Structural Equation Modeling of Associations Between Nursing Practice Environment And Missed Nursing Care: A Cross-sectional Study.

Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 9200672 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1550-5065 (Electronic) Linking ISSN: 10573631 NLM ISO Abbreviation: J Nurs Care Qual Subsets: MEDLINE

Publication: 2003- : Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: Frederick, MD : Aspen Publishers, c1991-

Nursing Staff, Hospital* ; Nursing Care* ; COVID-19*/epidemiology; Humans ; Cross-Sectional Studies ; Latent Class Analysis ; Pandemics ; Surveys and Questionnaires

Background: Missed nursing care (MNC) negatively impacts the quality of patient care. There may be a relationship between the nursing practice environment (NPE) and MNC; however, this relationship has not been examined in developing countries during the COVID-19 pandemic.
Purpose: To determine the relationship between the NPE and MNC during the COVID-19 pandemic.
Methods: A cross-sectional study of 300 participants was conducted in 4 teaching hospitals in Iran. Data were collected using a demographic and clinical form, the Nursing Professional Practice Environment Questionnaire, and MISSCARE survey and analyzed using structural equation modeling.
Results: The hypothesized model was well fit, showing that 1 unit improvement of the NPE domains of patient-centered care , effective leadership , and policy transparency decreased MNC by 0.18, 0.12, and 0.05, respectively.
Conclusion: The model confirmed the association between the dimensions of the NPE and MNC. These findings can assist health policymakers and nursing managers in improving the NPE.
Competing Interests: The authors declared that they have no conflict of interest.
(Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.)

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Date Created: 20231002 Date Completed: 20240226 Latest Revision: 20240226

20250114

10.1097/NCQ.0000000000000752

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