Iranian nurses perspectives on assessment of safe care: an exploratory study

Rashvand, Farnoosh; Salsali, Mahvash; Ebadi, Abbas; Vaismoradi, Mojtaba; Jordan, Sue; Griffiths, Pauline

doi:10.1111/jonm.12338

Cited by 10 publications

(18 citation statements)

References 26 publications

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“…Our results indicated that the highest score of safe nursing care was related to ‘assessing the patient's physical needs’, whereas the lowest score was attributed to ‘assessing the patient's psychological needs’. Previous studies indicated that nurses highly considered the physical care, while they neglected the patients’ psychological needs (Dures et al, 2014; Rashvand et al, 2016; Vaismoradi, Salsali, Turunen, & Bondas, 2013; Vaismoradi et al, 2012). In two studies, the majority of the nurses supported the idea that psychological support provision was inadequate.…”

Section: Discussionmentioning

confidence: 99%

Nurses’ perceptions of systems thinking and safe nursing care: A cross‐sectional study

et al. 2020

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Aim To assess nurses’ perceptions of systems thinking, safe nursing care and the correlation between them. Background Systems thinking and safe nursing care are the key elements of quality improvement approaches, such as accreditation and patient safety programmes. However, these two variables have not been well studied in different health care settings. Methods In this cross‐sectional study, 300 nurses were selected using the stratified random sampling method. The data were collected using a demographic data form, systems thinking scale and assessment of safe nursing care questionnaire. Results The scores of nurses’ perceptions of systems thinking (63.25 ± 9.20) and safe nursing care (4.13 ± 0.60) were above average. A positive correlation was found between systems thinking and safe nursing care (r = .66, p < .001), and its dimensions: nursing skills (r = .61, p < .001), psychological needs (r = .56, p < .001), physical needs (r = .51, p < .001) and teamwork (r = .56, p < .001). Conclusion Regarding the correlation between systems thinking and safe nursing care, nurses and other medical professionals, especially novices, are recommended to strengthen their systems thinking skills to improve the safe nursing care. Implications for Nursing Management Nurse managers should deal with organisational condition and factors affecting some poor aspects of systems thinking and safe nursing care. They must lead, support and allocate resources to the foundations of systems thinking to achieve safe nursing care.

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Section: Discussionmentioning

confidence: 99%

Nurses’ perceptions of systems thinking and safe nursing care: A cross‐sectional study

et al. 2020

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“…A qualitative study was conducted to incorporate the perspectives of Iranian nurse educators involved in the education of safe nursing care that may not have been considered in previous studies (Rashvand et al . ). According to the National Council of State Boards of Nursing (NCSBN) () in the USA, nurse educators’ perspectives are required for the identification of safe nursing care assessment criteria in clinical practice.…”

Section: Methodsmentioning

confidence: 97%

“…A random sampling method was used to choose the participants as having similar demographic characteristics to the participants in the qualitative study (Rashvand et al . ) from the five teaching hospitals affiliated with a university of medical sciences. Surgery and internal medicine wards were sampled.…”

Section: Methodsmentioning

confidence: 99%

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The assessment of safe nursing care: development and psychometric evaluation

et al. 2016

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Aim. To develop an instrument for the assessment of safe nursing care (ASNC) within the Iranian context and psychometrically evaluate its reliability and validity.Background. There is a need for a valid and reliable instrument to assess how nurses employ the components of safe nursing care in clinical practice in non-Western countries.Methods. This methodological study was conducted in two phases: (a) a qualitative phase of instrument development, and (b) a quantitative phase of psychometric evaluation of the Assessment of Safe Nursing Care (ASNC). The instrument's content validity was assessed by experts in the field of safe nursing care. The reliability of this instrument was examined by using internal consistency reliability and intra-rater reliability analysis. Exploratory factor analysis was then conducted to establish the instrument's initial construct validity.Results. The instrument developed was a questionnaire with 32 items. The Cronbach's alpha of the scale was 0.92 and Intra-class Correlation Coefficient for intra-rater reliability was 0.78.Exploratory factor analysis resulted in a four-factor solution: (a) nursing skills, (b) assessing the patient's psychological needs, (c) assessing the patient's physical need, and (d) nurses' teamwork. The four factors accounted for 63.54% of the observed variance. Conclusion.The ASNC can be applied to a wide variety of settings due to the broad range of methods utilized to generate items and domains, its comprehensive consideration of the principles of safe care, and its initial reliability and validity.Implications for Nursing Management. The ASNC can help nurse managers assess whether clinical nurses are prepared to apply their safe care skills in clinical practice. It can also be used by clinical nurses to assess their own and peers' practice to detect potential areas for improvement in nursing care and help nurse managers with planning appropriate quality improvement programs.

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“…Upon the successful completion of the nursing education programme, students are registered as the 'nurse' and granted the permission to practice in healthcare settings. Recently, there has been a more emphasis on the preparation of new nurses for safe practice in healthcare settings (Rashvand et al, 2016).…”

Section: Background In Iranmentioning

confidence: 99%

Living With Moral Distress: The Perspectives and Experiences of Iranian Nurse Preceptors

Shahbazi

Valizadeh

Borimnejad

et al. 2018

Res Theory Nurs Pract

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Background and Purpose: Preceptors play a key role in the transition experience of new nurses. Preceptorship is a stressful role and is influenced by contextual factors. There is a lack of sufficient understandings of the perspectives and lived experiences of Iranian nurse preceptors of preceptorship. The aim of this study was to explore the perspective and lived experiences of Iranian nurse preceptors of preceptorship. Methods: A qualitative design using a hermeneutic phenomenological approach was used. Six Iranian nurse preceptors were chosen using a purposeful sampling method from a large paediatric teaching hospital in an urban area of Iran. Data was collected using in-depth semi-structured interviews and was analysed using the Diekelmann et al.’s method of hermeneutic phenomenological analysis. Results: The data analysis resulted in the development of a constitutive pattern of ‘living with moral distress’, which was constituted of two major themes: ‘asking for and being unable’ and ‘the experience of conflict’. Implications for Practice: The findings of this study can improve nurses’ understandings of the preceptor’s role and associated factors influencing the implementation of the preceptorship programme. ‘Moral distress’ caused by the preceptor role can influence nurse preceptors’ mental health and also the patient care outcomes. More studies are required to explore this phenomenon in different contexts and cultures and design strategies for reducing the burden of taking this role on nurse preceptors. Also, policies are needed for developing a formal preceptor support system to help preceptors take this stressful and demanding role in healthcare settings.

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Iranian nurses perspectives on assessment of safe care: an exploratory study

Cited by 10 publications

References 26 publications

Nurses’ perceptions of systems thinking and safe nursing care: A cross‐sectional study

Nurses’ perceptions of systems thinking and safe nursing care: A cross‐sectional study

The assessment of safe nursing care: development and psychometric evaluation

Living With Moral Distress: The Perspectives and Experiences of Iranian Nurse Preceptors

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