ICU nurses’ safety performance related to respect for safety and management commitment: A cross-sectional study

Al‐Bsheish, Mohammad; Jarrar, Mu’taman; Mustafa, Munauwar; Zubaidi, Faraj; Azril, Mohd; Meri, Ahmed; Dauwed, Mohammed

doi:10.1080/10376178.2022.2104740

Cited by 15 publications

(10 citation statements)

References 65 publications

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“…Incidence of workplace violence should be investigated for appropriate actions and interventions. Likewise, the working conditions of nurses and occupational health and safety should also be taken into account to maintain a healthy work environment in order to eradicate this social phenomenon or if not, at least reduce the number of violence cases (Al-Bsheish et al, 2022;Al-Mugheed et al, 2022;Jarrar et al, 2020Jarrar et al, , 2021. Nurse managers can utilize the Triple-A: acquaint, analyse and act workplace violence themes to prevent abuse, incivility and any other forms of violence.…”

Section: Resultsmentioning

confidence: 99%

‘Triple‐A: Acquaint, analyse and act’: The insights of nurse educators towards a better understanding of workplace violence in Saudi Arabia

Salvador

2022

J Nursing Management

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Aim This study aims to investigate the experiences and insights of nurse educators in order to acquire a better understanding of the nature and various factors associated with workplace violence, which could lead to the establishment of future actions and recommendations to eliminate or reduce aggression, abuse, incivility and any other forms of violence in the health sector. Background Workplace violence is one of the social phenomena that have not been fully explored in various settings such as educational institutions and health care facilities. A worker who has experienced violence could provide valuable insights that could help to better understand and sustainably protect an individual, a group or an organization from workplace violence and its unfavourable consequences. Methods Qualitative description is used in this phenomenological study. A total of 18 nurse educators who met the inclusion criteria were enrolled as the study participants in a government university located in the Eastern Region of Saudi Arabia. Purposive sampling method was used in the recruitment. In addition, a semi‐structured interview guide was employed to explore the participants' experiences and insights from February to June 2021. Data were analysed using Colaizzi's methods, and a consolidated criteria for reporting qualitative research checklist was utilized to report the study's results. Results The participants' narratives generated three major themes, namely, the ‘Triple‐A’: (1) ‘acquaint’, (2) ‘analyse’ and (3) ‘act’, to better understand workplace violence themes. Conclusion The ‘Triple‐A: Acquaint, analyse, and act’ workplace violence themes can serve as a simple guide to better understand the nature and different factors associated with workplace violence: ‘acquaint’ illustrates self‐awareness; ‘analyse’ pertains to the recognition to possible indications and signals; and ‘act’ depicts an individual's proactiveness and responsiveness to workplace violence and conceivably catalyses the decrease of this social hazard's prevalence. Implication for Nursing Management Leaders and managers in the nursing field should prioritize their participation in developing creative strategies and their implementation of policies to manage and mitigate violence in the workplace, such as initiating ongoing education (acquaint), creating robust procedures for reporting and referral (analyse), establishing support networks, listening to victims' experiences and promoting respect to individual differences (act).

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Section: Resultsmentioning

confidence: 99%

‘Triple‐A: Acquaint, analyse and act’: The insights of nurse educators towards a better understanding of workplace violence in Saudi Arabia

Salvador

2022

J Nursing Management

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“…67 Effective supervision and empowerment have been proven to enhance commitment to safety and reduce unfavourable outcomes. 52,[68][69][70][71] Studies have demonstrated that an increase in manager support decreases burnout 72,73 by improving the work environment. 55 Likewise, physician engagement is increasingly viewed as a counteractive mechanism against burnout.…”

Section: Discussionmentioning

confidence: 99%

Hospital Work Conditions and the Mediation Role of Burnout: Residents and Practicing Physicians Reporting Adverse Events

Jarrar¹,

Al‐Bsheish

Albaker³

et al. 2023

RMHP

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Background: "Patient Safety" in everyday practices is a target of healthcare leaders, and adverse events reported by healthcare providers directly reflect patient safety in the health system. Recognising how residents and practising physicians rate adverse events concerning their work conditions and burnout must be explored.Objective: This study aims to explore the mediation effect of burnout dimensions (emotional exhaustion and burnout-interpersonal disengagement) between the effects of work conditions on perceived patient safety by exploring the adverse events that residents and practising physicians reported. Methods: A quantitative and cross-sectional study collected data from 249 residents and practising physicians in a huge teaching hospital and primary health care centre (PHC) in the Eastern Province of Saudi Arabia. Hayes Macro regression analysis was employed to evaluate the multiple mediation effect of burnout dimensions, with 5000 bootstrapping and a confidence interval (CI) of 95% for statistical inference and p≤0.05 for the significance level. Results: Leadership support (B= 0.39, t= 6.24, p<0.001) and physician engagement (B=0.43, t=6.50, p<0.001) were associated with a decreased rate of adverse events to patient safety, whereas workload (B=−0.23, t=−3.73, p<0.001) was negatively associated with an increased rate of adverse events. Burnout was shown to mediate the relationship between the effects of physician's leadership support (R 2 =0.26, F=27.50, p<0.001), work engagement (R 2 =0.25, F=27.07, p<0.001) and workload (R 2 =0.23, F=24.23, p<0.001) on the rate of adverse events. Conclusion:This study provides insights into burnout dimensions and their consequences on patient safety indicators (ie, adverse events). Work conditions (ie, leadership support, physician engagement, and workload) directly affect the rate of adverse events and indirectly through mediators like burnout-emotional exhaustion and burnout-interpersonal disengagement.

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“…The cross-sectional, descriptive design was utilized in more than half of the reviewed studies. Although these designs are quick and inexpensive to conduct, they may demonstrate several challenges, such as difficulty interpreting relationships identified and making a causal inference [ 54 , 55 , 56 , 57 ]. Using a qualitative or mixed-method design would have given in-depth and more specific responses from the participants than the self-reported instruments used [ 58 , 59 , 60 ].…”

Section: Discussionmentioning

confidence: 99%

Knowledge, Practice, Compliance, and Barriers toward Ventilator-Associated Pneumonia among Critical Care Nurses in Eastern Mediterranean Region: A Systematic Review

et al. 2022

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Background: Ventilator-associated pneumonia (VAP) has been identified as a serious complication among hospitalized patients and is associated with prolonged hospitalizations and increased costs. The purpose of this study was to examine the knowledge, practices, compliance, and barriers related to ventilator-associated pneumonia among critical care nurses in the eastern Mediterranean region. Methods: The PRISMA guidelines guided this systematic review. Four electronic databases (EMBASE, MEDLINE (via PubMed), SCOPUS, and Web of Science) were used to find studies that were published from 2000 to October 2021. Results: Knowledge of ventilator-associated pneumonia was the highest outcome measure used in 14 of the 23 studies. The review results confirmed that nurses demonstrated low levels of knowledge of ventilator-associated pneumonia, with 11 studies assessing critical care nurses’ compliance with and practice with respect to ventilator-associated pneumonia. Overall, the results showed that most sampled nurses had insufficient levels of compliance with and practices related to ventilator-associated pneumonia. The main barriers reported across the reviewed studies were a lack of education (N = 6), shortage of nursing staff (N = 5), lack of policies and protocols (N = 4), and lack of time (N = 4). Conclusions: The review confirmed the need for comprehensive interventions to improve critical care nurses’ knowledge, compliance, and practice toward ventilator-associated pneumonia. Nurse managers must address barriers that impact nurses’ levels of knowledge, compliance with, and practices related to ventilator-associated pneumonia.

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ICU nurses’ safety performance related to respect for safety and management commitment: A cross-sectional study

Cited by 15 publications

References 65 publications

‘Triple‐A: Acquaint, analyse and act’: The insights of nurse educators towards a better understanding of workplace violence in Saudi Arabia

‘Triple‐A: Acquaint, analyse and act’: The insights of nurse educators towards a better understanding of workplace violence in Saudi Arabia

Hospital Work Conditions and the Mediation Role of Burnout: Residents and Practicing Physicians Reporting Adverse Events

Knowledge, Practice, Compliance, and Barriers toward Ventilator-Associated Pneumonia among Critical Care Nurses in Eastern Mediterranean Region: A Systematic Review

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