Dataset Information

Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: A cross-sectional survey.

ABSTRACT:

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.

SUBMITTER: Redley B

PROVIDER: S-EPMC9790359 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: A cross-sectional survey.

Redley Bernice B Taylor Natalie N Hutchinson Alison M AM

Journal of advanced nursing 20220422 11

<h4>Background</h4>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.<h4>Aim</h4>The aim of this study was to identify nurses' perceived enablers and barriers to the implementation of comprehensive harm pre ...[more]

PMID: 35451523

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Dataset Information

Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: A cross-sectional survey.

Background

Aim

Design

Methods

Results

Conclusion

Publications

Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: A cross-sectional survey.

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