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Background Providing safe care helps to reduce mortality, morbidity, length of hospital stay and cost. Patient safety is highly linked to attitudes of health care providers, where those with more positive attitudes achieve higher degrees of patient safety. This study aimed to assess attitudes of nurses working in governmental hospitals in the Gaza-Strip toward patient safety and to examine factors impacting their attitudes. Methods This is a cross-sectional, descriptive study with a convenient sample of 424 nurses, working in four governmental hospitals. The Attitudes to Patient Safety Questionnaire III, a validated tool consisting of 29 items that assesses patient safety attitudes across nine main domains, was used. Results Nurses working in governmental hospitals showed overall only slightly positive attitudes toward patient safety with a total score of 3.68 on a 5-point Likert scale, although only 41.9% reported receiving patient safety training previously. The most positive attitudes to patient safety were found in the domains of ‘working hours as a cause of error’ and ‘team functioning’ with scores of 3.94 and 3.93 respectively, whereas the most negative attitudes were found in ‘importance of patient safety in the curriculum’ with a score of 2.92. Most of the study variables, such as age and years of experience, did not impact on nurses’ attitudes. On the other hand, some variables, such as the specialty and the hospital, were found to significantly influence reported patient safety attitudes with nurses working in surgical specialties, showing more positive attitudes. Conclusion Despite the insufficient patient safety training received by the participants in this study, they showed slightly positive attitudes toward patient safety with some variations among different hospitals and departments. A special challenge will be for nursing educators to integrate patient safety in the curriculum, as a large proportion of the participants did not find inclusion of patient safety in the curriculum useful. Therefore, this part of the curriculum in nurses’ training should be targeted and developed to be related to clinical practice. Moreover, hospital management has to develop non-punitive reporting systems for adverse events and use them as an opportunity to learn from them.

Background: At the beginning of pandemic, many of the nurses were scared of contracting COVID infection by themselves. The work of nurses during the pandemic was highly appreciated by the society though they worked with severe challenges. Hence, it was utmost necessary to explore the attitude of the nurses toward COVID care and what challenges they faced during caring for the COVID patients. Objectives: The main objectives of the study were to assess the attitude of the nurses toward working in COVID units, to identify the challenges faced by the nurses, and to find out the relationship between the nurses attitude and challenges. Methods: The study was carried out adopting descriptive survey design with 190 conveniently selected staff nurses working in the selected COVID care units of Kolkata and Bankura. Two self-developed rating scales were administered using self-reporting method to measure the attitude and challenges of the nurses. Results: All the staff nurses expressed their favorable (positive) attitude. Maximum (64.21%) of the staff nurses had a high level of challenges. A very weak positive correlation found between attitude of the staff nurses toward COVID care and challenges they faced (ρ = 0.197, P = 0.006). Computation of Chi-square test revealed that neither attitude nor challenges was influenced by any of the personal characteristics of the nurses. Conclusion: In spite of working with a high level of challenges, the majority of the nurses demonstrated favorable attitude toward taking care of COVID patients.

This study aimed to evaluate nurses’ knowledge, attitudes, and practices (KAP) regarding pressure ulcer prevention in a tertiary care hospital. A cross-sectional design was employed to assess nurses’ KAP regarding pressure ulcer (PU) prevention. The study was conducted at the Government Hospital of Faisalabad, Pakistan. A purposive sampling method selected 200 registered nurses currently employed at the hospital. The average age was 30.20 ± 5.61 years, with 75% ( n  = 150) married and 92% ( n  = 182) holding a diploma in nursing. Knowledge regarding pressure ulcers was high, with 49.5% ( n  = 98) strongly agreeing and 31.8% ( n  = 61) agreeing that pressure ulcers cause severe illnesses, yielding a Likert score of 4.15. Awareness of the Braden Scale was also high, with 50% ( n  = 99) strongly agreeing and 31.3% ( n  = 62) agreeing, resulting in a score of 4.18. The practice of turning patients every two hours was well-received, with 47.5% ( n  = 94) strongly agreeing, leading to a score of 4.10. Age ( p  = .134), marital status ( p  = .571), and level of education ( p  = .072) were not significant predictors of knowledge scores. However, higher knowledge scores significantly predicted more positive attitudes ( p  < .001) and better practices ( p  < .001) in pressure ulcer prevention. The study highlights significant gaps in nurses’ knowledge, attitudes, and practices regarding PU prevention. The findings underscore the need for continuous education and training to enhance nurses’ competence in PU prevention. Addressing these gaps through targeted interventions can improve patient outcomes and reduce the prevalence of PUs in healthcare settings.

Introduction Substance use disorder (SUD) is a persistent and long‐standing public health issue in the United States. While SUD is medically considered a chronic illness, it is also one that is viewed as self‐inflicted, thereby resulting in judgmental attitudes and stigmatization from care providers, specifically from nurses. Design In 2020, the authors completed an analytical cross‐sectional study that included open‐ended questions to examine nurses' knowledge and attitudes toward caring for patients with SUD across practice settings. Methods A conceptual model was constructed by examining original study data and published literature on SUD, re‐analyzing themes, determining constructs and variables, then coming to a consensus on critical aspects of the model. Conclusion The resulting conceptual model highlights antecedents of nursing behaviors that directly affect patient care outcomes, providing a roadmap to improving patient outcomes. Clinical relevance Understanding antecedents that affect nurses' attitudes and perceptions of patients with SUD highlights changes that can influence patient outcomes.

Background: Collaboration between physicians and nurses has been shown to lead to better patient outcomes. However, studies have shown differing physicians' and nurses' responses to survey questions about physician-nurse collaboration. We surveyed physicians and nurses during the Covid-19 pandemic for their attitudes toward collaboration. Methods: In August 2021, during the Covid-19 pandemic, we surveyed physicians and nurses throughout an urban, academic teaching hospital over a consecutive twenty-day period using the validated Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration. Anonymous surveys were obtained from nurses and physicians on duty at the hospital. Demographic data from each survey included gender, age, profession of nurse or physician, degree, and specialization. Results: Four hundred and fifteen (415) unique paper surveys were collected from 308 nurses and 107 physicians over the twenty-day period. Five nurses and two physicians declined to complete the survey (1.6%). Using the Independent f-test of Means, total score and sub-scores were analyzed. Physicians and nurses scored the paper surveys in a similar manner. No statistically significant differences between the scores of physicians and nurses were found for any of the fifteen Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration questions, except for the youngest age group (20-29-year-old) having a significantly more positive response to doctors being the dominant authority on all health matters (p-value=0.011). Gender and nursing degree did not make a significant difference. Surgical Specialties (167), Medical Specialties (196), Intensive Care Unit (21), and the Emergency Department (43) survey responses did not differ significantly from each other. Conclusion: One and a half years into the Covid-19 pandemic, physicians and nurses at an urban, academic teaching hospital were in agreement with their responses on the validated Jefferson Scale of Attitudes Toward Physician- Nurse Collaboration. Our data may reflect a catalytic and positive effect of the Covid-19 pandemic on physician and nurse attitudes toward collaboration. Keywords: physician-nurse collaboration, Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration, interprofessional education, Covid-19 pandemic

Sexual Assault Nurse Examiners (SANEs) are specialized nurses who provide sexual assault (SA) examinations and forensic evidence collection. Currently, Adult/Adolescent (A/A) SANEs in Massachusetts are trained and certified to care only for patients 12 years and older who present acutely to EDs. The purpose of this study was to describe the attitudes of SANEs regarding the possibility of cross-training to care for younger patients (<12 years). This qualitative, descriptive study included a sample of 45 A/A SANEs who participated in a series of 6 focus groups. The focus groups were audiotape-recorded and transcribed verbatim. Content analysis was used to analyze the raw data. Units of in vivo coding assisted in the identification of initial broad categories that were winnowed to represent final themes that described the participants’ attitudes. Although the majority of SANEs enthusiastically endorsed the option of pediatric cross-training, a smaller portion of participants expressed strong opposition to the proposal. The SANEs’ concerns included the emotional toll of caring for children who have been sexually assaulted, and the need for an adequate infrastructure within the SANE Program to educate, train, and support the cross-training effort. This research fills a gap in the forensic and ED nursing literature by providing insights into the attitudes and concerns of SANEs who care for some of the most vulnerable patients. The findings of this study can inform the acute care and evidence collection practices that are used when caring for pediatric patients who have experienced SA.

Family involvement in intensive care (IC) benefits patients and families, but requires nurses to go beyond. ICU nurses are facing the additional task of offering support for family members and involving them in care activities. This requires a positive attitude towards family participation. This study aims to describe the attitudes of ICU nurses towards involving family members in nursing care and to investigate the association of demographic and professional characteristics with these attitudes. A cross-sectional study was conducted in ten hospitals across the Netherlands. ICU nurses received an online questionnaire including the Families Importance to Nursing Care (FINC-NA) scale (with scores ranging from 22 to 110). The data were analysed using descriptive statistics and multiple linear regression. The FINC-NA questionnaire was completed by 583 ICU nurses (42% response rate). The mean attitude of ICU nurses was 73.3 (SD 8.78). In general, ICU nurses viewed the family as important in care provision. However, ICU nurses showed a less positive attitude on the subscales “promoting family involvement’’ and “family as a burden’’. A less positive attitude towards family involvement was significantly associated with working more clinical hours per week and ICU nurses working in a university hospital rather than a teaching hospital. ICU nurses showed a less positive attitude towards involving families in care compared to nurses from other clinical settings. In order to establish a more family focused approach in clinical practice, special attention is needed for ICU nurses who work more clinical hours and in a university hospital. Besides, guidelines on family involvement in the ICU may improve nurses’ attitudes.

People with severe mental illness (SMI) have considerable unmet physical health needs and an increased risk of early mortality. This cross-sectional survey utilized the Physical Health Attitude Scale (PHASe) to examine the attitudes, practices, and training needs of nurses towards physical health care of people with SMI in three Asian countries (Hong Kong, Japan, Qatar). Cross-country differences were explored and linear regression was used to investigate if nurses’ attitudes and confidence were associated with their level of involvement in physical health care. A total of 481 questionnaires were returned. Hong Kong nurses were less involved in physical health care than those from Japan and Qatar. Nurses’ attitudes and confidence were significant predictors of their participation in managing physical health. Compared with western countries, more nurses in this study felt that mental illness was a barrier to improving physical health. Three-quarters reported that they needed additional training in promoting cardiometabolic health. The perceived need for additional training in physical health care was held by Mental Health Nurses (MHN) irrespective of their type of nursing registration and nationality. Nurse educators and service providers should reconsider the physical health care training requirements of nurses working in mental health settings in order to improve the physical health of people with SMI.

Evaluate change in ventilator associated pneumonia (VAP) and nurse's attitudes, beliefs post implementation of an evidence based practice (EBP) oral hygiene protocol. Descriptive pre and post test design in two critical care units in a Level One Trauma Community Hospital. Oral hygiene protocol data was reanalysed to examine effects in medical surgical and trauma subgroups. Oral care practices, attitudes and beliefs among nurses, and VAP rates according to Centers for Disease Control and Prevention guidelines. Trauma rates increased from 6.4% to 10.0% (p=0.346), and medical/surgical rates decreased from 3.3% to 1.0% (p=0.042). Results revealed changes in nurses’ beliefs regarding pre-admission colonisation (p=0.027) and having adequate training. Nurses’ perception of facility support improved, by having suitable equipment and readily available supplies. Foam swabs with moisture agents at 4hours or less was 88.6% and toothbrush use at 12hours or less was 71%, with significant changes in frequency of oral care post intervention. Trauma patients present with unique characteristics which compromise oral care. Understanding risk and prognostic factors, mechanisms of transmission and systemic inflammatory response are important when implementing EBP protocols. Nurses’ attitudes, beliefs are important, and staff adherence considered when initiating EBP changes.

Nurses are the main group of clinicians who activate the medical emergency team (MET), placing them in an excellent position to provide valuable insights regarding the effectiveness of this system. This descriptive study aimed to explore nurses’ satisfaction with the MET, perceived benefits and suggestions for improvement. The study also sought to examine the characteristics of nurses who were more likely to activate the MET. Using a survey design, descriptive statistics as well as content analysis were used to analyse the data. Seventy-three nurses (79% response rate) returned their completed surveys. A positive and significant relationship was found between years of nursing experience and MET activation ( p = 0.018). Overall, nurses were satisfied with the MET, with suggestions for improvement including more education on medical emergencies for both ward and MET staff. Whilst the MET system is meeting the expectations of the majority of ward nurses, there is room for improvement, which includes a more positive attitude of the MET when summoned for ‘borderline’ cases. Investment in ongoing education of clinicians and interdisciplinary communication is likely to encourage less experienced nurses to utilise this system, whilst decreasing the reticence of some nurses to call the MET.