护理实践环境与护理差错之间关联的结构方程模型：一项横断面研究。
Structural Equation Modeling of Associations Between Nursing Practice Environment And Missed Nursing Care: A Cross-sectional Study.
机构信息
Author Affiliations: Department of Nursing (Dr Rivaz) and Community Based Psychiatric Care Research Center (Dr Pasyar), School of Nursing and Midwifery (Ms Abbasi), Student Research Committee of Shiraz University of Medical Sciences, Shiraz, Iran.
出版信息
J Nurs Care Qual. 2024;39(2):E16-E22. doi: 10.1097/NCQ.0000000000000752. Epub 2023 Oct 2.
BACKGROUND
Missed nursing care (MNC) negatively impacts the quality of patient care. There may be a relationship between the nursing practice environment (NPE) and MNC; however, this relationship has not been examined in developing countries during the COVID-19 pandemic.
PURPOSE
To determine the relationship between the NPE and MNC during the COVID-19 pandemic.
METHODS
A cross-sectional study of 300 participants was conducted in 4 teaching hospitals in Iran. Data were collected using a demographic and clinical form, the Nursing Professional Practice Environment Questionnaire, and MISSCARE survey and analyzed using structural equation modeling.
RESULTS
The hypothesized model was well fit, showing that 1 unit improvement of the NPE domains of patient-centered care , effective leadership , and policy transparency decreased MNC by 0.18, 0.12, and 0.05, respectively.
CONCLUSION
The model confirmed the association between the dimensions of the NPE and MNC. These findings can assist health policymakers and nursing managers in improving the NPE.
背景
遗漏的护理（MNC）会对患者护理质量产生负面影响。护理实践环境（NPE）与 MNC 之间可能存在关系；然而，在 COVID-19 大流行期间，这一关系尚未在发展中国家进行过研究。
目的
确定 COVID-19 大流行期间 NPE 和 MNC 之间的关系。
方法
在伊朗的 4 所教学医院进行了一项横断面研究，共纳入 300 名参与者。使用人口统计学和临床表格、护理专业实践环境问卷和 MISSCARE 调查收集数据，并使用结构方程模型进行分析。
结果
假设模型拟合良好，结果显示，NPE 中患者为中心的护理、有效领导和政策透明度领域每提高 1 个单位，MNC 分别减少 0.18、0.12 和 0.05。
结论
该模型证实了 NPE 各维度与 MNC 之间的关联。这些发现可以帮助卫生政策制定者和护理管理人员改善 NPE。
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