Impact of Patient-Centred Care and Work Environment on Adverse Patient Events in Intensive Care Units among Nurses: A Cross-Sectional Correlational Design
DOI:
https://doi.org/10.31674/mjn.2024.v16isupp1.003Abstract
Background: In healthcare, ensuring patient safety and providing high-quality care is crucial, particularly in the intensive care units. Adverse patient events include a broad range of patient harm and can affect patient safety and overall healthcare outcomes. Objective: To explore the impact of patient-centered care and work environment on adverse patient events among nurses in intensive care units. Methods: Using a cross-sectional correlational design, nurses from various healthcare organizations were studied. A simple random sampling technique was employed to collect data from 152 nurses working in the intensive care units. Data collection was achieved using the patient-centered care competency scale, the Healthy Work Environment assessment tool of the American Association of Critical Care Nurses, and the adverse patient events scale. Results: The mean score was high for patient-centered care (M=4.52, SD=0.13) and work environment (M=4.53, SD=0.28). A weak negative correlation was found between respecting patients' perspectives and nosocomial infections and medication errors. No correlation was found between the work environment and adverse patient events. There were significant correlations between patient-centred care and work environment subscales. Some nurses’ demographic characteristics were significantly different among study outcomes. Conclusion: Patient safety is critical to healthcare, ensuring patients are protected from harm and receive quality care. The study offers valuable guidance for nurses to enhance patient care delivery and ensure patient safety in the ICU environments.
Keywords:
Adverse Patient Events, Impact of Patient-Centred Care, Work EnvironmentDownloads
References
Abekah-Nkrumah, G., & Nkrumah, J. (2021). Perceived work environment and patient-centered behavior: A study of selected district hospitals in the central region of Ghana. PloS One, 16(1). https://doi.org/10.1371/journal.pone.0244726
Al Sabei, S. D., AbuAlRub, R., Labrague, L. J., Ali Burney, I., & Al-Rawajfah, O. (2021). The impact of perceived nurses' work environment, teams, and staffing levels on nurse-reported adverse patient events in Oman. Nursing Forum, 56(4), 897-904. https://doi.org/10.1111/nuf.12639.
Al-Hassan, N. S., Rayan, A. H., Baqeas, M. H., Hamaideh, S. H., & Khrais, H. (2023). Authentic leadership and its role in registered nurses' mental health and experiences of workplace bullying. SAGE Open Nursing, 9. https://doi.org/10.1177/23779608231185919
Al-Jumaili, A. A., Abbood, S. K., Abbas, A. N., Rafaeel, H. M., Mohammed, F. R., & Ali, A. Z. (2021). Organizational factors influencing nurses' ability to prevent and detect adverse drug events in public hospitals using a patient safety model. Saudi Pharmaceutical Journal, 29(10), 1216–1222. https://doi.org/10.1016/j.jsps.2021.09.003
Al-Mugheed, K., Bayraktar, N., Al-Bsheish, M., AlSyouf, A., Jarrar, M., AlBaker, W., & Aldhmadi, B. K. (2022). Patient safety attitudes among doctors and nurses: Associations with workload, adverse events, experience. Healthcare, 10(4). https://doi.org/10.3390/healthcare10040631
Alhalal, E., Alrashidi, L. M., & Alanazi, A. N. (2020). Predictors of patient‐centered care provision among nurses in acute care setting. Journal of Nursing Management, 28(6), 1400-1409. https://doi.org/10.1111/jonm.13100.
Alkhaibari, R. A., Smith-Merry, J., Forsyth, R., & Raymundo, G. M. (2023). Patient-centered care in the Middle East and North African region: A systematic literature review. BMC Health Services Research, 23(1). https://doi.org/10.1186/s12913-023-09132-0.
Arnetz, J. E., Neufcourt, L., Sudan, S., Arnetz, B. B., Maiti, T., & Viens, F. (2020). Nurse-Reported Bullying and Documented Adverse Patient Events: An Exploratory Study in a U.S. Hospital. Journal of Nursing Care Quality, 35(3), 206-212. https://doi.org/10.1097/ncq.0000000000000442.
Bachnick, S., Ausserhofer, D., Baernholdt, M., & Simon, M. (2018). Patient-centered care, nurse work environment and implicit rationing of nursing care in Swiss acute care hospitals: A cross-sectional multicenter study. International Journal of Nursing Studies, 81, 98-106. https://doi.org/10.1016/j.ijnurstu.2017.11.007
Baek, H., Han, K., Cho, H., & Ju, J. (2023). Nursing teamwork is essential in promoting patient-centered care: A cross-sectional study. BMC Nursing, 22(1). https://doi.org/10.1186/s12912-023-01592-3
Connor, J. A., Ziniel, S. I., Porter, C., Doherty, D., Moonan, M., Dwyer, P., . . . Hickey, P. A. (2018). Interprofessional use and validation of the AACN healthy work environment assessment tool. American Journal of Critical Care, 27(5), 363-371. https://doi.org//10.4037/ajcc2018179
Dagne, A. H., & Beshah, M. H. (2021). Implementation of evidence-based practice: the experience of nurses and midwives. PloS One, 16(8). https://doi.org/10.1371/journal.pone.0256600
Dykes, P. C., Burns, Z., Adelman, J., Benneyan, J., Bogaisky, M., Carter, E., . . . Bates, D. W. (2020). Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: A nonrandomized controlled trial. JAMA Network Open, 3(11). https://doi.org/10.1001/jamanetworkopen.2020.25889
El-Gazar, H. E., Abousoliman, A. D., Shawer, M., Coelho, P., & Zoromba, M. A. (2024). How nursing practice environments limit implicit rationing of care and nurse-assessed adverse events: the role of flow at work. BMC Nursing, 23(1). https://doi.org/10.1186/s12912-023-01644-8
Elkefi, S., & Asan, O., (2024). Validating the effectiveness of the patient-centered cancer care framework by assessing the impact of work system factors on patient-centered care and quality of care: Interview study with newly diagnosed cancer patients. JMIR Human Factors, 11. https://doi.org/10.2196/53053
Evans, K. K., Bekeny, J. C., Zolper, E. G., Steinberg, J. S., Atves, J. N., Benedict, C. D., . . .& Attinger, C. E. (2023). Ensuring quality care in the covid-19 era: Applying the donabedian model to tertiary wound care center practices. Journal of the American Podiatric Medical Association, 113(2). https://doi.org/10.7547/20-080
Franck, L. S., Axelin, A., Van Veenendaal, N. R., & Bacchini, F. (2023). Improving neonatal intensive care unit quality and safety with family-centered care. Clinics in Perinatology, 50(2), 449-472. https://doi.org/10.1016/j.clp.2023.01.007
Gabiatti, D., Vieira, L. G., Margatho, A. S., Dos Santos, B. N., Clark, A. M., Vasques, C. I., & Silveira, R. C. D. C. P. (2023). Prevalence of adverse events in pronated intubated adult COVID‐19 patients: A systematic review with meta‐analysis. Journal of Clinical Nursing, 33(1), 58-75. https://doi.org/10.1111/jocn.16741
Gartner, J.-B., Abasse, K. S., Bergeron, F., Landa, P., Lemaire, C., & Côté, A. (2022). Definition and conceptualization of the patient-centered care pathway, a proposed integrative framework for consensus: A concept analysis and systematic review. BMC Health Services Research, 22(1). https://doi.org/10.1186/s12913-022-07960-0
Grover, S., Fitzpatrick, A., Azim, F. T., Ariza-Vega, P., Bellwood, P., Burns, J., . . . & Hoppmann, C. A. (2022). Defining and implementing patient-centered care: An umbrella review. Patient education and counseling, 105(7), 1679–1688. https://doi.org/10.1016/j.pec.2021.11.004
Gupta, M., Pandey, D., & Naagar, S. (2023). Quality management and patient safety in healthcare domain. In A guide to hospital administration and planning (pp. 67-78). Springer Nature, Singapore. https://doi.org/10.1007/978-981-19-6692-7_5
Hegazy, A. M., Ibrahim, M. M., Shokry, W. A., & El Shrief, H. A. (2021). Work environment factors in nursing practice. Menoufia Nursing Journal, 6(2), 65–73. https://doi.org/10.21608/menj.2021.206247
Hwang, J. I. (2015). Development and testing of a patient-centered care competency scale for hospital nurses. International Journal of Nursing Practice, 21(1), 43–51. https://doi.org/10.1111/ijn.12220
Hwang, J. I., Kim, S. W., & Chin, H. J. (2019). Patient participation in patient safety and its relationships with nurses' patient-centered care competency, teamwork, and safety climate. Asian Nursing Research, 13(2), https://doi.org/10.1016/j.anr.2019.03.001
Kang, J., & Lim, Y. M. (2019). The relationship between the work environment and person-centered critical care nursing for intensive care nurses. Journal of Korean Critical Care Nursing, 12(2), 73-84. https://doi.org/10.34250/jkccn.2019.12.2.7
Kotfis, K., van Diem-Zaal, I., Williams Roberson, S., Sietnicki, M., van den Boogaard, M., Shehabi, Y., & Ely, E. (2022). The future of intensive care: Delirium should no longer be an issue. Critical Care, 26(1). https://doi.org/10.1186/s13054-022-04077-y
Kwame, A., & Petrucka, P. M. (2021). A literature-based study of patient-centered care and communication in nurse-patient interactions: barriers, facilitators, and the way forward. BMC Nursing, 20(1). https://doi.org/10.1186/s12912-021-00684-2
Labrague, L. J., De Los Santos, J. A. A., Tsaras, K., Galabay, J. R., Falguera, C. C., Rosales, R. A., & Firmo, C. N. (2020). The association of nurse caring behaviors on missed nursing care, adverse patient events and perceived quality of care: A cross-sectional study. Journal of Nursing Management, 28(8), 2257-2265. https://doi.org/10.1111/jonm.12894
Labrague, L., (2024). Emergency room nurses' caring ability and its relationship with patient safety outcomes: A cross-sectional study. International Emergency Nursing, 72. https://doi.org/10.1016/j.ienj.2023.101389
Laschinger, H. K. S., & Leiter, M. P. (2006). The impact of nursing work environments on patient safety outcomes: The mediating role of burnout engagement. JONA: The Journal of Nursing Administration, 36(5), 259-267. https://doi.org/10.1097/00005110-200605000-00019
Lucas, P., Jesus, É., Almeida, S., & Araújo, B. (2023). Relationship of the nursing practice environment with the quality of care and patients’ safety in primary health care. BMC Nursing, 22(1), 413. https://doi.org/10.1186/s12912-023-01571-8
Rumintang Marito, D., & Widianto, S., (2024). Link of infection prevention climate to patientcentered care: Role of workplace safety and risk mitigation. Risk Management and Healthcare Policy, 17, 329–340. https://doi.org/10.2147/RMHP.S439907
Mohamed, A. A., Mohammed, A. M., & Ahmed, H. (2018). Relation between locus of control and academic achievement of nursing students at Damanhour University. IOSR Journal of Nursing and Health Science, 7(5), 1–13. https://doi.org/10.9790/1959-07051196108
Moser, R. P., Trivedi, N., Murray, A., Jensen, R. E., Willis, G., & Blake, K. D. (2022). Patient-Centered Communication (PCC) scale: Psychometric analysis and validation of a health survey measure. PloS One, 17(12). https://doi.org/10.1371/journal.pone.0279725
Newman, B., Joseph, K., Chauhan, A., Seale, H., Li, J., Manias, E., . . . & Harrison, R. (2021). Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety. Health Expectations, 24(6), 1905-1923. https://doi.org/10.1111/hex.13343
Nkrumah, J., & Abekah-Nkrumah, G. (2019). Facilitators and barriers of patient-centered care at the organizational level: a study of three district hospitals in the central region of Ghana. BMC Health Services Research, 19, 1-111. https://doi.org/10.1186/s12913-019-4748-z
Nwabuko, O. (2024). An overview of research study designs in quantitative research methodology: Research article. American Journal of Medical and Clinical Research & Reviews, 3(5), 1–6. https://doi.org/10.58372/2835-6276.1169
Rose-Facey, W. (2020). Professional quality of life and perceived patient-centered care within the context of patient-centered care competency and the nurse practice environment among medical/surgical nurses. Adelphi University. Retrieved from: https://media.proquest.com/media/hms/PFT/2/VuLyK?_s=P%2BMyZSX5O96h48pHod2Gk6kw3aY%3D. Accessed on 23rd October, 2023.
Richa, F. T., Argaheni, N. B., & Mufidah, A. (2024). Workload of midwives: A bibliometric analysis. Malaysian Journal of Medical Research (MJMR), 8(2), 30-41. https://doi.org/10.31674/mjmr.2024.v08i02.005
Tlili, M. A., Aouicha, W., Gambashidze, N., Ben Cheikh, A., Sahli, J., Weigl, M., . . . & Mallouli, M. (2024). A retrospective analysis of adverse events reported by Tunisian intensive care units’ professionals. BMC Health Services Research, 24(1), 77. https://doi.org/10.1186/s12913-024-10544-9
Todd, J. A., Shanahan, B., Del Fabbro, L., Armit, L., & Grealish, L. (2024). Translating person-centered care policy into practice: A pre-post study of a work-based learning intervention for nurses. The Journal of Continuing Education in Nursing, 55(6), 303-308. https://doi.org/10.3928/00220124-20240301-02
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