Impact of Patient-Centred Care and Work Environment on Adverse Patient Events in Intensive Care Units among Nurses: A Cross-Sectional Correlational Design

Abstract

Background: In healthcare, ensuring patient safety and providing high-quality care is crucial, particularly in the intensive care units. Adverse patient events include a broad range of patient harm and can affect patient safety and overall healthcare outcomes. Objective: To explore the impact of patient-centered care and work environment on adverse patient events among nurses in intensive care units. Methods: Using a cross-sectional correlational design, nurses from various healthcare organizations were studied. A simple random sampling technique was employed to collect data from 152 nurses working in the intensive care units. Data collection was achieved using the patient-centered care competency scale, the Healthy Work Environment assessment tool of the American Association of Critical Care Nurses, and the adverse patient events scale. Results: The mean score was high for patient-centered care (M=4.52, SD=0.13) and work environment (M=4.53, SD=0.28). A weak negative correlation was found between respecting patients' perspectives and nosocomial infections and medication errors. No correlation was found between the work environment and adverse patient events. There were significant correlations between patient-centred care and work environment subscales. Some nurses’ demographic characteristics were significantly different among study outcomes. Conclusion: Patient safety is critical to healthcare, ensuring patients are protected from harm and receive quality care. The study offers valuable guidance for nurses to enhance patient care delivery and ensure patient safety in the ICU environments.