Exploring the Influence of Nursing Work Environment and Patient Safety Culture on Missed Nursing Care in Korea.
10.1016/j.anr.2018.04.003
- Author:
Kyoung Ja KIM
1
;
Moon Sook YOO
;
Eun Ji SEO
Author Information
1. Department of Nursing, Hannam University, Deajeon, Republic of Korea.
- Publication Type:Original Article
- Keywords:
environment;
nursing care;
patient safety;
quality of health care
- MeSH:
Humans;
Korea*;
Leadership;
Nurse Administrators;
Nursing Care*;
Nursing*;
Patient Safety*;
Quality of Health Care
- From:Asian Nursing Research
2018;12(2):121-126
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: This study aimed to explore the influence of nurse work environment and patient safety culture in hospital on instances of missed nursing care in South Korea. METHODS: A cross-sectional design was used, in which a structured questionnaire was administered to 186 nurses working at a tertiary university hospital. Data were analyzed using descriptive statistics, t test or analysis of variance, Pearson correlation, and multiple regression analysis. RESULTS: Missed nursing care was found to be correlated with clinical career, nursing work environment, and patient safety culture. The regression model explained approximately 30.3% of missed nursing care. Meanwhile, staffing and resource adequacy (β = −.31, p = .001), nurse manager ability, leadership and support of nurses (β = −.26, p = .004), clinical career (β = −.21, p = .004), and perception on patient safety culture within unit (β = −.19, p = .041) were determined to be influencing factors on missed nursing care. CONCLUSION: This study has significance as it suggested that missed nursing care is affected by work environment factors within unit. This means that missed nursing care is a unit outcome affected by nurse work environment factors and patient safety culture. Therefore, missed nursing care can be managed through the implementation of interventions that promote a positive nursing work environment and patient safety culture.
