Hospital nurse shift length, patient‐centered care, and the perceived quality and patient safety

Jarrar, Mu’taman; Minai, Mohd Sobri; Al‐Bsheish, Mohammad; Meri, Ahmed; Jaber, Mustafa Musa

doi:10.1002/hpm.2656

Cited by 42 publications

(47 citation statements)

References 34 publications

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“…There is substantial evidence to suggest the possibility of the association of fatigue and shorter sleep with long working hours, which can lead to loss of concentration and perceived quality of care and PS [13]. A recent study on the effect of hospital nurses’ shift lengths on the perceived quality and PS [35] reported that longer working hours were negatively associated with care quality and safety. More prospective studies are needed to identify the mechanism linking long working hours and perceived or actual PS activities.…”

Section: Discussionmentioning

confidence: 99%

Association of Working Hours and Patient Safety Competencies with Adverse Nurse Outcomes: A Cross-Sectional Study

Son

Lee

2019

IJERPH

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The environment of health organizations can determine healthcare quality and patient safety. Longer working hours can be associated with nurses’ health status and care quality, as well as work-related hazards. However, little is known about the association of hospital nurses’ working hours and patient safety competencies with adverse nurse outcomes. In this cross-sectional descriptive study, convenience sampling was employed to recruit 380 nurses from three tertiary care hospitals in South Korea. Data were collected using structured questionnaires from May to June 2016. Hierarchical linear regression analysis was used to identify the association of working hours and patient competencies with adverse nurse outcomes among 364 participants selected for analysis. Most nurses worked over 40 h/week. Working hours (β = 0.202, p < 0.001) had the strongest association with adverse nurse outcomes. Low perceived patient safety competencies (β = −0.179, p = 0.001) and frequently reporting patient safety accidents (β = 0.146, p = 0.018) were also correlated with adverse nurse outcomes. Nursing leaders should encourage work cultures where working overtime is discouraged and patient safety competencies are prioritized. Further, healthcare managers must formulate policies that secure nurses’ rights. The potential association of overtime with nurse and patient outcomes needs further exploration.

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Section: Discussionmentioning

confidence: 99%

Association of Working Hours and Patient Safety Competencies with Adverse Nurse Outcomes: A Cross-Sectional Study

Son

Lee

2019

IJERPH

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“…Nevertheless, patient and family complaints were substantial. Therefore, several predictors required to be included in the future researches and to be considered by the hospitals' policy makers, such as; staffing, nurse work environment, and patient‐centered care; in order to optimize patient safety and overcome the increased medical and legal complaints in Malaysia. Delivering to the patient proper nutrition, treatment, communication and education help to prevent adverse events.…”

Section: Discussionmentioning

confidence: 99%

Adverse events in Malaysia: Associations with nurse's ethnicity and experience, hospital size, accreditation, and teaching status

Jarrar

Al‐Bsheish

Dardas

et al. 2019

Health Planning & Management

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Summary Purpose In Malaysia, private healthcare sector has become a major player in delivering healthcare services alongside the government healthcare sector. However, wide disparities in health outcomes have been recorded, and adverse events in these contexts have yet to be explored. The purpose of this study was to explore associations between nurse's ethnicity and experience, hospital size, accreditation, and teaching status with adverse events in Malaysian private hospitals. Methods A cross‐sectional survey was conducted in 12 private hospitals in Malaysia. A total of 652 (response rate = 61.8%) nurses participated in the study. Data were collected using self‐administered questionnaire on nurses' characteristic, adverse events and events reporting, and perceived patient safety. Results Patient and family complaints events were the most common adverse events in Malaysian private hospitals as result of increased cost of care (3.24 ± 0.95) and verbal miscommunication (3.52 ± 0.87). Conclusion Hospital size, accreditation status, teaching status, and nurse ethnicity had a mixed effect on patient safety, perceived adverse events, and events reporting. Policy makers can benefit that errors are related to several human and system related factors. Several system reforms and multidisciplinary efforts were recommended for optimizing health, healthcare and preventing patient harm.

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“…Patient-centred care has a set of attributes, including respect, wholeness, empowerment, collaboration, coordination, effective communication and personalized care (Lor et al, 2016). The approach of patient-centred care is significant for the delivery of high-quality care (Jarrar, Minai, Al-Bsheish, Meri, & Jaber, 2019). It leads to patient satisfaction and effective treatments and reduces the number of emergency department visits, inpatient days and diagnostic tests (Delaney, 2018;Kullberg, Sharp, Johansson, Brandberg, & Bergenmar, 2019).…”

Section: Backg Rou N Dmentioning

confidence: 99%

Predictors of patient‐centered care provision among nurses in acute care setting

2020

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Aim The study was conducted to assess the predictors of patient‐centred care provision among nurses working in an acute care setting. We hypothesized that higher structural empowerment and compassion satisfaction and lower burnout would predict the provision of patient‐centred care. Background Patient‐centred care is a crucial aspect of quality health care and the heart of nursing care. Although previous studies have highlighted some determinants of patient‐centred care provision among nurses, there remains a gap in understanding the factors that predict the provision of patient‐centred care. Methods A cross‐sectional predictive design was used. Through random sampling, 255 nurses were recruited from five hospitals providing acute care services in Saudi Arabia. Results Multiple linear regression revealed that compassion satisfaction (β = 0.260 [95% CI: 0.201–0.645]), burnout (β = −0.266 [95% CI: −0.998 to −0.403]) and structural empowerment (β = 0.273 [95% CI: 0.462–1.427]) jointly explained significant variance (27.5%) in the provision of patient‐centred care by nurses. Conclusions The study findings reveal that lower burnout, higher compassion satisfaction and structural empowerment increase nurses' provision of patient‐centred care. Implications for Nursing Management Leadership and managerial strategies that not only address compassion satisfaction and burnout but also empower nurses are crucial for the provision of patient‐centred care by nurses.

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Hospital nurse shift length, patient‐centered care, and the perceived quality and patient safety

Abstract: Patient-centered care mitigates the effect of the shift length on the care outcomes. The study provides an input for the policymakers that patient-centered care and restructuring duty hours are important to provide high-quality patient care.

Cited by 42 publications

References 34 publications

Association of Working Hours and Patient Safety Competencies with Adverse Nurse Outcomes: A Cross-Sectional Study

Association of Working Hours and Patient Safety Competencies with Adverse Nurse Outcomes: A Cross-Sectional Study

Adverse events in Malaysia: Associations with nurse's ethnicity and experience, hospital size, accreditation, and teaching status

Predictors of patient‐centered care provision among nurses in acute care setting

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