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Background: Nurses represent the largest proportion of healthcare workers and are in close contact with patients. Each nurse has a unique set of attitudes towards their duties and roles. Understanding nurses’ attitudes towards safety allows organisations to identify individual practices and behaviours that may have an impact on patient outcomes. Nursing-sensitive patient outcomes, such as patient falls and pressure injuries, significantly impact patients and healthcare organisations. Therefore, nursing unit characteristics, such as safety attitudes, quality of care, missed care, and staffing levels, might improve patient outcomes. To date, evidence on the association between these characteristics and nursing-sensitive patient outcomes, using empirical patient data, is limited and inconsistent. Aim: The aim of this project was to examine the impact of nurses’ attitudes towards safety, quality of care, missed care and staffing levels, on four nursing-sensitive patient outcomes, colle ....
Nearly every healthcare organization devotes a non-small percentage of its resources to innovation. Here, leaders from Moderna, GE HealthCare and GoodRx share their approaches. ....
Objectives: This study examined the association between safety attitudes, quality of care, missed care, nurse staffing levels, and the rate of healthcare-associated infection (HAI) in adult intensive care units (ICUs). Methods: A cross-sectional study was conducted in five hospitals. Nurses completed a validated survey on safety attitudes, quality of care, missed care, nurse staffing levels, and the frequency of HAIs. Secondary data were collected on the incidence of central line–associated bloodstream infection (CLABSI), catheter-associated urinary tract infection (CAUTI), and ventilator-associated pneumonia (VAP) in participating units. Descriptive analysis and generalized linear models were performed. Results: A total of 314 nurses from eight ICUs participated in this study. The mean safety culture score was 60.85 (SD = 3.53). ICUs with strong job satisfaction had lower incidence and nurse-reported frequency of CLABSI, CAUTI, and VAP. Missed care was common, with 73.11% of nurses ....
Background: Safety culture is known to influence patient outcomes, but the relationship between nursing units’ safety cultures and the development of pressure injuries in acute care hospitals is unclear. Pressure injuries are a nursing-sensitive patient outcome and are widely considered preventable. Objective: To examine the impact of unit safety culture, nursing unit characteristics, and missed care on pressure injury rates in Saudi Arabian hospitals. Design: A multi-center cross-sectional study was conducted between August and November 2021 and compared to secondary data on the incidence of pressure injuries. Settings/Participants: A total of 653 nurses from 35 units in five Ministry of Health hospitals in Saudi Arabia participated in this study. Methods: The survey included validated scales of safety culture, nurse staffing, and nurses’ perceptions of quality of care, missed care, and the frequency of pressure injury. Secondary data on pressure injuries were collected from the M ....