Larissa Tabata Viana Santana , Camila Fernandes Pollo , José Fausto de Morais , Aniele Fernanda Deplacido de Leo , Juliana Pierami de Freitas , Cesar de Oliveira , Silmara Meneguin
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引用次数: 0
Abstract
Background
The demanding and intricate practice environment affects the nursing care provided in the emergency room.
Objective
To investigate the relationship between the practice environment and missed nursing care in the emergency room while identifying the impact of sociodemographic and work-related factors.
Methods
A cross-sectional study was conducted involving 102 emergency room nursing staff at a public hospital in São Paulo state, Brazil. Data collection included administering the Misscare-Brazil survey and the Practice Environment Scale.
Results
The sample consisted of 28 nurses and 74 nursing technicians. Most were women (n = 89; 87.3 %); the largest segment had a high school education (n = 48; 47.1 %). The mean score on the Practice Environment Scale was 2.17 (±0.60). The multivariate analysis indicated that the practice environment was influenced by workload (p < 0.001), experience in the profession (p = 0.013), experience in the sector (p = 0.029), extra hours (p = 0.005), adequate employee numbers (p = 0.001), job satisfaction (p = 0.033), satisfaction with the profession (p = 0.016), and Part A of the Misscare-Brazil survey (p < 0.001). The mean number of care omissions was 2.64 (± 0.77). It was independently associated with education level (p = 0.040), workload (p < 0.001), extra hours (p = 0.005), number of patients under care (p = 0.004), number of discharges (p = 0.010), and satisfaction with the profession (p = 0.037).
Conclusion
The perception of an unfavourable practice environment impacted personal and work-related factors and was linked to missed nursing care in the emergency room.
期刊介绍：
International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care.
The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.
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