Researching nurses’ adherence to patient safety guidelines in emergency departments

Asmoro, Candra Panji; Hariyati, Rr. Tutik Sri; Ayuningtyas, Dumilah; Umar, Jahja; Tartila, Dwi Yanti Rachmasari

doi:10.7748/en.2022.e2129

Cited by 3 publications

(2 citation statements)

References 11 publications

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“…As frontline caregivers, nurses are responsible for directly delivering care and monitoring patients' well-being, making them integral to the adherence and implementation of patient safety protocols (Vaismoradi et al, 2020). Nurses are often involved in various aspects of patient safety, including infection control practices, medication administration, fall prevention measures, hand hygiene guidelines, and the identification and reporting of adverse events (Asmoro et al, 2022). Nurses' close proximity to patients allows them to detect potential risks, intervene promptly, and provide critical feedback on the effectiveness of patient safety protocols.…”

Section: Backg Rou N Dmentioning

confidence: 99%

Nurses' adherence to patient safety protocols and its relationship with adverse patient events

Labrague

2023

J of Nursing Scholarship

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IntroductionEnsuring patient safety is a critical component of healthcare delivery, and nurses play a vital role in adhering to patient safety protocols to prevent adverse events. However, studies linking nurses' adherence to these protocols with patient outcomes is scarce. This study has two‐fold purposes: (1) to examine determinants of nurses' adherence to patient safety protocols, and (2) to investigate the relationship between nurses' adherence to patient safety protocols and adverse patient events.DesignA cross‐sectional design.MethodsA total of 343 clinical nurses from five hospitals in the Philippines were included in this study. Two standardized scales were used to collect data, including the Patient Safety Adherence Scale and the Adverse Patient Events Scale. Data collection took place from April 2022 to August 2022.ResultsAdherence to patient safety protocols was generally moderate to high (M = 4.483), while nurse‐reported adverse events occurred at a lower frequency (M = 1.150). Lower adherence rates were identified in areas such as reporting safety errors (M = 3.950), conducting fall risk assessments (M = 4.299), and adhering to pressure ulcer prevention guidelines (M = 3.979). Patients' and their families' complaints (M = 2.129) and abuses (M = 1.475) were the most frequently reported adverse events. Increased adherence to safety protocols was associated with higher reporting of adverse patient events (β = 0.115, p < 0.001).ConclusionHigher adherence to patient safety protocols resulted in an increased reporting of adverse patient events. The factors identified that contributed to nurses' adherence to patient safety protocols can be utilized in the development of strategies aimed at improving compliance, especially in areas where adherence is currently low.Clinical RelevanceHealthcare organizations should prioritize efforts to enhance adherence to patient safety protocols, particularly in areas with lower compliance rates, through relevant trainings, resource provision, and support systems. Promoting a culture of open communication and reporting can significantly contribute to reducing adverse events and improving patient safety.

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Section: Backg Rou N Dmentioning

confidence: 99%

Nurses' adherence to patient safety protocols and its relationship with adverse patient events

Labrague

2023

J of Nursing Scholarship

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“…1,2 The emergency department serves as the primary point of entry for patients seeking treatment in both urgent and non-urgent medical situations. [3][4][5] Within a hospital, nurses play an indispensable role as they are often the first and longest point of contact with patients. 6 Their responsibilities encompass the entire spectrum of nursing care, including the assessment process, nursing diagnosis, intervention, implementation, and the evaluation of care outcomes.…”

Section: Introductionmentioning

confidence: 99%

Perception of burnout syndrome among nurses providing nursing care in the emergency room at a hospital in Riau Province

Lastari,

Sari,

Sari

et al. 2024

Healthc Low-resour S

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The demands to nurses in the Emergency Room (ER) can lead to stress, potentially causing Burnout Syndrome. This may diminish the effectiveness of the nursing care provided to patients. This study aimed to explore the experience of Burnout Syndrome among nurses in the ER using a descriptive qualitative research design. Ten nurses from the ER participated in the study. All participants provided consistent answers, leading researchers to conclude data saturation through purposive sampling. In-depth interviews with a semi-structured format were conducted for data collection, and the Collaizi technique was employed for analysis. Findings revealed that nurses exhibited signs of Burnout Syndrome, such as physical, emotional, and mental exhaustion, while providing patient care, attributing this to the substantial workload.

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Factors related to nurse compliance in monitoring infusion fluid in hospital

Asman,

Yulkifli,

Yohandri

et al. 2024

Healthc Low-resour S

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Infusion therapy involves the intravenous administration of drugs, fluids, and blood products to hospitalized clients. This study aimed to identify factors influencing nurse compliance in monitoring infusion fluids according to Standard Operating Procedures (SOPs). The research adopted a quantitative approach with a descriptive correlational design and a cross-sectional approach, focusing on a study population of 50 nurses. Data collection utilized observation techniques and questionnaires as research instruments, with the analysis employing Kendall's Tau B and Kendall's Tau C methods. The findings revealed significant correlations between age (p-value=0.000), education (p-value=0.006), career path level (p-value=0.013), and knowledge (p-value=0.011). However, there was no significant relationship between the length of work experience and nurse compliance in monitoring infusion fluids (p-value=0.257) according to SOPs in this private hospital. To enhance the quality of care, it is recommended that nurses receive additional training provided by the nursing education team at the hospital, focusing specifically on the monitoring of infusion fluids. This targeted training could contribute to reducing instances of complaints related to mismatched patient needs and ultimately improve compliance with established SOPs in infusion therapy.

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Researching nurses’ adherence to patient safety guidelines in emergency departments

Cited by 3 publications

References 11 publications

Nurses' adherence to patient safety protocols and its relationship with adverse patient events

Nurses' adherence to patient safety protocols and its relationship with adverse patient events

Perception of burnout syndrome among nurses providing nursing care in the emergency room at a hospital in Riau Province

Factors related to nurse compliance in monitoring infusion fluid in hospital

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