Researching nurses’ adherence to patient safety guidelines in emergency departments
Intended for healthcare professionals
Evidence and practice    

Researching nurses’ adherence to patient safety guidelines in emergency departments

Candra Panji Asmoro Nursing student, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia
Rr Tutik Sri Hariyati Lecturer, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia
Dumilah Ayuningtyas Lecturer, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia
Jahja Umar Lecturer, Universitas Islam Negeri Syarif Hidayatullah Jakarta, South Tangerang, Indonesia
Dwi Yanti Rachmasari Tartila Nursing student, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia

Why you should read this article:
  • To increase your awareness of the six patient safety goals established by Joint Commission International

  • To explore the relationship between nurses’ adherence to safety guidelines and their level of reward and motivation

  • To better understand what internal and external motivations may affect nurses’ adherence to patient safety guidelines

Background One of the reasons why patient safety may be put at risk during healthcare interventions is a lack of staff adherence to patient safety guidelines. There could be a relationship between staff’s adherence to patient safety guidelines and their perceived level of reward for their work and/or motivation.

Aim To examine the relationship between reward and adherence to patient safety guidelines, and between motivation and adherence to patient safety guidelines, among nurses working in emergency departments (EDs) in Indonesia.

Method This was a cross-sectional study of 101 nurses working in the EDs of four hospitals in Indonesia. Self-reported questionnaires were used to collect data on the level of reward participants felt they received for their work, the level of participants’ motivation for their work, and participants’ adherence to patient safety guidelines. Spearman’s rank correlation testing was used to determine the relationships between variables.

Results There was a statistically significant negative relationship between reward and adherence (P=0.019, r=-0.233), which meant that those who perceived their reward as low were more likely to adhere to patient safety guidelines than those who felt they were highly rewarded. There was a statistically significant positive relationship between motivation and adherence to patient safety guidelines (P=0.017, r=0.236), which meant that the higher the motivation, the higher participants’ level of adherence to patient safety guidelines.

Conclusion Ensuring ED nurses are motivated for their work by offering rewards – such as a decent salary, a supportive workplace environment and career progression opportunities – is important to enhance their adherence to patient safety guidelines.

Emergency Nurse. doi: 10.7748/en.2022.e2129

Peer review

This article has been subject to external double-blind peer review and checked for plagiarism using automated software

Correspondence

candra.panji.a@fkp.unair.ac.id

Conflict of interest

None declared

Asmoro CP, Hariyati RTS, Ayuningtyas D et al (2022) Researching nurses’ adherence to patient safety guidelines in emergency departments. Emergency Nurse. doi: 10.7748/en.2022.e2129

Acknowledgement

The authors would like to acknowledge the nurses and research assistant who contributed to this study and would like to thank Ira Suarilah, Dian Tristiana and Hidayat Arifin for their support

Published online: 28 June 2022

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