From the Department of Nursing, Faculty of Health Sciences, Istanbul Aydin University, Istanbul, Turkey.
Department of Nursing, Faculty of Health Sciences Zonguldak Bülent Ecevit University, Zonguldak, Turkey.
J Patient Saf. 2024 Oct 1;20(7):522-527. doi: 10.1097/PTS.0000000000001266. Epub 2024 Aug 28.
This study aimed to examine the relationship between work environment and missed nursing care (MNC) in nurses and determine whether profession self-efficacy has a moderator role in this relationship.
A quantitative, cross-sectional, correlational study design was used to test the study model.
The study was conducted with 433 nurses in 2 city hospitals in Istanbul, Turkey. Data were collected between November 2022 and February 2023 using the "MISSCARE Survey-Turkish," the "Work Environment Scale," and the "Nursing Profession Self-Efficacy Scale."
The participants had a mean Nursing Profession Self-Efficacy Scale score of 66.67 ± 14.37, a mean Work Environment Scale score of 84.96 ± 13.62, a mean elements of MNC score of 1.30 ± 0.73, and a mean reason for MNC score of 3.18 ± 0.78. Nursing profession self-efficacy was determined to be positively related to the work environment of the participants and their reasons for MNC (respectively, r = 0.276 and r = 0.114) and negatively related to elements of MNC ( r = -0.216) ( P < 0.05). There was also a negative relationship between the work environment and elements of MNC ( r = -0.249; P < 0.05). Profession self-efficacy had a significant moderator role in the relationship between the work environment and elements of MNC. Having low or moderate levels of profession self-efficacy moderated the negative effects of the work environment on elements of MNC.
There is a need for interventions to reduce elements of missed nursing care in nurses. Especially nurses and/or nurse managers may have difficulties in improving their work environment, considering its multifaceted structure. In such cases, administrators can reduce missed nursing care by increasing the profession self-efficacy of nurses. Therefore, profession self-efficacy should be considered in addition to interventions for the work environment to improve care.
本研究旨在探讨工作环境与护士护理差错（MNC）之间的关系，并确定职业自我效能感是否在这种关系中起调节作用。
采用定量、横断、相关研究设计来检验研究模型。
本研究在土耳其伊斯坦布尔的 2 家城市医院招募了 433 名护士。数据收集于 2022 年 11 月至 2023 年 2 月期间，采用“MISSCARE 调查-土耳其语版”、“工作环境量表”和“护理职业自我效能感量表”进行收集。
参与者的护理职业自我效能感量表评分为 66.67 ± 14.37，工作环境量表评分为 84.96 ± 13.62，护理差错要素评分为 1.30 ± 0.73，护理差错原因评分为 3.18 ± 0.78。研究发现，职业自我效能感与参与者的工作环境及其护理差错原因呈正相关（分别为 r = 0.276 和 r = 0.114），与护理差错要素呈负相关（ r = -0.216）（ P < 0.05）。工作环境与护理差错要素之间也呈负相关（ r = -0.249； P < 0.05）。职业自我效能感在工作环境与护理差错要素之间具有显著的调节作用。职业自我效能感水平较低或中等时，工作环境对护理差错要素的负面影响会减弱。
需要采取干预措施减少护士护理差错。特别是在考虑到工作环境的多面性结构时，护士和/或护士长可能难以改善工作环境。在这种情况下，管理人员可以通过提高护士的职业自我效能感来减少护理差错。因此，除了干预工作环境外，还应考虑职业自我效能感来改善护理。
