. There training, integration digital simulations well-trained adaptable prepared training using demonstrated clinical reasoning, prevention, decision-making skills students (Liu approaches ability recognise controlled, risk-free environments, well-prepared confident workforce. curricula must its impact promoting reduction footprint healthcare, contributor carbon emissions (Levett-Jones Protecting crucial healthy system. measures risks, structural violence burnout, well establishment identification climate-related integral interventions acute caused change. Diverse flexible scheduling help reduce balanced play teamwork, especially crises. open communication without punishment, build strengthen team Governments implement nurse–patient relationships local sustainable workforce, rather than relying Ensuring competence recruited diverse educational backgrounds, crucial. A roles alleviate shortages. Healthcare transformed hospital-level model, expanding accessibility costs. Remote safer, efficient outside traditional hospital settings. Engaging families, communities conversation remains critically important. well-positioned foster trusting relationships, diminish power differentials, advocate share begin co-designing looming In conclusion, enhancing amid strategic preparedness. globally. M.G. C.F. made contributions conception design, or acquisition data, analysis interpretation data. M.G., M.V., A.S., M.P. involved drafting manuscript revising important intellectual content. given final approval version published. Each author sufficiently take responsibility appropriate portions agreed accountable aspects ensuring questions related accuracy integrity any part appropriately investigated resolved. authors nothing report. declare no conflicts interest. Data sharing applicable article datasets were generated analysed.
Language: Английский
Citations
0
Journal of Nursing Management, Journal Year: 2025, Volume and Issue: 2025(1)
Published: Jan. 1, 2025
Missed care, a phenomenon born in the United States more than 30 years ago and currently called unfinished nursing care (UNC), has been compared pre- postpandemic to detect changes trends as perceived by nurses. However, no studies have perceptions of students before after these challenging times. The aim this study was compare UNC occurrence reasons for it Italian during their clinical rotations. A secondary analysis data collected 2018 (prepandemic) 2023 (postpandemic) conducted here reported according STROBE guidelines. Unfinished Nursing Care Survey Students (UNCS4S), measuring 22 expected interventions (from [never] 110 [always left unfinished]) 18 possible [nonsignificant] 90 [very significant]), administered. UNCS4S total scores 231 352 were 39.80 (CI 95% 37.06-42.54) 50.89 47.66-54.12), respectively (p ≤ 0.001). No significant differences between groups emerged (47.91, CI 45.10-50.71 vs. 45.92, 43.91-47.93, respectively; p = 0.257). Postpandemic higher but with similar those pandemic.
Language: Английский
Citations
0
BMC Nursing, Journal Year: 2024, Volume and Issue: 23(1)
Published: July 29, 2024
Abstract Background The nursing shortage is driven, in part, by the critical of faculty. Consequently, qualified potential students are being turned away from schools each year. preeminent issue influencing United States nurse faculty workforce salary; financial compensation higher clinical and private-sector settings than educational settings. purpose this study to describe current full-time salary, sources income, perceived need for more as well feasibility acceptability research focused on salaries, so guide future research. Methods Using a cross-sectional design, working Midwestern state completed survey inclusive fixed choice free text response options income (individual gross, faculty, secondary), demographics, feasibility/acceptability instrument. Descriptive statistics were used additional income. Feasibility evaluated descriptive examining three questions, comparing demographic differences between participants who answered questions compared those did not using t tests, x 2 Wilcoxon signed rank tests. Results One hundred eighty-three six weeks, representing 27% state. Over half participants, 57%, reported having another job(s) addition their position support basic living expenses. Most respondents willingness share financial/salary data viewed be acceptable. Conclusions Research salaries was feasible acceptable chose participate study. Perceived needs may an important factor driving career decisions Future should focus delineating how salary influences decision enter or stay workforce. Further, can inform policy recommendations best measure report gap salaries.
Language: Английский
Citations
1
International Journal of Nursing Studies, Journal Year: 2024, Volume and Issue: 161, P. 104919 - 104919
Published: Sept. 27, 2024
Language: Английский
Citations
1
Published: Jan. 1, 2024
Language: Английский
Citations
0