Department of Fundamentals and Nursing Administration, College of Nursing, Sultan Qaboos University, Muscat, Oman.
Department of Community and Mental Health Nursing, Faculty of Nursing/Jordan University of Science and Technology, Jordan.
Nurs Forum. 2021 Oct;56(4):897-904. doi: 10.1111/nuf.12639. Epub 2021 Aug 4.
Fostering a healthy work environment becomes a necessity in health care institutions that value quality care and patient safety. However, limited studies investigated the impact of work environment characteristics including staffing and teamness among healthcare teams on adverse patient events in Oman.
To examine the (1) impact of work environment, interprofessional teamness, staffing levels on adverse patient events and (2) predicting factors of perceptions of work environment among nurses in the Sultanate of Oman.
A cross-sectional descriptive design was utilized to collect data from 2113 nurses. Participants completed a self-report questionnaire that included a set of instruments.
The results showed a strong positive relationship between work environment and teamness (r = 0.59, p < 0.001). Nurses working in a favorable environment that has positive teamwork reported a reduction in adverse events including patient and family complaints, patient and family verbal abuse, patient falls, nosocomial infections, and medication errors (p < 0.001). There was a nonsignificant correlation between staffing and adverse patient events.
Fostering a healthy and supportive work environment continue to be crucial for ensuring patient safety. Nurse administrators should strive to improve work environment through creating a culture that values interprofessional teamwork and collaborative relationships.
在重视优质护理和患者安全的医疗机构中,营造健康的工作环境变得尤为必要。然而,关于工作环境特征(包括医护团队的人员配备和团队协作)对阿曼医疗保健机构中不良患者事件的影响,相关研究有限。
(1)考察工作环境、跨专业团队协作、人员配备水平对不良患者事件的影响,以及(2)阿曼护士对工作环境感知的预测因素。
采用横断面描述性设计,从 2113 名护士中收集数据。参与者完成了一份自我报告问卷,其中包括了一系列工具。
结果显示,工作环境与团队协作之间存在强烈的正相关关系(r=0.59,p<0.001)。在积极的工作环境中,具有积极团队协作精神的护士报告称,不良事件(包括患者和家属投诉、患者和家属言语虐待、患者跌倒、医院感染和用药错误)有所减少(p<0.001)。人员配备与不良患者事件之间无显著相关性。
营造健康且支持性的工作环境对于确保患者安全仍然至关重要。护理管理人员应努力通过营造重视跨专业团队合作和协作关系的文化来改善工作环境。