Volume 33, Issue 128 (February 2021)                   IJN 2021, 33(128): 1-14 | Back to browse issues page


XML Persian Abstract Print


1- Master of Nursing Management, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
2- Department of Nursing Management, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran (Corresponding author) Tel: 42401000 Email: Jafarjalal.e@iums.ac.ir
3- Department of Biostatistics, School of Health, Iran University of Medical Sciences, Tehran, Iran
Abstract:   (3418 Views)
Background & Aims: One of the primary goals of health service provision is to prevent patient harm and maintain patient safety. Patient safety is defined as minimizing the risk of unnecessary injuries compared to other treatments or lack of treatment. Safe nursing care has four dimensions of nursing skills, providing physical safety, providing mental safety, and nurses' cooperation with other members. The provision of safe care depends on the quality and efficiency of nursing services. The efficiency of nurses depends on the measures taken to preserve the body and mind of nurses and the improvement of the quality of their work life. Quality of work life emphasizes personal consequences and professional improvement to meet one's needs in the four dimensions of personal life, work framework, work context, and global dimension of work. Safe care and quality of work life are important issues, and their dimensions have been assessed and identified separately in some studies, while they could be fully recognized and promoted through more approaches. The present study aimed to assess the correlation of safe nursing care and the quality of work life of nurses in the public hospitals of Rasht, Iran in 2020.
Materials & Methods: This cross-sectional, descriptive-correlational study was conducted to assess the correlation between safe nursing care and quality of work life in eight public hospitals in Rasht. The participants included 250 nurses who were selected via stratified sampling based on the ratio of the total number of the nurses in the public hospitals of Rasht and each hospital department accessibly. Data were collected using a demographic questionnaire, Brooks' quality of work life (QWL) for nurses (2005), and Rashvand safe nursing care questionnaire (2017). Brooks' QWL questionnaire has four dimensions regarding the quality of work life of nurses with 42 items, including personal life (seven items), work framework (10 items), work field (20 items), global work dimension (five items). Each items was assigned a score within the range of 1-6 (Strongly Disagree=1, Strongly Agree=6) within the score range of 42-252. The reliability coefficient of this questionnaire has been confirmed at the Cronbach's alpha of 0.91. Rashvand safe nursing care questionnaire had 33 items in the four dimensions of nursing skills (16 items), mental safety (four items), physical safety (seven items), team work (five items), and one general question. The demographic and QWL questionnaires were completed by the nurses, and the safe nursing care questionnaire was completed by the nursing supervisor. Sampling was performed during September 22-October 20, 2020, and each questionnaire was completed within 20-30 minutes. The inclusion criterion was employment in a public hospital in Rasht, and the exclusion criteria were incomplete questionnaires and not returning the questionnaires. After the sampling process, 250 questionnaires were collected. Data analysis was performed in SPSS version 16 using descriptive statistics (absolute and relative frequency, mean, and standard deviation) and inferential statistics (independent t-test, analysis of variance, and Pearson's correlation-coefficient), and the significance level was considered <0.05.
Results: The quality of work life of the majority of the nurses (78.8%) was moderate. The highest and lowest mean scores were obtained in the work field dimension (58.37 ± 15.74) and the global work dimension (41.92 ± 18), respectively. In the majority of the studied nurses (94.4%), the level of safe nursing care was favorable and higher, while their cooperation level with the other healthcare team members was lower comparatively. Safe nursing care had no significant correlation with the quality of work life and none of its dimensions. In addition, none of the demographic variables were significantly correlated with the quality of work life of the studied nurses. However, safe nursing care had significant correlations with gender, marital status, employment status, age, and work experience (P>0.001).
Conclusion: Despite the moderate quality of work life, safe nursing care was considered favorable. However, no significant correlations were observed between safe nursing care, the quality of working life, and its dimensions. This finding could be due to the prevailing professional rules and beliefs in the nursing profession, which maintains safe care despite the limitations in the factors associated with the quality of work life. Although safe nursing care was favorable, the constantly increasing need for promoting the quality of care and the competition of care service organizations to attract more clients, safe nursing care must be enhanced continuously. According to the findings, the dimension of clinical skills was rather poor in terms of safe nursing care, which requires skills retraining and further monitoring in this regard. Since the global quality of work life mainly concerns nurses, chief executives must pay special attention to the salaries and wages of these individuals, as well as their job security and presenting a correct image of nursing to the society. 
Full-Text [PDF 793 kb]   (1342 Downloads)    
Type of Study: Research | Subject: nursing
Received: 2020/11/2 | Accepted: 2021/02/1 | Published: 2021/02/1

References
1. Hasani .A ,Mobaraki. H, heyrani.A , Bayat.M, Mafi Moradi.SH , Hadi.M. The new human resources management in the health .Tehran, Parsenegar: 2013;(1).
2. Bassuni EM, Bayoumi MM. Improvement critical care patient safety: using nursing staff development strategies, at Saudi Arabia. Glob J Health Sci. 2015;7(2):335. [DOI:10.5539/gjhs.v7n2p335] [PMID] [PMCID]
3. Brooten D, Youngblut JM, Kutcher J, Bobo C. Quality and the nursing workforce: APNs, patient outcomes and health care costs. Nursing outlook. 2004;52(1):45-52. [DOI:10.1016/j.outlook.2003.10.009] [PMID]
4. Najafpour Z, Mahmoodi M, Pourreaza A. Analysis of patient safety indicators in hospitals affiliated with Tehran University of Medical Sciences: recommendations for improving patient safety. Journal of Hospital. 2015;13(4):53-61.
5. Tourani S, Khodayari Zarnaq R, Arabloo J, Esmaili A, Taghizadeh S, Khosravizadeh O. A survey on patient safety using the farsi version of the safety attitudes questionnaire in Iran. Journal of Payavard Salamat. 2016;10(1):82-92.
6. Shamsadini Lori A, Osta A, Atashbahar O, Ramazani S, PourAhmadi M, Ahmadi Kashkoli S. Patient safety culture from the viewpoint of nurses of teaching hospitals affiliated with Shahid Beheshti University of Medical Sciences. Journal of Health Based Research. 2016;2(1):81-92.
7. Mosadeghrad A, Shakibaei E. Hospital accreditation implementation prerequisites. Journal of Hospital. 2017;16(3):43-56.
8. Safety WP, World Health Organization. Conceptual framework for the international classification for patient safety version 1.1: final technical report January 2009. World Health Organization; 2010, 1-154.
9. World Health Organization. 10 facts on Patient Safety. (Accessed July 1, 2018, at http://www.who.int/features/factfiles/patient_ safety/en/). 2020.
10. Stang A, Thomson D, Hartling L, Shulhan J, Nuspl M, Ali S. Safe care for pediatric patients: a scoping review across multiple health care settings. Clinical pediatrics. 2018;57(1):62-75. [DOI:10.1177/0009922817691820] [PMID]
11. Makary MA, Daniel M. Medical error-the third leading cause of death in the US. Bmj. 2016 3;353. [DOI:10.1136/bmj.i2139] [PMID]
12. Reason JT, Carthey J, de Leval MR. Diagnosing "vulnerable system syndrome": an essential prerequisite to effective risk management. BMJ Quality & Safety. 2001;10(suppl 2):ii21-5. [DOI:10.1136/qhc.0100021] [PMID] [PMCID]
13. Hughes R, editor. Patient safety and quality: An evidence-based handbook for nurses. 2008; 1-30.
14. Purreza.A, Ghodarzi. GH, Azadi.H. productivity and quality of work life, Ayene weekly press. 2006:569.
15. Khani A, Jaafarpour M. Quality of nursing work life. Journal of Clinical and Diagnostic Research. 2008;2(6):1169-74.
16. Marquis BL, Hustone CJ. Leadership roles and management functions in nursig. 2017. 9th ed:606.
17. Gholami.AR. Factors Affecting the Quality of Work Life in an Organization. Bimonthly of Police Human Development. 2009;6( 24):80-100.
18. Bazaz Jazayeri A, Pardakhtchi M. Creating model of assessing quality of life of staffs in organization. Management Science Journal. 2007;5:123-51.
19. Cimete G, Gencalp NS, Keskin G. Quality of life and job satisfaction of nurses. J Nurs Care Qual. 2003;18(2):151-8. [DOI:10.1097/00001786-200304000-00009] [PMID]
20. Saber S, Borhani F, Navidian A, Ramezani T, Rezvan Amin M, Kayanids T. Its quality of nursing work life and productivity Kerman University of Medical Sciences in 2012. The iranian Journal of Bioethics. 2012;3(9):144-66.
21. Habibzadeh H, Ghorbanzadeh K, Khalkhali H, Mohammadpor Y. Investigation of the relationship between quality of work life and clinical competence in nurses. Uromia Nurs Mid Faculty J. 2012;10:332-9.
22. Dehghan Nayeri N, Salehi T, Asadinoghaby AA. Quality of work life and productivity of clinical nurses and their relationship with each other. Nurse Res. 2009;8(9):27-37.
23. Shamsaii M, Faraji O, Ramazani A, Hedaiati P. The viewpoints of Zabol's General Practitioners about medical errors in 2010. Hospital. 2012;10(439):31-6.
24. Dargahi H, Gharib MI, Goodarzi M. Quality of work life in nursing employees of Tehran University of Medical Sciences hospitals. Journal of hayat. 2007;13(2):13-21.
25. Khadivi A, Aliee H. Study of the quality of working life of the employees of Islamic Azad University of Tabriz Branch. JMS. 2007;1(2):150-72.
26. Mohamadi J, Ghazanfari F, Azizi A. Relationship between moral intelligence and nurses' quality of work life. Iran Journal of Nursing. 2014;27(90):54-64. [DOI:10.29252/ijn.27.90.91.54]
27. Brooks BA, Anderson MA. Defining quality of nursing work life. Nursing Economics. 20051;23(6):319-26.
28. Azarrang SH, Yaghmaei F, Shiri M. Correlation dimensions of quality of work life of nurses and demographic characteristics. Iranian Journal of Nursing Research. 2013;7(27):18-24.
29. Salam Zadeh Y, Mansoori H, Farid D. Study of the relation between quality of work life and productivity of human resources in health care institutes-a case study among nurses in Shahid Sadughi Hospital in Yazd. Nursing And Midwifery Journal. 2008;6(2):60-70.
30. Rashvand F, Salsali M, Ebadi A, Vaismoradi M, Jordan S, Griffiths P. Iranian nurses perspectives on assessment of safe care: an exploratory study. Journal of nursing management. 2016;24(3):417-26. [DOI:10.1111/jonm.12338] [PMID]
31. Lake ET, Hallowell SG, Kutney-Lee A, Hatfield LA, Del Guidice M, Boxer B, Ellis LN, Verica L, Aiken LH. Higher quality of care and patient safety associated with better NICU work environments. J Nurs Care Qual. 2016;31(1):24. [DOI:10.1097/NCQ.0000000000000146] [PMID] [PMCID]
32. Yang YK. Factors influencing safety care activities of hospital nurses. J Korean Acad Fundamen Nurs. 2019;26(3):188-96. [DOI:10.7739/jkafn.2019.26.3.188]
33. Sarafis P, Rousaki E, Tsounis A, Malliarou M, Lahana L, Bamidis P, Niakas D, Papastavrou E. The impact of occupational stress on nurses' caring behaviors and their health related quality of life. BMC nursing. 2016 c;15(1):1-9. [DOI:10.1186/s12912-016-0178-y] [PMID] [PMCID]
34. Ahmed WA, Soliman ES, Shazly MM. Staff Nurses' Performance Obstacles and Quality of Work Life at Benha University Hospital. Journal of Nursing and Health Science (IOSR-JNHS) 2018;7(2): 65-71.
35. Daubermann DC, Tonete VL. Quality of work life of nurses in primary health care. Acta Paul Enferm. 2012;25(2):277-83. [DOI:10.1590/S0103-21002012000200019]
36. Mohammadi M, Mozaffari N, Dadkhah B, Etebari Asl F, Etebari Asl Z. Study of work-related quality of life of nurses in Ardabil Province Hospitals. J Health Care. 2017 0;19(3):108-6.
37. Tourangeau AE, Cranley LA, Jeffs L. Impact of nursing on hospital patient mortality: a focused review and related policy implications. BMJ Quality & Safety. 2006;15(1):4-8. [DOI:10.1136/qshc.2005.014514] [PMID] [PMCID]
38. SA S, SAH P. Evaluation of nurses 'performance from nurses' viewpoints on providing safe care to patients in AjA hospitals in 2018. Military Caring Sciences Journal. 2019;5(3):173-81. [DOI:10.29252/mcs.5.3.173]
39. Arshadi Bostanabad. M, Jebreili.M, kargari Rezapour. M. Assessment of Nursing Safe Performance in Neonatal Intensive Care Units of Tabriz. Journal of Pediatric Nursing. 2015;1(2):49-60.
40. Bayatmanesh H, Zagheri Tafreshi M, Manoochehri H, Akbarzadeh Baghban A. Patient Safety Observation by Nurses Working in the Intensive Care Units of Selected Hospitals Affiliated to Yasuj University of Medical Sciences. ISMJ. 2019;21(6):493-506.
41. Abadi F, Abadi F. Survey Factors Affecting of Quality of Work Life in the Clinical Nurses. Nursing And Midwifery Journal. 2019;16(11):832-40.
42. Kelbiso L, Belay A, Woldie M. Determinants of quality of work life among nurses working in Hawassa town public health facilities, South Ethiopia: a cross-sectional study. Nursing Research and Practice. 2017;2017. [DOI:10.1155/2017/5181676] [PMID] [PMCID]

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.