DOI QR코드

DOI QR Code

Nurses' Safety in the Hospital Environment: Evolutionary Concept Analysis

  • Received : 2016.08.11
  • Accepted : 2016.09.26
  • Published : 2016.09.30

Abstract

Purpose: The purpose of this study was to analyze the concept of nurses' safety within the context of the hospital environment. Methods: We used Rodgers' method of evolutionary concept analysis and reviewed the relevant literature and noted and categorized characteristics that appeared frequently. Results: Nurses' safety was defined as safe status and safe activity among nurses. Three key defining attributes were identified as: (a) the minimization of actual or perceived risk, (b) personal duties and rights, and (c) ensuring within a safe working environment. Antecedents of nurses' safety were categorized into three dimensions: (a) individual, including vigilance and knowledge gained through education and training; (b) institutional, including safety provision in the organizations; and (c) national, including legislation. The outcomes of nurses' safety included the following: (a) continued competence in nurses' work; (b) enhancement of the quality of patient care; and (c) reductions in nurses' turnover rates. Conclusion: Nurses' safety ensures that qualified nurses are able to continue to perform their duties and provide good patient care. The findings of this study could contribute to future research examining nurses' safety. In addition, appropriate tools must be developed to measure the concept.

Keywords

References

  1. Foley M. Caring for those who care: A tribute to nurses and their safety. Online Journal of Issues in Nursing. 2004;9(3):2.
  2. De Castro AB. Handle with care: The American Nurses Association's campaign to address work-related musculoskeletal disorders. Orthopaedic Nursing. 2006;25(6):356-365.
  3. Health and Safety Authority. Working health guidelines of hospital nurses. Seoul: Health and Safety Authority, 2012. p. 4-39.
  4. Kramer M, Schmalenberg C. Confirmation of a healthy work environment. Critical Care Nurse. 2008;28(2):56-63.
  5. Walker LO, Avant KC. Strategies for Theory Construction in Nursing, 5th ed. Upper Saddle River, NJ: Prentice Hall, 2011. p. 157-159.
  6. Rodgers BL. Concept analysis: an evolutionary view. In: Rodgers BL, Knafl KA, editors. Concept development in nursing: Foundations, technqiues, and applications. 2nd ed. Philadelphia: Saunders; 2000. p. 77-102.
  7. American Heritage. The American Heritage Dictionary of the English Languages, 5th ed. Boston, MA: Houghton Mifflin Harcourt; 2011
  8. Leyden AT. A culture of safety: Nurses can take an active role in preventing needlestick injuries. The American Journal of Nursing. 2004;104(10):104.
  9. Ulrich B. Nurse safety. Nephrology Nursing Journal. 2013;40(5):377.
  10. Dawes BS. Focusing on the safe, healthy workplace. Association of Operating Room Nurses. AORN Journal. 2001;73(1):16-18. https://doi.org/10.1016/S0001-2092(06)62055-3
  11. Flanagan M. Every patient deserves a safe nurse: patient safety cannot be achieved when nurses are not safe. The American Journal of Nursing. 2005;105(11):112.
  12. Brinia V, Antonaki E. Health and safety risks, implications and training in hospitals. Industrial and Commercial Training. 2013;45(7):420-427. http://dx.doi.org/10.1108/ICT-04-2013-0025
  13. Geiger-Brown J, Lipscomb J. The health care work environment and adverse health and safety consequences for nurses. Annual Review of Nursing Research. 2011;28:191-232. http://dx.doi.org/10.1891/0739-6686.28.191
  14. Trinkoff AM, Geiger-Brown JM, Caruso CC, Lipscomb JA, Johantgen M, Nelson AL, et al. Personal safety for nurses. In: Hughes R, United States, Agency for Healthcare Research Quality, editors. Patient safety and quality: An evidence-based handbook for nurses. AHRQ publication, no. 08-0043. Rockville, MD: Agency for Healthcare Research and Quality, U.S. Dept. of Health and Human Services; 2008. Chapter 39. p. 473-508.
  15. Griffith R. Health and safety in the NHS. British Journal of Nursing. 2014;23(2):112-113. http://dx.doi.org/10.12968/bjon.2014.23.2.112
  16. Smith RA. What you don't know can hurt you: Health hazards in the work environment. Journal of Perianesthesia Nursing. 2009;24(2):75-80. http://dx.doi.org/10.1016/j.jopan.2008.11.005
  17. Weaver D. Part 1: contribute to health and safety. Nursing and Residential Care. 2011;13(10):464-468. http://dx.doi.org/10.12968/nrec.2011.13.10.464
  18. Cesario SK. Designing health care environments: Part I. Basic concepts, principles, and issues related to evidence-based design. The Journal of Continuing Education in Nursing. 2009;40(6):280-288. http://dx.doi.org/10.3928/00220124-20090522-09
  19. American Nurses Association. Nurses say health and safety concerns play major role in employment decisions [Internet]. 2001. [updated Sep 7 2001] Available from: http://www.medscape.com/viewarticle/411358
  20. Trim JC, Elliott TS. A review of sharps injuries and preventative strategies. Journal of Hospital Infection. 2003;53:237-242. http://dx.doi.org/10.1053/jhin.2002.1378
  21. Dolansky MA, Moore SM. Quality and safety education for nurses (QSEN): the key is systems thinking. Online Journal of Issues in Nursing. 2013;18(3):1.
  22. Nelson A, Baptiste AS. Evidence-based practices for safe patient handling and movement. Online Journal of Issues in Nursing. 2004;9(3):4.
  23. Sedlak CA. Nurse safety: have we addressed the risks? Online Journal of Issues in Nursing. 2004;9(3):1.
  24. Kohn LT, Corrigan JM, Donaldson MS. To Err is human: Building a safer health system. Institute of Medicine: Washington, D.C. National Academy Press, 2000.
  25. Baumann A. Canadian health services research foundation. Commitment and care: the benefits of a healthy workplace for nurses, their patients and the system. Ottawa: Canadian Health Services Research Foundation; 2001.
  26. De Castro AB. 'Hierarchy of controls': Providing a framework for addressing workplace hazards. The American Journal of Nursing. 2003;103(12):104.
  27. Clarke SP, Rockett JL, Sloane DM, Aiken LH. Organizational climate, staffing, and safety equipment as predictors of needlestick injuries and near-misses in hospital nurses. American Journal of Infection Control. 2002;30(4):207-216. http://dx.doi.org/10.1067/mic.2002.123392
  28. Stone PW, Clarke SP, Cimiotti J, Correa-de-Araujo R. Nurses' working conditions: implications for infectious disease. Emerging Infectious Diseases. 2004;10(11):1984-1989. http://dx.doi.org/10.3201/eid1011.040253
  29. Val Palumbo M, Rambur B, McIntosh B, Naud S. Registered nurses' perceptions of health and safety related to their intention to leave. American Association of Occupational Health Nurses Journal. 2010;58(3):95-103. http://dx.doi.org/10.3928/08910162-20100216-01
  30. Clarke SP. Hospital work environments, nurse characteristics, and sharps injuries. American Journal of Infect Control. 2007;35(5):302-309. http://dx.doi.org/10.1016/j.ajic.2006.07.014

Cited by

  1. Occupational stressors in oncology nurses: A qualitative descriptive study vol.30, pp.21, 2021, https://doi.org/10.1111/jocn.15816