Association between nurses' breaks, missed nursing care and patient safety in Korean hospitals
- Authors
- Min, Ari; Yoon, Yea Seul; Hong, Hye Chong; Kim, Young Man
- Issue Date
- Nov-2020
- Publisher
- Blackwell Publishing Ltd
- Keywords
- accidental falls; medication errors; nursing care; patient safety; rest
- Citation
- Journal of Nursing Management, v.28, no.8, pp 2266 - 2274
- Pages
- 9
- Journal Title
- Journal of Nursing Management
- Volume
- 28
- Number
- 8
- Start Page
- 2266
- End Page
- 2274
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/44117
- DOI
- 10.1111/jonm.12831
- ISSN
- 0966-0429
1365-2834
- Abstract
- Aims: To examine the relationship between breaks and patient safety in Korean hospitals and determine the mediating effect of missed nursing care on this relationship. Background: Breaks during working hours can affect patient safety; however, few studies have examined the relationship between breaks and patient safety in hospitals and their findings were conflicting. Methods: A cross-sectional online survey was conducted with 399 nurses in Korean hospitals. Multiple linear regression was used to explore the association between breaks, missed nursing care and patient safety. Model 4 of Hayes's (2018) and bootstrapping analysis were employed to identify the mediating effect of missed nursing care. Results: Average break time per shift was about 15 min; most participants had breaks of less than 30 min. Missed nursing care was a complete mediator of the relationship between breaks and patient safety. Conclusion: Break length has an indirect effect on patient safety, medication errors and falls with injury through missed nursing care. Implications for Nursing Management: More discussion is needed to develop policy and mandatory regulations to ensure sufficient breaks and adequate nurse staffing to reduce missed nursing care and enhance patient safety. © 2019 John Wiley & Sons Ltd
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Collections - Red Cross College of Nursing > Department of Nursing > 1. Journal Articles
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