Nurses’ Perceptions of Professional Practice Environment and Its Relation to Missed Nursing Care and Nurse Satisfaction

Abstract

The professional practice environment is a factor that can have a significant impact on missed nursing care. The study aimed to find a relationship between nurses’ perceptions of their professional practice environment and missed nursing care and job satisfaction. An additional aim was to find differences in nurses’ perceived rating of the professional practice environment according to hospital location and job position. A descriptive correlational study was performed. The sample included 513 general and practical nurses providing direct care in nine Czech hospitals. The Revised Professional Practice Environment scale and the Missed Nursing Care (MISSCARE) survey were used to collect data. The professional practice environment was most correlated with satisfaction with the current position (0.4879). The overall score of missed care correlated most strongly with the subscale “staff relationships” (−0.2774). Statistically significant differences in the rating of two subscales, “control over practice” and “cultural sensitivity”, were found between nurses from hospitals in district capitals and those from hospitals in smaller cities. Statistically significant differences in the rating of the “leadership and autonomy in clinical practice” and “teamwork” subscales were found between general nurses and practical nurses. The professional practice environment is related to nurse satisfaction and missed nursing care.

Rationing of Nursing Care in Intensive Care Units

“…In general, it can be assumed that adverse working conditions lead to rationing of nursing care interventions. In turn, limiting or skipping interventions in individual patients may affect patient results [ 7 , 8 , 9 , 10 ].…”

“…The test results say that nurses do not have enough time to perform the necessary nursing tasks [ 12 ]. Therefore, rationing of care causes adverse events, such as some of the most common events, including treatment errors, falls, infections, pressure sores, and critical incidents [ 9 , 10 ]. The relationship between adverse events in nursing care rationing and fatigue in intensive care units is not yet known.…”

Key Elements of Professional Nursing Practice: A Scoping Review

“…The majority of the studies were developed in the USA (ten studies), with others being from Ireland (one study), Canada (two studies), Australia (one study), Asia (two studies), Middle East (three studies), Portugal (two studies), Colombia (one studies), North America (one studies), and undescribed the location (five studies). Service settings used start from unit based [4], [16] mostly hospital based [5], [6], [10], [17], [18], [19], [20], [21], [22], [23], [24], [25], [26], [27], [28], community based [29], [30], to systems based in healthcare systems [11], [31], [32].…”

Associations between Nursing Work Environment, Patient Safety Culture, and Missed Nursing Care Among Staff nurses

“…Patient safety culture and nursing work environment are crucial factors affecting missed nursing care among nurses. When the positive culture of patient safety maintained inside health care organizations, staff nurses engaged in patient safety behavior, and will be able to handle unanticipated or difficult problems effectively during executing their routine nursing activities, (Zeleníková, Jarošová and Janíková, 2020). Patient safety culture also generates the work environment that motivates staff nurses deal with repeated incidents of missed care, by immediately reporting and discussing incidents to resolve problems that may cause a major incident if it left unidentified (Song et al, 2020).…”

“…The nursing work environment also is a key element that has a significant effect on missing nursing care. Also, it play important role in the recruitment and retention of healthcare providers and indirectly influences on quality of nursing care (Zhao et al, 2019). There is a closely relationship between missed care and work environment features such as inadequate staffing, time, communication among staff, peer or/ managers support, and working system (White, Aiken and McHugh, 2019).…”