How nursing practice environments limit implicit rationing of care and nurse-assessed adverse events: the role of flow at work

The nursing practice environment is beneficial in curbing implicit rationing of nursing care and adverse patient events. However, the underlying mechanisms of these relationships remain unexplored. To test whether flow at work mediates the relationship between the nursing practice environment, impli...

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Bibliographic Details
Published in:BMC nursing 2024-01, Vol.23 (1), p.19-19, Article 19
Main Authors: El-Gazar, Heba E, Abousoliman, Ali D, Shawer, Mona, Coelho, Paulo, Zoromba, Mohamed A
Format: Article
Language:English
Subjects:
Adverse events
Analysis
Flow at work
Health care rationing
Hospitals
Medical research
Medicine, Experimental
Methods
Nurses
Nursing
Nursing administration
Nursing care
Nursing practice environment
Patient safety
Practice
Rationed care
Rationing
Work environment
Workloads
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Summary:The nursing practice environment is beneficial in curbing implicit rationing of nursing care and adverse patient events. However, the underlying mechanisms of these relationships remain unexplored. To test whether flow at work mediates the relationship between the nursing practice environment, implicit rationing of nursing care, and nurse-assessed adverse patient events. This cross-sectional study involved 231 nurses from five hospitals in Port Said, Egypt. The participants completed Arabic-translated versions of the Practice Environment Scale of the Nursing Work Index, the Work-Related Flow Inventory, the Perceived Implicit Rationing of Nursing Care instrument, and the Adverse Patient Events scale. Structural equation modeling was used to test the hypothetical model. The favorable nursing practice environment positively predicted nurses' flow at work (β = 0.64, p 
ISSN:1472-6955
1472-6955
DOI:10.1186/s12912-023-01644-8