Impact of Patient Safety Culture on Missed Nursing Care and Adverse Patient Events

Background:
A strong patient safety culture (PSC) may be associated with improved patient outcomes in hospitals. The mechanism that explains this relationship is underexplored; missed nursing care may be an important link.
Purpose:
The purpose of this study was to describe relationships among PSC, missed nursing care, and 4 types of adverse patient events.
Methods:
This cross-sectional study employed primary survey data from 311 nurses from 29 units in 5 hospitals and secondary adverse event data from those same units. Analyses include analysis of variance and regression models.
Results:
Missed nursing care was reported to occur at an occasional level (M = 3.44, SD = 0.24) across all 29 units. The PSC dimensions explained up to 30% of the variance in missed nursing care, 26% of quality of care concerns, and 15% of vascular access device events. Missed care was associated with falls (P

Source: Journal of Nursing Care Quality - August 27, 2019 Category: Nursing Tags: Articles Source Type: research