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Nurses’ perceptions of systems thinking and safe nursing care: A cross‐sectional study
Author(s) -
Moazez Maryam,
Miri Sakineh,
Foroughameri Golnaz,
Farokhzadian Jamileh
Publication year - 2020
Publication title -
journal of nursing management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.925
H-Index - 76
eISSN - 1365-2834
pISSN - 0966-0429
DOI - 10.1111/jonm.13000
Subject(s) - nursing , nursing management , accreditation , nursing care , critical thinking , nursing outcomes classification , stratified sampling , teamwork , cross sectional study , systems thinking , perception , team nursing , medicine , health care , nurse education , primary nursing , psychology , medical education , ecology , pedagogy , pathology , neuroscience , biology , political science , economics , law , economic growth
Aim To assess nurses’ perceptions of systems thinking, safe nursing care and the correlation between them. Background Systems thinking and safe nursing care are the key elements of quality improvement approaches, such as accreditation and patient safety programmes. However, these two variables have not been well studied in different health care settings. Methods In this cross‐sectional study, 300 nurses were selected using the stratified random sampling method. The data were collected using a demographic data form, systems thinking scale and assessment of safe nursing care questionnaire. Results The scores of nurses’ perceptions of systems thinking (63.25 ± 9.20) and safe nursing care (4.13 ± 0.60) were above average. A positive correlation was found between systems thinking and safe nursing care ( r = .66, p < .001), and its dimensions: nursing skills ( r = .61, p < .001), psychological needs ( r = .56, p < .001), physical needs ( r = .51, p < .001) and teamwork ( r = .56, p < .001). Conclusion Regarding the correlation between systems thinking and safe nursing care, nurses and other medical professionals, especially novices, are recommended to strengthen their systems thinking skills to improve the safe nursing care. Implications for Nursing Management Nurse managers should deal with organisational condition and factors affecting some poor aspects of systems thinking and safe nursing care. They must lead, support and allocate resources to the foundations of systems thinking to achieve safe nursing care.