Effect of Practice Environment on Nurse Reported Quality and Patient Safety: The Mediation Role of Person-Centeredness

This study aims to explore the potential mediation role of person-centeredness between the effects of the work environment and nurse reported quality and patient safety. A quantitative cross-sectional survey collected data from 1055 nurses, working in medical and surgical units, in twelve Malaysian...

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Autores principales:	Mu’taman Jarrar, Mohammad Al-Bsheish, Badr K. Aldhmadi, Waleed Albaker, Ahmed Meri, Mohammed Dauwed, Mohd Sobri Minai
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	work environment quality patient safety person-centeredness workload Medicine R
Acceso en línea:	https://doaj.org/article/08ec8d7036e741bd87838c99842332d5
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spelling	oai:doaj.org-article:08ec8d7036e741bd87838c99842332d52021-11-25T17:46:34ZEffect of Practice Environment on Nurse Reported Quality and Patient Safety: The Mediation Role of Person-Centeredness10.3390/healthcare91115782227-9032https://doaj.org/article/08ec8d7036e741bd87838c99842332d52021-11-01T00:00:00Zhttps://www.mdpi.com/2227-9032/9/11/1578https://doaj.org/toc/2227-9032This study aims to explore the potential mediation role of person-centeredness between the effects of the work environment and nurse reported quality and patient safety. A quantitative cross-sectional survey collected data from 1055 nurses, working in medical and surgical units, in twelve Malaysian private hospitals. The data collection used structured questionnaires. The Hayes macro explored the mediation effect of person-centeredness between the associations of work environment dimensions and care outcomes, controlling nurses’ demographics and practice characteristics. A total of 652 nurses responded completely to the survey (61.8% response rate). About 47.7% of nurses worked 7-h shifts, and 37.0% were assigned more than 15 patients. Higher workload was associated with unfavorable outcomes. Nurses working in 12-h shifts reported a lower work environment rating (3.46 ± 0.41, <i>p</i> < 0.01) and person-centered care (3.55 ± 0.35, <i>p</i> < 0.01). Nurses assigned to more than 15 patients were less likely to report a favorable practice environment (3.53 ± 0.41, <i>p</i> < 0.05), perceived lower person-centered care (3.61 ± 0.36, <i>p</i> < 0.01), and rated lower patient safety (3.54 ± 0.62, <i>p</i> < 0.05). Person-centeredness mediates the effect of nurse work environment dimensions on quality and patient safety. Medical and surgical nurses, working in a healthy environment, had a high level of person-centeredness, which, in turn, positively affected the reported outcomes. The function of person-centeredness was to complement the effects of the nurse work environment on care outcomes. Improving the nurse work environment (task-oriented) with a high level of person-centeredness (patient-oriented) was a mechanism through which future initiatives could improve nursing care and prevent patient harm.Mu’taman JarrarMohammad Al-BsheishBadr K. AldhmadiWaleed AlbakerAhmed MeriMohammed DauwedMohd Sobri MinaiMDPI AGarticlework environmentqualitypatient safetyperson-centerednessworkloadMedicineRENHealthcare, Vol 9, Iss 1578, p 1578 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	work environment quality patient safety person-centeredness workload Medicine R
spellingShingle	work environment quality patient safety person-centeredness workload Medicine R Mu’taman Jarrar Mohammad Al-Bsheish Badr K. Aldhmadi Waleed Albaker Ahmed Meri Mohammed Dauwed Mohd Sobri Minai Effect of Practice Environment on Nurse Reported Quality and Patient Safety: The Mediation Role of Person-Centeredness
description	This study aims to explore the potential mediation role of person-centeredness between the effects of the work environment and nurse reported quality and patient safety. A quantitative cross-sectional survey collected data from 1055 nurses, working in medical and surgical units, in twelve Malaysian private hospitals. The data collection used structured questionnaires. The Hayes macro explored the mediation effect of person-centeredness between the associations of work environment dimensions and care outcomes, controlling nurses’ demographics and practice characteristics. A total of 652 nurses responded completely to the survey (61.8% response rate). About 47.7% of nurses worked 7-h shifts, and 37.0% were assigned more than 15 patients. Higher workload was associated with unfavorable outcomes. Nurses working in 12-h shifts reported a lower work environment rating (3.46 ± 0.41, <i>p</i> < 0.01) and person-centered care (3.55 ± 0.35, <i>p</i> < 0.01). Nurses assigned to more than 15 patients were less likely to report a favorable practice environment (3.53 ± 0.41, <i>p</i> < 0.05), perceived lower person-centered care (3.61 ± 0.36, <i>p</i> < 0.01), and rated lower patient safety (3.54 ± 0.62, <i>p</i> < 0.05). Person-centeredness mediates the effect of nurse work environment dimensions on quality and patient safety. Medical and surgical nurses, working in a healthy environment, had a high level of person-centeredness, which, in turn, positively affected the reported outcomes. The function of person-centeredness was to complement the effects of the nurse work environment on care outcomes. Improving the nurse work environment (task-oriented) with a high level of person-centeredness (patient-oriented) was a mechanism through which future initiatives could improve nursing care and prevent patient harm.
format	article
author	Mu’taman Jarrar Mohammad Al-Bsheish Badr K. Aldhmadi Waleed Albaker Ahmed Meri Mohammed Dauwed Mohd Sobri Minai
author_facet	Mu’taman Jarrar Mohammad Al-Bsheish Badr K. Aldhmadi Waleed Albaker Ahmed Meri Mohammed Dauwed Mohd Sobri Minai
author_sort	Mu’taman Jarrar
title	Effect of Practice Environment on Nurse Reported Quality and Patient Safety: The Mediation Role of Person-Centeredness
title_short	Effect of Practice Environment on Nurse Reported Quality and Patient Safety: The Mediation Role of Person-Centeredness
title_full	Effect of Practice Environment on Nurse Reported Quality and Patient Safety: The Mediation Role of Person-Centeredness
title_fullStr	Effect of Practice Environment on Nurse Reported Quality and Patient Safety: The Mediation Role of Person-Centeredness
title_full_unstemmed	Effect of Practice Environment on Nurse Reported Quality and Patient Safety: The Mediation Role of Person-Centeredness
title_sort	effect of practice environment on nurse reported quality and patient safety: the mediation role of person-centeredness
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/08ec8d7036e741bd87838c99842332d5
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Effect of Practice Environment on Nurse Reported Quality and Patient Safety: The Mediation Role of Person-Centeredness

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