J Prev Med Public Health.  2014 Sep;47(5):273-280. 10.3961/jpmph.14.019.

Nurse-perceived Patient Adverse Events and Nursing Practice Environment

• Kang JH
• Kim CW
• Lee SY

• KMID: 2381432
• DOI: http://doi.org/10.3961/jpmph.14.019

Abstract

OBJECTIVES
To evaluate the occurrence of patient adverse events in Korean hospitals as perceived by nurses and examine the correlation between patient adverse events with the nurse practice environment at nurse and hospital level.
METHODS
In total, 3096 nurses working in 60 general inpatient hospital units were included. A two-level logistic regression analysis was performed.
RESULTS
At the hospital level, patient adverse events included patient falls (60.5%), nosocomial infections (51.7%), pressure sores (42.6%) and medication errors (33.3%). Among the hospital-level explanatory variables associated with the nursing practice environment, 'physician- nurse relationship' correlated with medication errors while 'education for improving quality of care' affected patient falls.
CONCLUSIONS
The doctor-nurse relationship and access to education that can improve the quality of care at the hospital level may help decrease the occurrence of patient adverse events.

Keyword

Nursing practice environment; Medication error; Patient fall; Nosocomial infection; Pressure sore

MeSH Terms

Accidental Falls
Accidents, Occupational
Adult
Cross Infection/etiology
Female
Hospitals
Humans
Logistic Models
Male
Medication Errors
Middle Aged
Nurses/*psychology
Odds Ratio
Pressure Ulcer/etiology
*Quality of Health Care
Questionnaires