Al Sabei Sulaiman, Qutishat Mohammed, Labrague Leodoro, Al-Rwajfah Omar, Burney Ikram, AbulRub Raeda
Fundamentals and Administration Department, College of Nursing, Sultan Qaboos University, P.O. Box 50, Al-Khodh, Muscat 123, Oman.
Community and Mental Health Department, College of Nursing, Sultan Qaboos University, P.O. Box 66, Al-Khodh, Muscat 123, Oman.
J Nurs Manag. 2025 Feb 18;2025:1977327. doi: 10.1155/jonm/1977327. eCollection 2025.
Ensuring safe practices remains a top priority for healthcare policymakers. However, limited evidence has examined the link between individual, work-related factors, and patient safety within critical care units in Oman. To assess the relationship between staffing levels, job-related emotional exhaustion, and adverse patient events among nurses working in critical care units. A cross-sectional study was conducted to collect data from critical care nurses in Oman. Nurses were recruited using a stratified proportional sampling method. A total of 694 critical care nurses participated in the study. More than half (64.1%) of the critical care nurses experienced higher levels of emotional exhaustion. Significant predictors of adverse patient events included nurse staffing level ( = 0.09, < 0.001), emotional exhaustion ( = 0.25, < 0.001), hospital type (being affiliated with nonteaching hospitals) (=0.021), and nationality ( = -0.15, < 0.001). The occurrence of nurse-reported adverse events was associated with several key variables, including nurse staffing levels, emotional exhaustion, hospital type, and nationality. To improve patient safety, healthcare policymakers should prioritize optimizing nurse staffing levels and implement strategies to reduce emotional exhaustion, particularly in nonteaching hospitals and among specific nurse demographics.
确保安全操作仍是医疗政策制定者的首要任务。然而，在阿曼，仅有有限的证据研究了重症监护病房内个体、工作相关因素与患者安全之间的联系。本研究旨在评估重症监护病房护士的人员配备水平、工作相关的情绪耗竭与不良患者事件之间的关系。我们进行了一项横断面研究，以收集阿曼重症监护护士的数据。护士采用分层比例抽样方法招募。共有694名重症监护护士参与了该研究。超过一半（64.1%）的重症监护护士经历了较高程度的情绪耗竭。不良患者事件的显著预测因素包括护士人员配备水平（β = 0.09，P < 0.001）、情绪耗竭（β = 0.25，P < 0.001）、医院类型（隶属于非教学医院）（β = 0.021）和国籍（β = -0.15，P < 0.001）。护士报告的不良事件的发生与几个关键变量相关，包括护士人员配备水平、情绪耗竭、医院类型和国籍。为了提高患者安全，医疗政策制定者应优先优化护士人员配备水平，并实施减少情绪耗竭的策略，特别是在非教学医院和特定护士群体中。
