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Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: A cross‐sectional survey.
- Source :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.); Nov2022, Vol. 78 Issue 11, p3710-3720, 11p
- Publication Year :
- 2022
-
Abstract
- Background: Preventable harms during hospitalization pose a major challenge for health systems globally. Nurse‐led strategies provide comprehensive harm prevention to keep the most vulnerable patients safe in hospital, but gaps in care are common. Nursing roles and activities to prevent harm to patients during acute hospitalization are poorly understood. Aim: The aim of this study was to identify nurses' perceived enablers and barriers to the implementation of comprehensive harm prevention for older people admitted to an acute hospital setting. Design: Anonymous, online, cross‐sectional survey. Methods: The adapted Influences on Patient Safety Behaviours Questionnaire (IPSBQ) was used to collect data from nurses working on five general medicine wards across three hospitals of a single tertiary health service in Australia in 2019. Participants also rated their perceptions of overall quality of care, missed care and awareness of strategies for an eight‐factor framework for comprehensive harm prevention. The STROBE reporting checklist was used. Results: Ward response rates between 35% and 58% resulted in 132 complete questionnaires for analyses. High mean scores for behavioural regulation (3.28), beliefs about capabilities (2.96) and environmental context and resources (2.73) indicated these domains were perceived by nurses as enablers. Low mean scores for the domains of intentions (1.65), beliefs about consequences (1.69), optimism (1.72) and professional role and identity (1.85) indicated these were barriers to comprehensive harm prevention by nurses. High perceived quality of care (scored 9–10/10) (p =.024), and awareness of strategies for the eight‐factor framework (p =.019) were significant enablers of comprehensive harm prevention. Conclusion: Targeted evidence‐based strategies that include education, persuasion, incentivization, coercion and modelling would be most useful for promoting comprehensive harm prevention by nurses. However, to be most effective the harm prevention strategy may need to be tailored for each ward. [ABSTRACT FROM AUTHOR]
- Subjects :
- OCCUPATIONAL roles
HOSPITALS
STATISTICS
NURSES' attitudes
ANALYSIS of variance
CROSS-sectional method
PERSUASION (Rhetoric)
HARM reduction
T-test (Statistics)
NURSES
QUALITY assurance
QUESTIONNAIRES
DESCRIPTIVE statistics
RESEARCH funding
STATISTICAL sampling
PATIENT education
DATA analysis software
DATA analysis
PATIENT safety
CONTROL (Psychology)
OLD age
Subjects
Details
- Language :
- English
- ISSN :
- 03092402
- Volume :
- 78
- Issue :
- 11
- Database :
- Complementary Index
- Journal :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 159726048
- Full Text :
- https://doi.org/10.1111/jan.15269