Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: A cross‐sectional survey.
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 pati...
| Published in: | Journal of Advanced Nursing (John Wiley & Sons, Inc.) Vol. 78; no. 11; pp. 3710 - 3721 |
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| Main Authors: | , , |
| Format: | research tables/charts Journal Article |
| Published: |
John Wiley & Sons, Inc.
Nov2022
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=159726048&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 159726048 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03092402 LVDY jtl: Journal of Advanced Nursing (John Wiley & Sons, Inc.) issn: 03092402 maglogo: N pubinfo: dt: Nov2022 vid: 78 iid: 11 pid: 52269 pub: John Wiley & Sons, Inc. artinfo: ui: 159726048 156425944 159726048 159726048 10.1111/jan.15269 159726048 ppf: 3710 ppct: 11 formats: tig: atl: Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: A cross‐sectional survey. aug: au: Redley, Bernice Taylor, Natalie Hutchinson, Alison M. affil: School of Nursing and Midwifery and Centre for Quality and Patient Safety, Institute for Health Transformation, Deakin University, Burwood Victoria,, Australia sug: subj: Harm Reduction Prevention and Control Nurse Attitudes Nursing Role Implementation Science Patient Safety Quality Improvement Human Cross Sectional Studies Aged Nurses Questionnaires Hospitals Victoria Convenience Sample Descriptive Statistics Coercion Patient Education Persuasive Communication Victoria Data Analysis Software Analysis of Variance Unpaired T-Tests Post Hoc Analysis Funding Source Male Female Aged: 65+ years Male Female ab: 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. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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