Aim: This study aimed to evaluate the perception of the work environment among intensive care unit (ICU) nurses in Slovakia and identify factors that influence their evaluation. Design: A cross-sectional descriptive study. Methods: The study was conducted between July and October 2023 using the Practice Environment Scale-Nursing Work Index (PES-NWI). Data were collected from 153 ICU nurses across four hospitals. Descriptive statistics, correlation analysis, and nonparametric tests were used for data analysis. Results: The work environment received a generally positive evaluation, with collegial nurse-physician relations receiving the highest ratings, whereas staffing and resource adequacy scored the lowest. Significant correlations were found between job satisfaction, satisfaction with material resources, and perception of patient safety and positive evaluations of the work environment (p ≤ 0.05). Multiple regression analysis identified job satisfaction, satisfaction with material resources, and patient safety evaluation as key predictors of a positive work environment (p ≤ 0.05). Conclusion: These findings underscore the importance of addressing staffing adequacy, resource availability, and leadership support to improve the work environment for ICU nurses, with implications for both nurse retention and patient outcomes.
- MeSH
- bezpečnost pacientů statistika a číselné údaje MeSH
- jednotky intenzivní péče * MeSH
- korelace dat MeSH
- lidé MeSH
- postoj zdravotnického personálu MeSH
- pracovní podmínky * psychologie statistika a číselné údaje MeSH
- pracovní uspokojení MeSH
- průzkumy a dotazníky MeSH
- zdravotní sestry psychologie statistika a číselné údaje MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- hodnotící studie MeSH
- Geografické názvy
- Slovenská republika MeSH
Introduction: Patient safety culture is a fundamental aspect of healthcare delivery, profoundly impacted by factors such as teamwork or organizational traits. Research on unfinished nursing care has underscored its importance in relation to patient safety. Objective: To explore the associations between perceived patient safety culture, unfinished nursing care, and the level of teamwork during the clinical placement of nursing students. Methods: A descriptive cross-sectional study was conducted between September and December 2023 using a set of questionnaires comprising the Hospital Survey on Patient Safety Culture for Nursing Students, the Unfinished Nursing Care Survey for Students, and the Nursing Teamwork Survey. The study involved 242 Slovak nursing students. Results: Significant associations were found between nursing students' perceptions of patient safety culture, the level of teamwork, and particular reasons for unfinished nursing care. Four dimensions of patient safety culture predicted the level of teamwork (p < 0.05) and explained 49.1% of the variability in the teamwork perceived during clinical placement. Conclusion: Understanding nursing students' perceptions of patient safety culture and its influencing factors is essential for enhancing the safe provision of nursing care. Future research should continue to explore the dynamic interaction between investigated variables to inform educational and organizational interventions aimed at improving patient care outcomes.
- MeSH
- bezpečnost pacientů * statistika a číselné údaje MeSH
- dospělí MeSH
- klinické praxe metody statistika a číselné údaje MeSH
- lidé MeSH
- ošetřovatelská péče metody MeSH
- ošetřovatelství - vzorové postupy MeSH
- průřezové studie MeSH
- studenti ošetřovatelství * statistika a číselné údaje MeSH
- týmová péče o pacienty statistika a číselné údaje MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- Publikační typ
- práce podpořená grantem MeSH
- Geografické názvy
- Slovenská republika MeSH
Aim: To investigate the reasons for unfinished nursing care (UNC), its prevalence and patterns, and to explore its relationship to level of teamwork as perceived by Slovak postgraduate nursing students. Design: A descriptive cross-sectional study. Methods: The study was conducted between November 2022 and January 2023. Data collection was carried out using a set of questionnaires that involved the Unfinished Nursing Care Survey tool to measure UNC and the Nursing Teamwork Survey (NTS) to investigate level of teamwork. The sample consisted of 159 postgraduate nursing students from five public universities in different regions of the Slovak Republic. Results: The mean composite score of UNC was 2.41 (SD = 0.71) and for the NTS, 3.25 (SD = 0.51). An overall weak association was found between UNC and Trust (r = -0.164), Backup (r = -0.157), Shared mental model (r = -0.158), and Team leader (r = -0.187). Teamwork did not predict perceptions of UNC. Conclusion: These findings suggest that nursing students are aware of the phenomenon of UNC and reflect on reasons for its occurrence, including ineffective teamwork among nursing staff. During clinical placements, nursing students should be integrated into nursing teams and the importance of teamwork should be emphasized during nursing studies. However, there is a need for further research to better understand and address these phenomena in nursing education and practice.
- MeSH
- klinické praxe * klasifikace organizace a řízení MeSH
- kontinuální vzdělávání zdravotních sester MeSH
- lidé MeSH
- průřezové studie MeSH
- studenti ošetřovatelství psychologie MeSH
- studium ošetřovatelství vysokoškolské * MeSH
- týmová péče o pacienty MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- práce podpořená grantem MeSH
- Geografické názvy
- Slovenská republika MeSH
Aim: To determine the level of teamwork among nursing staff in a selected teaching hospital and identify factors that influence the level of teamwork. Design: A descriptive cross-sectional study. Methods: The sample included 292 nursing staff working in a teaching hospital in the Žilina region of Slovakia. Data collection was carried out between April and June 2022 using the Nursing Teamwork Survey (NTS). Data were analyzed using descriptive and inferential statistics. Results: The mean score for the NTS was 2.87 (SD = 0.56) demonstrating a positive perception of teamwork less than 75% of the time. The highest evaluated subscale was the shared mental model (3.23 ± 0.62). Differences were found in the evaluation of teamwork according to education, job position, working hours, total and current professional experience, intention to leave, and staffing adequacy. The correlation analysis revealed associations between teamwork and variables related to satisfaction and quality and safety evaluation. Several variables predicted the general evaluation of teamwork (p < 0.05). Conclusion: The evaluation of teamwork may point to its different perception among members of nursing teams. It may also help to identify strengths and weaknesses of nursing teams and, consequently, to implement effective techniques focused on improving teamwork and, thus, the quality of nursing care in hospitals.
Úvod: Bezpečnosť pacienta je jednou z hlavných priorít zdravotníckych zariadení na celom svete. Pohľad študentov ošetrovateľstva na bezpečnosť pacienta je nevyhnutný pre plánovanie stratégií na zlepšenie bezpečnosti pacienta a jej kultúry. Vnímanie bezpečnosti pacienta študentmi ošetrovateľstva sa môže líšiť medzi vyučovacími a vzdelávacími postupmi na katedrách ošetrovateľstva, ale závisí aj od klinických skúseností získaných počas klinickej praxe. Cieľ: Zhromaždiť a porovnať existujúce empirické výskumné štúdie o faktoroch ovplyvňujúcich vnímanie bezpečnosti pacienta z pohľadu študentov ošetrovateľstva. Metódy: Vyhľadávanie bolo realizované vo vedeckých databázach PubMed, Scopus a ProQuest vo februári 2023 a bolo limitované na jeden jazyk (angličtina). Výsledkom vyhľadávania bolo 1 703 štúdií. Pri syntéze údajov bola použitá metóda obsahovej analýzy. Výsledky: 36 štúdií bolo relevantných pre tento prehľad. Identifikovaných bolo 23 faktorov, ktoré ovplyvňujú vedomosti, zručnosti a postoje študentov ošetrovateľstva k bezpečnosti pacienta. Opísané boli štyri hlavné skupiny faktorov: Faktory súvisiace s demografickými údajmi; Faktory súvisiace s klinickým prostredím; Faktory súvisiace s akademickým prostredím; Kontextové faktory. Záver: Vnímanie bezpečnosti pacienta študentmi ošetrovateľstva bolo ovplyvnené vzdelávacím a klinickým prostredím. Vo vzťahu k vzdelávaniu je potrebné integrovať tému bezpečnosti pacienta na začiatku štúdia v odbore ošetrovateľstvo a posilniť doterajšie poznatky o nežiaducich udalostiach.
Introduction: Patient safety is one of the main priorities of healthcare facilities worldwide. The perspective of nursing students on patient safety is essential for planning strategies to improve patient safety and its culture. Nursing students' perception of patient safety may differ between teaching and learning practices in nursing faculties, but also depends on the clinical experience gained during clinical placement. Objective: To collate existing empirical research studies on factors influencing the perception of patient safety from the perspective of nursing students. Methods: The search was performed in scientific databases PubMed, Scopus, and ProQuest in February 2023 and was limited to one language (English). The search produced 1,703 studies. The content analysis method was used in data synthesis. Results: 36 studies were considered relevant for the review. 23 factors that affect the knowledge, skills, and attitudes of nursing students towards patient safety were determined. Four main factor groups were described as follows: Factors related to demographic data; Factors related to clinical environment; Factors related to academic environment; Contextual factors. Conclusion: Nursing students' perception of patient safety was influenced by the educational and clinical environment. In relation to education, there is a need to integrate the patient safety subject at the beginning of nursing studies and to strengthen existing knowledge about adverse events.
Aim: To explore the experience of surgical nurses with adverse events. Design: A descriptive qualitative study. Methods: Data were collected between August 2021 and February 2022 using semi-structured interviews. Participants were nurses (n = 10) working in surgical care units in a teaching hospital in the Slovak Republic. The interviews were recorded on an audio recorder and transcribed verbatim. Data were analyzed using thematic analysis. Results: Two main themes were identified: Adverse events in the surgical workplace and Preventive strategies aimed at reducing adverse events. Several subthemes specified themes and reflected the nurse's experience with adverse events in surgical settings. Conclusion: Surgical workplaces are at risk of adverse events due to the number of surgical procedures. Given that most adverse events are preventable and systemic factors are responsible for their occurrence, we recommend implementing risk management, including active identification of patients at risk, teamwork support, management of missing resources, adjustment of the environment, and creation of a positive patient safety culture.
Investigation of nurses' perceptions of patient safety culture (PSC) might be beneficial in identifying safety areas that need improvement, especially during the COVID-19 pandemic. The study reports on the PSC in primary care from the nurses' perspective during the pandemic. Nurses (n = 117) evaluated teamwork (87.3%) and staff training (80.9%) positively but work pressure and pace (26.1%) and patient care tracking (45.3%) concerning PSC dimensions negatively. Limited care coordination and continuity lead to patient hospitalizations and care fragmentation. However, regular assessment of PSC can lead to adopting the necessary strategies to reinforce weaknesses and thus improve patient safety in primary care.
- MeSH
- bezpečnost pacientů MeSH
- COVID-19 * epidemiologie MeSH
- lidé MeSH
- organizační kultura MeSH
- pandemie MeSH
- percepce MeSH
- primární zdravotní péče MeSH
- průřezové studie MeSH
- průzkumy a dotazníky MeSH
- řízení bezpečnosti MeSH
- zdravotní sestry * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
Rationed nursing care is a significant problem in healthcare facilities worldwide. Awareness of contributing factors to rationed care might support the development and implementation of strategies for reducing this phenomenon from clinical practice. The study examined the association between selected hospital, unit, and staff variables and the prevalence of rationed nursing care. Secondary analysis of cross-sectional data collected between December 2017 and July 2018 from 895 registered nurses in seven acute care hospitals in the Slovak Republic was performed. Data were collected using the questionnaire Perceived Implicit Rationing of Nursing and analyzed by descriptive and inferential statistics in the statistical program SPSS 25.0. Statistically significant associations were found between rationed nursing care and unit type, education, shift type, nurses' experience in the current unit, overtime hours, missed shifts, intention to leave the position, perceived staff adequacy, quality of patient care, and job satisfaction. Differences in rating rationed nursing care, quality of patient care, and job satisfaction were identified based on hospital type. Together with top hospital management, nurse managers should develop targeted interventions focusing on mitigating rationed nursing care from the clinical practice with a focus placed on university hospitals. Quality and safe care might be ensured through constant monitoring of the quality of patient care and job satisfaction of nurses as these factors significantly predicted the estimates of rationed nursing care.
- MeSH
- lidé MeSH
- personál sesterský nemocniční * MeSH
- pracovní uspokojení MeSH
- přidělování zdravotní péče * MeSH
- průřezové studie MeSH
- průzkumy a dotazníky MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Slovenská republika MeSH
BACKGROUND: Nursing students are required to spend a significant portion of their educational preparation in clinical practice. Because of the prevalence of missed or rationed care, it seems irrefutable that students are exposed to rationed care during their practice placement, or that they contribute to its prevalence either actively or passively. OBJECTIVES: The study aimed to discover how nursing students interpret the concept of rationed care, and their experiences of rationing in practice. DESIGN: A descriptive qualitative study. PARTICIPANTS: Eighteen final year nursing students from three universities within the Slovak Republic. METHODS: Semistructured face-to-face interviews were conducted (n = 18). Data were analyzed using thematic analysis which resulted in the development of themes and subthemes. RESULTS: We identified three meaningful themes focused on the phenomenon of rationed care from the perspective of nursing students, namely Incomplete care is normalized; Provision of impersonal patient care; and the Existence of a hidden curriculum for practice placements. CONCLUSIONS: Student nurses were quite demanding about the learning experience during their clinical training. They are often frustrated by inconsistencies between their theoretical preparation and the realities of practice. They recognise difficulties for registered nurses in providing safe, high quality care in constrained circumstances, and although they are critical of this, they acknowledge their own acceptance of the situation. Based on this, students must establish an understanding of the theory behind, and reasons for rationed care before commencing clinical placement. A greater understanding would enable students to develop strategies for coping with inconsistencies and voicing concerns.
- MeSH
- kvalitativní výzkum MeSH
- lidé MeSH
- ošetřovatelská péče * MeSH
- přidělování zdravotní péče MeSH
- studenti ošetřovatelství * MeSH
- studium ošetřovatelství bakalářské * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Slovenská republika MeSH
