Nurses’ reports of working conditions and hospital quality of care in 12 countries in Europe

Aiken, Linda H.; Sloane, Douglas M.; Bruyneel, Luk; Heede, Koen Van den; Sermeus, Walter

doi:10.1016/j.ijnurstu.2012.11.009

Cited by 545 publications

(553 citation statements)

References 19 publications

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“…Because safety incidents in Iranian hospitals have not been well documented, the authors had to use previously related researches as a proper estimation for nursing-related patient safety incidents. Nursing-related patient safety incidents have been pointed out in many international investigations and their reliability and validity have been proved and reported (9,10,21,(27)(28)(29).…”

Section: Patient Adverse Outcomesmentioning

confidence: 99%

The Association of Nursing Workloads, Organizational, and Individual Factors with Adverse Patient Outcome

Abadi¹,

Akbari²,

Akbari³

et al. 2016

Iran Red Crescent Med J

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Introduction: Adverse patient outcomes have become a big concern in the quality of healthcare. Different factors can have an impact on the variety and rate of adverse patient outcomes. Objectives: The present study aimed at determining the rate of patient safety during events and evaluating nursing workloads as well as identifying the main factors that affect the incidence rate of patient safety events among nurses. Methods: This cross-sectional study was conducted on 293 nurses working in 24 wards of Baqiyatallah hospital in Tehran, Iran, in 2016. The sampling method was stratified random sampling. Data were collected using a self-administered questionnaire, which was classified into 4 subtitles: Individual and organizational characteristics, perceived subjective, objective workloads, and some patient safety events during the past 6 months. Binary and multiple regressions were used to survey the relationship between variables using the SPSS Version 23 software. Results: Bloodstream infection, pressure ulcer, and patient falls were the most reported adverse outcomes during the past 6 months with 76.1%, 66.2%, and 59%, respectively. At least one of the 6 adverse outcomes was reported by nurses within the range of 45%-77%. Of all individual characteristics, the only significant relationship occurred between work experience and bloodstream infection (P value = 0.28 and 0.32). No significant relationship was detected between adverse patient outcomes and objective workloads. Regression models revealed that the subjective workload of adverse patient outcomes increased with making adjustments in the individual and organizational characteristics. The incidence rates of adverse outcomes were 5.69-9.78 times more than the fixed shifts in all rotational shift works. Conclusions: The nurses reported a high incidence rate of all patient safety events, and the results revealed that the objective workload could not be a predictor for patient adverse events. According to the findings, subjective workload and work shift were significantly related to the incidence rate of adverse patient events. In conclusion, good regulation of sleep-wake cycles can be an important factor for decreasing the rate of adverse patient events.

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Section: Patient Adverse Outcomesmentioning

confidence: 99%

The Association of Nursing Workloads, Organizational, and Individual Factors with Adverse Patient Outcome

Abadi¹,

Akbari²,

Akbari³

et al. 2016

Iran Red Crescent Med J

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show abstract

“…The global RN4CAST project with over 11,000 patients and 33,000 nurses demonstrated that, regardless of country, when nurses have heavy workloads, they leave essential tasks undone, and there are negative nurse and patient outcomes [1,2]. Understanding workload and its impact, particularly from nurses' perspectives, is an urgent undertaking, given global nurse shortages and the associations between workload and nurse retention [2,3].…”

Section: Introductionmentioning

confidence: 99%

The Impact of Heavy Perceived Nurse Workloads on Patient and Nurse Outcomes

MacPhee

Dahinten

Havaei

2017

Administrative Sciences

137

117

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This study investigated the relationships between seven workload factors and patient and nurse outcomes. (1) Background: Health systems researchers are beginning to address nurses' workload demands at different unit, job and task levels; and the types of administrative interventions needed for specific workload demands; (2) Methods: This was a cross-sectional correlational study of 472 acute care nurses from British Columbia, Canada. The workload factors included nurse reports of unit-level RN staffing levels and patient acuity and patient dependency; job-level nurse perceptions of heavy workloads, nursing tasks left undone and compromised standards; and task-level interruptions to work flow. Patient outcomes were nurse-reported frequencies of medication errors, patient falls and urinary tract infections; and nurse outcomes were emotional exhaustion and job satisfaction; (3) Results: Job-level perceptions of heavy workloads and task-level interruptions had significant direct effects on patient and nurse outcomes. Tasks left undone mediated the relationships between heavy workloads and nurse and patient outcomes; and between interruptions and nurse and patient outcomes. Compromised professional nursing standards mediated the relationships between heavy workloads and nurse outcomes; and between interruptions and nurse outcomes; (4) Conclusion: Administrators should work collaboratively with nurses to identify work environment strategies that ameliorate workload demands at different levels.

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“…1,2 In Jordan, the rate at which nurses were leaving their current employment positions was reached approximately 37% in 2009. 3 Public hospitals are the largest employers of nurses and are the institutions most affected by the current nursing shortage.…”

Section: Introductionmentioning

confidence: 99%

Factors influencing public hospital nurses’ intentions to leave their current employment in Jordan

Momani

2017

Int J Community Med Public Health

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Background: Shortage of nurses resulting from nurses migration, has created a health care crisis in developing countries and has adversely affected the quality of nursing care provided to patients. The main objective of this study was to investigate the factors influencing Jordanian public hospital nurses’ intent to leave their current employment. Methods: A cross-sectional survey was conducted among 348 registered nurses randomly selected from two public referral hospitals, Al Bashier Teaching Hospital, and Amirah Basma Teaching Hospital, Jordan. Data to investigate the nurses’ satisfaction and their intention to leave were collected using self-administered questionnaire compromised 28 factors included in seven dimension: Administrative support, supervision and leadership, interaction with co-workers, work related factors, staff development practices, pay and promotion system, and control and responsibility. Data collected over a 4-month period (December 13, 2015 to April 7, 2016). Results: of the 348 registered nurses 212 (60.9%) had an intention to leave their current work. The average satisfaction rate for all dimensions was (2.83). The dominant factors were not satisfied nurses (mean<3) and influencing their intention to leave were Pay and benefits, nurse to bed ratio due to shortage of nurses, and praising and recognitions for achievement. The variables gender, work experience, and nursing role yielded significant associations with intent to leave (p<0.05). Conclusions: The study showed that the majority of nurses were dissatisfied and had intention to leave their current job. Developing strategies to increase retention of nurses such as salaries and benefits should be periodically reviewed in light of the national consumer index, in addition to other strategies could improve nursing retention and quality of nursing care.

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Nurses’ reports of working conditions and hospital quality of care in 12 countries in Europe

Cited by 545 publications

References 19 publications

The Association of Nursing Workloads, Organizational, and Individual Factors with Adverse Patient Outcome

The Association of Nursing Workloads, Organizational, and Individual Factors with Adverse Patient Outcome

The Impact of Heavy Perceived Nurse Workloads on Patient and Nurse Outcomes

Factors influencing public hospital nurses’ intentions to leave their current employment in Jordan

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