Journal article
Do nurse and patient injuries share common antecedents? An analysis of associations with safety climate and working conditions
BMJ quality & safety, v 21(2), pp 101-111
Feb 2012
PMID: 22016377
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background : Safety climate and nurses' working conditions may have an impact on both patient outcomes and nurse occupational health, but these outcomes have rarely been examined concurrently.
Objective : To examine the association of unit-level safety climate and specific nurse working conditions with injury outcomes for both nurses and patients in a single hospital.
Research design : A cross-sectional study was conducted using nursing-unit level and individual-level data at an urban, level-one trauma centre in the USA. Multilevel logistic regressions were used to examine associations among injury outcomes, safety climate and working conditions on 29 nursing units, including a total of 723 nurses and 28 876 discharges.
Measures : Safety climate was measured in 2004 using the Safety Attitudes Questionnaire (SAQ). Working conditions included registered nursing hours per patient day (RNHPPD) and unit turnover. Patient injuries included 290 falls, 167 pulmonary embolism/deep vein thrombosis (PE/DVT), and 105 decubitus ulcers. Nurse injury was defined as a reported needle-stick, splash, slip, trip, or fall (n=78). Working conditions and outcomes were measured in 2005.ResultsThe study found a negative association between two SAQ domains, Safety and Teamwork, with the odds of both decubitus ulcers and nurse injury. RNHPPD showed a negative association with patient falls and decubitus ulcers. Unit turnover was positively associated with nurse injury and PE/DVT, but negatively associated with falls and decubitus ulcers.
Conclusions : Safety climate was associated with both patient and nurse injuries, suggesting that patient and nurse safety may actually be linked outcomes. The findings also indicate that increased unit turnover should be considered a risk factor for nurse and patient injuries.
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Details
- Title
- Do nurse and patient injuries share common antecedents? An analysis of associations with safety climate and working conditions
- Creators
- Jennifer A Taylor - Drexel UniversityFrancesca Dominici - Harvard UniversityJacqueline Agnew - Johns Hopkins UniversityDaniel Gerwin - Drexel UniversityLaura Morlock - Johns Hopkins UniversityMarlene R Miller - Johns Hopkins University
- Publication Details
- BMJ quality & safety, v 21(2), pp 101-111
- Publisher
- British Medical Journal (BMJ)
- Number of pages
- 11
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Environmental and Occupational Health
- Web of Science ID
- WOS:000299324800003
- Scopus ID
- 2-s2.0-84856082199
- Other Identifier
- 991014877802504721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Care Sciences & Services
- Health Policy & Services