Safety and satisfaction of patients with nurse's care in the perioperative.
Amalia Sillero-Sillero, Adelaida Zabalegui
PMID 31038636WHAT IT FOUND
Patient satisfaction was not linked to nurse characteristics, but low nurse job satisfaction, low professional commitment and low nurse participation in hospital matters were linked with more adverse events.
Key findings
0138% of the 150 surgical patients had an adverse event within 30 days, and pain was the most common.
02Patient satisfaction with nursing care averaged 3.66 on a 1-to-5 scale, and no nurse characteristic predicted it.
03Nurses who cared for patients with adverse events reported lower work-environment scores, lower job satisfaction and lower professional commitment.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study used convenience samples from one hospital, so the results may not apply to other settings. It is cross-sectional and correlational, so it cannot show that nurse satisfaction, burnout or work environment caused adverse events. Each patient was cared for by multiple nurses, so the contribution of any one nurse cannot be separated. Some factors that may affect patient safety, such as other individual or organizational characteristics, were not assessed. Patient satisfaction was not predicted by nurse characteristics, and the patient-based satisfaction model had very low predictive capacity. The paper reported inconsistent directions for postoperative nurse care.
The easy way to misread this
Do not read this as proof that making nurses happier or changing nurse assignments will reduce adverse events. It is a one-hospital cross-sectional survey, each patient was cared for by multiple nurses, and the paper's direction for postoperative nurse care was inconsistent.