Impact of safe nurse staffing on the quality of care in Portuguese public hospitals: A cross-sectional study.
J Nurs Manag
; 29(5): 1246-1255, 2021 Jul.
Article
em En
| MEDLINE
| ID: mdl-33482037
ABSTRACT
AIM:
To assess the impact of safe nurse staffing on the quality of care, based on the structure-process-outcome approach, in Portuguese hospitals.BACKGROUND:
Safe nurse staffing is essential for the quality of care in hospital settings, together with work environment, organisational commitment and nursing practices. However, there is little evidence of its analysis in the Portuguese context.METHOD:
A cross-sectional survey study was conducted using a sample of 850 nurses from 12 public hospital units in the central and northern regions of Portugal.RESULTS:
The proposed structural equation model for quality assessment has a good fit (χ2 /df = 2.37; CFI = 0.88, PCFI = 0.83; PGFI = 0.77, RMSEA = 0.04), showing the impact of safe nurse staffing, work environment, and affective and normative organisational commitment on the quality of care (mortality rate and adverse events). The mediating effect of nursing practices was also found.CONCLUSION:
Safe nurse staffing, which is compromised in 90% of the units, is a predictor of the quality of care through the mediating effect of nursing practices. IMPLICATIONS FOR NURSING MANAGEMENT The results not only highlight the need for urgent intervention but also support political decision-making with a view to improving the access to quality care.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Enfermeiras e Enfermeiros
/
Recursos Humanos de Enfermagem Hospitalar
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
País como assunto:
Europa
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article