Nurses' safety climate, quality of care, and standard precautions adherence and compliance: A cross-sectional study.

adherence compliance nurses quality of care safety climate standard precautions

Journal

Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing
ISSN: 1547-5069
Titre abrégé: J Nurs Scholarsh
Pays: United States
ID NLM: 100911591

Informations de publication

Date de publication:
29 Jan 2024
Historique:
revised: 08 01 2024
received: 30 01 2023
accepted: 15 01 2024
medline: 29 1 2024
pubmed: 29 1 2024
entrez: 29 1 2024
Statut: aheadofprint

Résumé

Investigations about the interrelationships of nurses' safety climate, quality of care, and standard precautions (SP) adherence and compliance remain particularly scarce in the literature. Thus, we tested a model of the associations between nurses' safety climate, quality of care, and the factors influencing adherence and compliance with SPs utilizing the structural equation modeling (SEM) approach. Cross-sectional design complying with STROBE guidelines. Using convenience sampling, nurses (n = 730) from the Philippines were recruited. Data were collected between April and September 2022 using four validated self-report measures. Spearman Rho, mediation and path analyses, and SEM were employed for data analysis. Acceptable model fit indices were shown by the emerging model. The safety climate is positively associated with quality of care and factors influencing adherence to and compliance with SPs. Quality of care directly affected factors influencing adherence to SPs. The factors influencing adherence to SPs directly affected SP compliance. Quality of care mediated between safety climate and the factors influencing adherence to SPs. Factors influencing adherence to SPs mediated between safety climate, quality of care, and SP compliance. The study's variables are not distinct but overlapping nursing concepts that must be examined collectively. Nurse administrators can utilize the emerging model to formulate strategies and regulations for evaluating and enhancing nurses' safety climate, quality of care, and SP adherence and compliance. Our findings may impact policymaking, organizational, and individual levels to improve nurses' clinical practice. This study had no patient contribution or public funding.

Identifiants

pubmed: 38284297
doi: 10.1111/jnu.12960
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024 Sigma Theta Tau International.

Références

Aiken, L. H., Sloane, D. M., Ball, J., Bruyneel, L., Rafferty, A. M., & Griffiths, P. (2018). Patient satisfaction with hospital care and nurses in England: An observational study. BMJ Open, 8(1), e019189. https://doi.org/10.1136/bmjopen-2017-019189
Al Sabei, S. D., Labrague, L. J., Miner Ross, A., Karkada, S., Albashayreh, A., Al Masroori, F., & Al Hashmi, N. (2020). Nursing work environment, turnover intention, job burnout, and quality of care: The moderating role of job satisfaction. Journal of Nursing Scholarship, 52(1), 95-104. https://doi.org/10.1111/jnu.12528
Berdida, D. J. E. (2023). Nursing staff compliance and adherence to standard precautions during the COVID-19 pandemic: A cross-sectional study. Nursing & Health Sciences, 25(1), 108-119. https://doi.org/10.1111/nhs.12998
Bernard, L., Biron, A., Lavigne, G., Frechette, J., Bernard, A., Mitchell, J., & Lavoie-Tremblay, M. (2018). An exploratory study of safety culture, biological risk management and hand hygiene of healthcare professionals. Journal of Advanced Nursing, 74(4), 827-837. https://doi.org/10.1111/jan.13500
Bisbey, T. M., Kilcullen, M. P., Thomas, E. J., Ottosen, M. J., Tsao, K., & Salas, E. (2021). Safety culture: An integration of existing models and a framework for understanding its development. Human Factors, 63(1), 88-110. https://doi.org/10.1177/0018720819868878
Bouchoucha, S. L., & Moore, K. A. (2019). Factors influencing adherence to standard precautions scale: A psychometric validation. Nursing & Health Sciences, 21(2), 178-185. https://doi.org/10.1111/nhs.12578
Braun, B. I., Chitavi, S. O., Suzuki, H., Soyemi, C. A., & Puig-Asensio, M. (2020). Culture of safety: Impact on improvement in infection prevention process and outcomes. Current Infectious Disease Reports, 22(12), 34. https://doi.org/10.1007/s11908-020-00741-y
Burlakov, N., Rozani, V., Bluvstein, I., & Kagan, I. (2021). The association between quality and safety climate of a hospital ward, family members' empowerment, and satisfaction with provided care. Journal of Nursing Scholarship, 53(6), 727-736. https://doi.org/10.1111/jnu.12682
Byrne, B. M. (2013). Structural equation modeling with Mplus: Basic concepts, applications, and programming. Routledge.
Centers for Disease Control and Prevention (CDC). (2018). Standard Precautions for all patients. https://www.cdc.gov/infectioncontrol/basics/standard-precautions.html
Cleary-Holdforth, J. (2019). Missed nursing care: A symptom of missing evidence. Worldviews on Evidence-Based Nursing, 16(2), 88-91. https://doi.org/10.1111/wvn.12351
Falguera, C. C., De los Santos, J. A. A., Galabay, J. R., Firmo, C. N., Tsaras, K., Rosales, R. A., Mirafuentes, E. C., & Labrague, L. J. (2021). Relationship between nurse practice environment and work outcomes: A survey study in The Philippines. International Journal of Nursing Practice, 27(1), e12873. https://doi.org/10.1111/ijn.12873
Gammon, J., & Hunt, J. (2018). A review of isolation practices and procedures in healthcare settings. British Journal of Nursing (Mark Allen Publishing), 27(3), 137-140. https://doi.org/10.12968/bjon.2018.27.3.137
Gehring, K., Mascherek, A. C., Bezzola, P., & Schwappach, D. L. (2015). Safety climate in Swiss hospital units: Swiss version of the safety climate survey. Journal of Evaluation in Clinical Practice, 21(2), 332-338. https://doi.org/10.1111/jep.12326
Glarcher, M., Kaiser, K., Kutschar, P., & Nestler, N. (2022). Safety climate in hospitals: A cross-sectional study on the perspectives of nurses and midwives. Journal of Nursing Management, 30(3), 742-749. https://doi.org/10.1111/jonm.13551
Gurková, E., Zeleníková, R., Friganovic, A., Uchmanowicz, I., Jarošová, D., Papastavrou, E., & Žiaková, K. (2020). Hospital safety climate from nurses' perspective in four European countries. International Nursing Review, 67(2), 208-217. https://doi.org/10.1111/inr.12561
Hessels, A. J., Genovese-Schek, V., Agarwal, M., Wurmser, T., & Larson, E. L. (2016). Relationship between patient safety climate and adherence to standard precautions. American Journal of Infection Control, 44(10), 1128-1132. https://doi.org/10.1016/j.ajic.2016.03.060
Hessels, A. J., & Larson, E. L. (2016). Relationship between patient safety climate and standard precaution adherence: A systematic review of the literature. The Journal of Hospital Infection, 92(4), 349-362. https://doi.org/10.1016/j.jhin.2015.08.023
Huang, P.-H., Chen, H., & Weng, L.-J. (2017). A penalized likelihood method for structural equation modeling. Psychometrika, 82, 329-354. https://doi.org/10.1007/s11336-017-9566-9
Hwang, J. I., Kim, S. W., & Chin, H. J. (2019). Patient participation in patient safety and its relationships with nurses' patient-centered care competency, teamwork, and safety climate. Asian Nursing Research, 13(2), 130-136. https://doi.org/10.1016/j.anr.2019.03.001
Institute of Medicine (US) Committee on Quality of Health Care in America. (2001). Crossing the quality chasm: A new health system for the 21st century. National Academies Press (US).
International Council of Nurses. (2021). The ICN Code of Ethics. https://www.icn.ch/system/files/2021-10/ICN_Code-of-Ethics_EN_Web_0.pdf
Kim, J. S., & Lee, E. (2022). Difference between self-reported adherence to standard precautions and surveillance and factors influencing observed adherence: A quantile regression approach. BMC Nursing, 21(1), 199. https://doi.org/10.1186/s12912-022-00984-1
Kline, R. B. (2015). Principles and practice of structural equation modeling. Guilford publications.
Labrague, L. J. (2022). Linking nurse practice environment, safety climate and job dimensions to missed nursing care. International Nursing Review, 69(3), 350-358. https://doi.org/10.1111/inr.12736
Lam, S. C. (2011). Universal to standard precautions in disease prevention: Preliminary development of compliance scale for clinical nursing. International Journal of Nursing Studies, 48(12), 1533-1539. https://doi.org/10.1016/j.ijnurstu.2011.06.009
Lam, S. C. (2014). Validation and cross-cultural pilot testing of compliance with standard precautions scale: Self-administered instrument for clinical nurses. Infection Control & Hospital Epidemiology, 35(5), 547-555. https://doi.org/10.1086/675835
Lee, S. E., & Scott, L. D. (2018). Hospital nurses' work environment characteristics and patient safety outcomes: A literature review. Western Journal of Nursing Research, 40(1), 121-145. https://doi.org/10.1177/0193945916666071
Lim, J. H., Ahn, J. W., & Son, Y. J. (2019). Association between hospital nurses' perception of patient safety management and standard precaution adherence: A cross-sectional study. International Journal of Environmental Research and Public Health, 16(23), 4744. https://doi.org/10.3390/ijerph16234744
Lim, S. H., Bouchoucha, S. L., Aloweni, F., & Bte Suhari, N. (2021). Evaluation of infection prevention and control preparedness in acute care nurses: Factors influencing adherence to standard precautions. Infection, Disease & Health, 26(2), 132-138. https://doi.org/10.1016/j.idh.2020.11.005
McCauley, L., Marcia Kirwan, M., & Matthews, A. (2021). The factors contributing to missed care and non-compliance in infection prevention and control practices of nurses: A scoping review. International Journal of Nursing Studies Advances, 3(2021), 100039. https://doi.org/10.1016/j.ijnsa.2021.100039
Mohamad, N., Pahrol, M. A., Shaharudin, R., Md Yazin, N., Osman, Y., Toha, H. R., Mustapa, N., Mohamed, Z., Mohammad, A., & Ismail, R. (2022). Compliance to infection prevention and control practices among healthcare workers during COVID-19 pandemic in Malaysia. Frontiers in Public Health, 10, 878396. https://doi.org/10.3389/fpubh.2022.878396
Nakano, Y., Tanioka, T., Yokotani, T., Ito, H., Miyagawa, M., Yasuhara, Y., Betriana, F., & Locsin, R. (2021). Nurses' perception regarding patient safety climate and quality of health care in general hospitals in Japan. Journal of Nursing Management, 29(4), 749-758. https://doi.org/10.1111/jonm.13215
National Healthcare Safety Network. (2022). Patient Safety Component Manual. https://www.cdc.gov/nhsn/pdfs/pscmanual/pcsmanual_current.pdf
Oldland, E., Botti, M., Hutchinson, A. M., & Redley, B. (2020). A framework of nurses' responsibilities for quality healthcare - Exploration of content validity. Collegian, 27(2), 150-163. https://doi.org/10.1016/j.colegn.2019.07.007
Olds, D. M., Aiken, L. H., Cimiotti, J. P., & Lake, E. T. (2017). Association of nurse work environment and safety climate on patient mortality: A cross-sectional study. International Journal of Nursing Studies, 74, 155-161. https://doi.org/10.1016/j.ijnurstu.2017.06.004
Philippine Nursing Act of 2002. 2022. https://www.officialgazette.gov.ph/2002/10/21/republic-act-no-9173/
Polit, D., & Beck, C. (2020). Essentials of nursing research: Appraising evidence for nursing practice (10th ed.). Lippincott Williams & Wilkins.
Reason, J. (2000). Human error: Models and management. BMJ (Clinical Research Ed.), 320(7237), 768-770. https://doi.org/10.1136/bmj.320.7237.768
Reis, C. T., Paiva, S. G., & Sousa, P. (2018). The patient safety culture: A systematic review by characteristics of hospital survey on patient safety culture dimensions. International Journal for Quality in Health Care, 30(9), 660-677. https://doi.org/10.1093/intqhc/mzy080
Seibert, M., Hillen, H. A., Pfaff, H., & Kuntz, L. (2020). Exploring leading nurses' work values and their association with team safety climate: Results from a questionnaire survey in neonatal intensive care units. Journal of Nursing Management, 28(1), 112-119. https://doi.org/10.1111/jonm.12903
Sexton, J. B., Helmreich, R. L., Neilands, T. B., Rowan, K., Vella, K., Boyden, J., Roberts, P. R., & Thomas, E. J. (2006). The safety attitudes questionnaire: Psychometric properties, benchmarking data, and emerging research. BMC Health Services Research, 6, 44. https://doi.org/10.1186/1472-6963-6-44
Stavropoulou, A., Rovithis, M., Kelesi, M., Vasilopoulos, G., Sigala, E., Papageorgiou, D., Moudatsou, M., & Koukouli, S. (2022). What quality of care means? Exploring clinical nurses' perceptions on the concept of quality care: A qualitative study. Clinics and Practice, 12(4), 468-481. https://doi.org/10.3390/clinpract12040051
Vaismoradi, M., Tella, S., A Logan, P., Khakurel, J., & Vizcaya-Moreno, F. (2020). Nurses' adherence to patient safety principles: A systematic review. International Journal of Environmental Research and Public Health, 17(6), 2028. https://doi.org/10.3390/ijerph17062028
van Beuzekom, M., Boer, F., Akerboom, S., & Hudson, P. (2010). Patient safety: Latent risk factors. British Journal of Anaesthesia, 105(1), 52-59. https://doi.org/10.1093/bja/aeq135
van Gulik, N., Bouchoucha, S., Apivanich, S., Lucas, J., & Hutchinson, A. (2021). Factors influencing self-reported adherence to standard precautions among Thai nursing students: A cross sectional study. Nurse Education in Practice, 57, 103232. https://doi.org/10.1016/j.nepr.2021.103232
Vincent, C., Burnett, S., & Carthey, J. (2014). Safety measurement and monitoring in healthcare: A framework to guide clinical teams and healthcare organisations in maintaining safety. BMJ Quality and Safety, 23(8), 670-677. https://doi.org/10.1136/bmjqs-2013-002757
Vincent, C., Taylor-Adams, S., & Stanhope, N. (1998). Framework for analysing risk and safety in clinical medicine. BMJ (Clinical Research Ed.), 316(7138), 1154-1157. https://doi.org/10.1136/bmj.316.7138.1154
Ward, M., & Cowman, S. (2007). Job satisfaction in psychiatric nursing. Journal of Psychiatric and Mental Health Nursing, 14(5), 454-461. https://doi.org/10.1111/j.1365-2850.2007.01104.x
Wong, E. L., Ho, K. F., Dong, D., Cheung, A. W., Yau, P. S., Chan, E. Y., Yeoh, E. K., Chien, W. T., Chen, F. Y., Poon, S., Zhang, Q., & Wong, S. Y. (2021). Compliance with standard precautions and its relationship with views on infection control and prevention policy among healthcare workers during COVID-19 pandemic. International Journal of Environmental Research and Public Health, 18(7), 3420. https://doi.org/10.3390/ijerph18073420
World Health Organization. (2003). Adherence to long-term therapies: Evidence for action. World Health Organization. https://apps.who.int/iris/handle/10665/42682
World Health Organization. (2018). Handbook for National Quality Policy and strategy-A practical approach for developing policy and strategy to improve quality of care. World Health Organization.
World Health Organization. (2021). Global Patient Safety Action Plan 2021-2030: Towards eliminating avoidable harm in health care. https://www.who.int/teams/integrated-health-services/patient-safety/policy/global-patient-safety-action-plan
World Health Organization. (2022). Quality of care. https://www.who.int/health-topics/quality-of-care#tab=tab_1
Yoo, J., Chung, S. E., & Oh, J. (2021). Safety climate and organizational communication 9*-satisfaction among Korean perianesthesia care unit nurses. Journal of Perianesthesia Nursing, 36(1), 24-29. https://doi.org/10.1016/j.jopan.2020.04.009

Auteurs

Daniel Joseph E Berdida (DJE)

Faculty, College of Nursing, University of Santo Tomas, Manila, Philippines.
Northern College of Nursing, Arar, Northern Borders, Saudi Arabia.

Rizal Angelo N Grande (RAN)

Fakeeh College for Medical Sciences, Jeddah, Makkah, Saudi Arabia.

Classifications MeSH