Berdida Daniel Joseph E, Alhudaib Noura
College of Nursing, University of Santo Tomas, Manila, Philippines.
North Private College of Nursing, Arar City, Northern Borders Region, Saudi Arabia.
J Clin Nurs. 2025 Jun;34(6):2181-2193. doi: 10.1111/jocn.17393. Epub 2024 Jul 29.
To investigate the interrelationships of patient safety, caring behaviours, professional self-efficacy and missed nursing care among emergency room nurses.
Cross-sectional, correlational study.
Filipino emergency room nurses (n = 345) participated via convenience sampling from September 2023 to January 2024. Four validated self-report scales were used to collect data and were analysed using Spearman rho, covariance-based structural equation modelling, mediation and path analyses.
The emerging model of study variables displayed satisfactory fit indices. Patient safety directly influenced caring behaviours and professional self-efficacy, while negatively influencing missed nursing care. Caring behaviours directly and indirectly affected professional self-efficacy and missed nursing care, respectively. Professional self-efficacy negatively influences missed nursing care. Finally, caring behaviours and professional self-efficacy were significant mediators between the association of patient safety and missed nursing care.
Caring behaviours and professional self-efficacy of emergency room nurses demonstrated mediating effects that can potentially improve patient safety practices thereby minimizing unfinished or missed nursing care.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Nurses and healthcare organizations should commit to consistently maintain a workplace culture that fosters patient safety, caring behaviours and professional self-efficacy to minimize avoidable injuries and omitting nursing care tasks.
STrengthening the Reporting of OBservational studies in Epidemiology (STROBE).
No Patient or Public Contribution.
探讨急诊室护士的患者安全、关怀行为、专业自我效能感与护理缺失之间的相互关系。
横断面相关性研究。
2023年9月至2024年1月，通过便利抽样法招募了345名菲律宾急诊室护士参与研究。使用四个经过验证的自我报告量表收集数据，并采用Spearman等级相关系数、基于协方差的结构方程建模、中介分析和路径分析进行分析。
研究变量的新出现模型显示出令人满意的拟合指数。患者安全直接影响关怀行为和专业自我效能感，同时对护理缺失产生负面影响。关怀行为分别直接和间接影响专业自我效能感和护理缺失。专业自我效能感对护理缺失产生负面影响。最后，关怀行为和专业自我效能感是患者安全与护理缺失之间关联的重要中介因素。
急诊室护士的关怀行为和专业自我效能感具有中介作用，可能会改善患者安全实践，从而最大限度地减少未完成或缺失的护理。
对专业和/或患者护理的启示：护士和医疗保健组织应致力于持续营造一种促进患者安全、关怀行为和专业自我效能感的工作场所文化，以尽量减少可避免的伤害和遗漏护理任务。
加强流行病学观察性研究报告（STROBE）。
无患者或公众贡献。
