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Association of Nurse Engagement and Nurse Staffing on Patient Safety.


ABSTRACT: BACKGROUND:Nurse engagement is a modifiable element of the work environment and has shown promise as a potential safety intervention. PURPOSE:Our study examined the relationship between the level of engagement, staffing, and assessments of patient safety among nurses working in hospital settings. METHODS:A secondary analysis of linked cross-sectional data was conducted using survey data of 26 960 nurses across 599 hospitals in 4 states. Logistic regression models were used to examine the association between nurse engagement, staffing, and nurse assessments of patient safety. RESULTS:Thirty-two percent of nurses gave their hospital a poor or failing patient safety grade. In 25% of hospitals, nurses fell in the least or only somewhat engaged categories. A 1-unit increase in engagement lowered the odds of an unfavorable safety grade by 29% (P < .001). Hospitals where nurses reported higher levels of engagement were 19% (P < .001) less likely to report that mistakes were held against them. Nurses in poorly staffed hospitals were 6% more likely to report that important information about patients "fell through the cracks" when transferring patients across units (P < .001). CONCLUSIONS:Interventions to improve nurse engagement and adequate staffing serve as strategies to improve patient safety.

PROVIDER: S-EPMC6263830 | BioStudies |

REPOSITORIES: biostudies

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