Adelaide Nursing School, The University of Adelaide, Adelaide, Australia; College of Medicine and Health Sciences, Bahir Dar University, Ethiopia.
Adelaide Nursing School, The University of Adelaide, Adelaide, Australia; Centre for Evidence-based Practice South Australia: an Affiliate Centre of the Joanna Briggs Institute, Australia; College of Nursing and Health Sciences, Flinders University, Adelaide, Australia.
Appl Nurs Res. 2022 Jun;65:151572. doi: 10.1016/j.apnr.2022.151572. Epub 2022 Mar 8.
Patient safety is a major concern for health care systems in both high-income and low- and middle-income countries (LMICs). Nurses play a key role in ensuring patient safety. Existing research on nurses' perception of patient safety is limited to high-income countries and there is a relative scarcity of evidence on the perceptions of nurses from LMICs. Therefore, the aim of this study was to explore nurses' perceptions and experiences of the provision of patient care and its impact on patient safety, and nurses' own health and wellbeing.
An exploratory descriptive qualitative study using in-depth semi-structured interviews was conducted in two hospitals' medical and surgical units in Amhara Regional State, Ethiopia. Purposeful sampling was used for the selection of participants. Thirteen nurses were interviewed. Thematic analysis was conducted using NVivo 12.
Three major themes were identified: nurses are concerned about patient safety and quality of care provided; nurses' own health and wellbeing; and lack of support for nursing practice from hospital administration. Nurses reported that their working units were not suitable to ensure safe and quality patient care. Their level of concern differed from one unit to another. Inadequate nurse staffing and material resources, unfavourable work environment, and lack of appropriate leadership support for nursing practice were among the main challenges reported by nurses.
Nurses described that they were committed to providing high-quality nursing care. However, they did not feel that their work environment was conducive to facilitating this care. Ensuring a favourable work environment for nurses would help to improve the quality of patient care, and in the reduction of nurses' turnover.
患者安全是高收入国家和中低收入国家（LMICs）医疗系统的主要关注点。护士在确保患者安全方面发挥着关键作用。现有关于护士对患者安全感知的研究仅限于高收入国家，而关于来自 LMICs 的护士感知的证据相对较少。因此，本研究旨在探讨护士对患者护理提供及其对患者安全、护士自身健康和福祉的感知和经验。
在埃塞俄比亚阿姆哈拉地区的两家医院的医疗和外科病房进行了一项探索性描述性定性研究，采用深入的半结构化访谈。目的抽样用于选择参与者。对 13 名护士进行了访谈。使用 NVivo 12 进行主题分析。
确定了三个主要主题：护士关注患者安全和提供的护理质量；护士自身的健康和福祉；以及医院管理层对护理实践的支持不足。护士报告说，他们的工作单位不适合确保安全和高质量的患者护理。他们的关注程度因单位而异。护士报告的主要挑战包括护士人手不足和物资资源不足、工作环境不利以及缺乏适当的领导支持护理实践。
护士描述说，他们致力于提供高质量的护理。然而，他们认为自己的工作环境不利于促进这种护理。为护士提供有利的工作环境将有助于提高患者护理质量，并减少护士流失。
