586 posters, 8 topics, 23 sessions, 1,077 authors, 622 institutions

ISQua's 40th International Conference 2024

24th - 27th September 2024 | Istanbul, Türkiye

ISQUA2024-ABS-3189

The impact of nurse outcomes on nurse-perceived patient outcomes in South African hospitals

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Poster Presenter

Alwiena Blignaut

Authors

Alwiena Johanna Blignaut, Siedine Knobloch Coetzee, Erika Fourie

Affiliations

North-West University

Part of Topic

Patient Safety & Quality Improvement

THE IMPACT OF NURSE OUTCOMES ON NURSE-PERCEIVED PATIENT OUTCOMES IN SOUTH AFRICAN HOSPITALS

Authors:

Alwiena J BLIGNAUT1,

Siedine K COETZEE1,

Erika FOURIE2

1.School of Nursing Science, North-West University, Potchefstroom, South Africa

2.Department of Statistical Consultation, North-West University, Potchefstroom, South Africa

Introduction:

Patient safety and quality of care remain global top healthcare priorities (WHO, 2022).

Internationally, nurse outcomes such as poor physical and mental health (Melnyk et al. 2021), emotional exhaustion (Liu et al. 2019), compassion fatigue (Ryu & Shim 2022), job satisfaction (Liu et al. 2019) and intent to leave (Catania et al. 2024) are recognized as factors impeding quality of care and patient safety.

However, safety lapses within the developing world are still almost exclusively defined as nurse failures, notwithstanding the confounding patient safety variables such as depleted human and physical resources (Peters et al. 2020).

In support of the international notion of nurse wellbeing impacting patient outcomes, these nurse outcomes’ correlation with patient outcomes within the developing world context needed exploration.

Aim:

To determine the relationship between nurse outcomes and patient outcome perceptions in private and public hospitals of South Africa

Method:

•A cross-sectional survey design was applied.

•Data were collected in all nine provinces of South Africa from April 2021 - June 2022.

SAMPLING:

Private hospitals: 116 hospitals, 2083 nurses

Public hospitals: 27 hospitals, 2215 nurses

DATA COLLECTION:

•Private hospitals – online self-report survey data

•Public hospitals – paper-based self-report survey data

DATA COLLECTION TOOL:

•Maslach Burnout Inventory measures on emotional exhaustion

•Job and career turnover intent items

•Job and career satisfaction: general items and ten items measuring specific aspects of job satisfaction

•PROMIS-10 (Patient-Reported Measurement Information System) items measuring global health (physical and mental)

•RN4CAST items on overall grade on patient safety and quality of care and five adverse events items

DATA ANALYSIS:

•Descriptive statistics (frequencies, percentages, means, standard deviations)

Inferential statistics (Cramer’s Vs, 2-way ANOVA type Higher Linier Modelling, odds ratios)

Conclusions:

•Most South African nurses exhibit symptoms of ill health, both physical and mental, more than what is reported internationally (Melnyk et al., 2021).

•Emotional exhaustion exacerbates many nurses’ mental health symptoms.

•Job dissatisfaction and intent to leave statistics further impede nurses’ functionality (Liu et al., 2019 & Catania et al., 2024).

•In order to prioritize patient safety and quality of care, above nurse outcomes should be addressed, as it is correlated with patient outcomes such as patient safety, quality of care, and certain adverse events.

•Wellness strategies aimed at nurses’ wellness (physical, mental and emotional) is of paramount importance in preventing a mass exodus from the nursing profession as well as prioritizing patient safety and quality of care. Addressing nurses’ job satisfaction by attending to their need for appreciation, might be a viable and effective strategy in mitigating both negative nurse- and patient outcomes.

References and Acknowledgement:

Catania GM, Zanini M, Cremona MA, et al. 2024. Nurses’ intention to leave, nurse workload and in-hospital patient mortality in Italy. Health Policy, 143. [105032]. https://doi.org/10.1016/j.healthpol.2024.105032.

Liu J, Zheng J, Liu K et al. 2019. Workplace violence against nurses, job satisfaction, burnout and patient safety in Chinese hospitals. Nursing Outlook, 67(5) https://doi.org/10.1016/j.outlook.2019.04.006

Melnyk BM, Tan A, Hsieh AP et al. 2021. Critical Care Nurses’ Physical and Mental Health, Worksite Wellness Support, and Medical Errors. Am J Crit Care 30 (3) https://doi.org/10.4037/ajcc2021301

Peters A, Palomo R & Pittet D. 2020. The great nursing brain drain and its effects on patient safety. Antimicrob Resist Infect Control 9(57). https://doi.org/10.1186/s13756-020-00719-4

Ryu IS, Shim JL. 2022. The Relationship between Compassion Satisfaction and Fatigue with Shift Nurses' Patient Safety-Related Activities. Iran J Public Health. 51(12) https://doi.org/10.18502/ijph.v51i12.11463

WHO. 2022. Patient safety. https://www.who.int/news-room/fact-sheets/detail/patient-safety#.

This work was supported by the National Research Foundation (NRF) of South Africa (Grant Number: UID123541).