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☐ ☆ ✇ Journal of Clinical Nursing

Linking patient safety, caring behaviours and professional self‐efficacy with missed nursing care among Filipino emergency room nurses: A structural equation model study

Por: Daniel Joseph E. Berdida · Noura Alhudaib — Julio 29th 2024 at 13:25

Abstract

Aims

To investigate the interrelationships of patient safety, caring behaviours, professional self-efficacy and missed nursing care among emergency room nurses.

Design

Cross-sectional, correlational study.

Methods

Filipino emergency room nurses (n = 345) participated via convenience sampling from September 2023 to January 2024. Four validated self-report scales were used to collect data and were analysed using Spearman rho, covariance-based structural equation modelling, mediation and path analyses.

Results

The emerging model of study variables displayed satisfactory fit indices. Patient safety directly influenced caring behaviours and professional self-efficacy, while negatively influencing missed nursing care. Caring behaviours directly and indirectly affected professional self-efficacy and missed nursing care, respectively. Professional self-efficacy negatively influences missed nursing care. Finally, caring behaviours and professional self-efficacy were significant mediators between the association of patient safety and missed nursing care.

Conclusion

Caring behaviours and professional self-efficacy of emergency room nurses demonstrated mediating effects that can potentially improve patient safety practices thereby minimizing unfinished or missed nursing care.

Implications for the Profession and/or Patient Care

Nurses and healthcare organizations should commit to consistently maintain a workplace culture that fosters patient safety, caring behaviours and professional self-efficacy to minimize avoidable injuries and omitting nursing care tasks.

Reporting Method

STrengthening the Reporting of OBservational studies in Epidemiology (STROBE).

Patient or Public Contribution

No Patient or Public Contribution.

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