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Workplace safety culture is pivotal in healthcare settings, known to enhance nurses' effectiveness and productivity. Yet, the specific pathways through which safety culture influences these outcomes, especially in relation to compassion fatigue, are not fully understood.
This study investigated the mediating role of compassion fatigue in the relationship between workplace safety culture, career satisfaction, and turnover intention among nurses.
A cross-sectional survey was conducted with 269 nurses from various acute healthcare facilities in Eastern Visayas, Philippines. Three standardized scales were used to collect the data. Mediation testing was performed using Hayes' PROCESS macro in SPSS (Model 4).
Workplace safety culture was negatively associated with compassion fatigue (β = −0.2604, p = 0.0012) and turnover intention (β = −0.2778, p = 0.0048) and positively associated with career satisfaction (β = 0.3986, p = 0.0001). Compassion fatigue partially mediated the relationship between workplace safety culture and career satisfaction (β = 0.0645, 95% CI [0.0213, 0.1215]) and the relationship between workplace safety culture and intention to stay (β = −0.0756, 95% CI [−0.1398, −0.0263]).
A positive workplace safety culture was associated with a lower compassion fatigue, which in turn enhanced career satisfaction and lower turnover intention among nurses. Healthcare organizations and policymakers should prioritize strategies that enhance safety culture and provide support for nurses to manage compassion fatigue effectively, ultimately leading to better patient care and a more stable nursing workforce.
Compassion competence among nurses is crucial for patient safety and the quality of nursing care, yet the mechanisms linking these factors remain unclear, indicating a significant gap in current understanding.
This study aimed to explore the mediating role of adherence to safety standards in the relationship between nurse compassion competence and patient safety incidents.
A cross-sectional study was conducted among 455 nurses across 3 hospitals in Visayas, Philippines. Participants completed self-report measures assessing compassion competence, adherence to safety standards, and perceived patient safety incidents. Data were analyzed using SPSS Hayes Macro Model 4 to examine direct and indirect effects.
Higher levels of compassion competence in nurses were positively associated with increased adherence to safety standards (β = 0.3438, p = 0.0019) and fewer patient safety incidents (β = −0.2586, p = 0.0001). Adherence to safety standards was found to partially mediate the relationship between compassion competence and patient safety incidents (β = 0.0451, 95% CI [0.0106, 0.0862]).
Fostering compassion competence in nurses can enhance adherence to safety standards, ultimately leading to a reduction in patient safety incidents in healthcare environments. The findings underscore the critical role of compassion competence not just as a desirable nursing trait but as a strategic lever for improving patient safety. Healthcare organizations should implement structured professional development programs that cultivate empathy, emotional intelligence, and effective communication—core elements of compassion competence. Nursing leadership must also embed compassion-driven practices into patient safety protocols, promote a culture of accountability and empathy, and support interdisciplinary collaboration to ensure consistent adherence to safety standards and minimize preventable harm.
Job burnout is one of the most pressing issues facing new cohorts of nurses worldwide, including Generation Z (Gen Z) nurses. Numerous reports have confirmed the relative importance of implementing a favorable work environment to reduce job burnout and improve work satisfaction in nurses; however, no studies have examined these relationships among Gen Z nurses.
The aim of this study was to examine the direct and indirect effects of job burnout on work satisfaction in Gen Z nurses, with a particular focus on the mediating role of the nurse work environment, specifically within acute care settings.
A descriptive research design was used to gather data. A total of 232 Gen Z nurses across different acute care hospitals in 11 governorates in Oman were surveyed using three standardized scales.
Gen Z nurses (N = 177) experienced high levels of burnout and reported moderate levels of work satisfaction (M = 2.74, SD = 0.82). A modest but statistically significant inverse relationship was found between burnout and work satisfaction (β = −0.245, p < 0.001; 95% CI [−0.029, −0.009]). Further, the nurse practice environment showed evidence of partial mediation in this relationship (β = −0.206, p = 0.002; 95% CI [−0.026, −0.006]), suggesting that the quality of the work environment may influence how burnout affects satisfaction.
The study's results highlight the importance of creating a favorable work environment as a potential strategy to mitigate job burnout and enhance work satisfaction among Gen Z nurses, particularly in acute care settings. Nurse managers should foster a supportive work environment through flexible policies, leadership, training, and a strong wellness culture that prioritizes the well-being of staff. Additionally, nursing education should focus on resilience-building and stress management to prepare Gen Z nurses for complex workplaces, ultimately reducing burnout and enhancing job satisfaction.
While the nurse practice environment's vital role in shaping patient care outcomes is well established, the precise mechanisms through which it influences missed nursing care remain unexplored. Hence, this study examined the mediating role of adherence to clinical safety guidelines in the relationship between the nurse practice environment and missed nursing care.
This descriptive, cross-sectional study involved 1237 nurses from 11 governorates in the Sultanate of Oman. Data were collected using three standardized scales: the Patient Safety Adherence Scale, the Practice Environment Scale of the Nursing Work Index, and the Missed Nursing Care Scale.
A favorable nurse practice environment was associated with higher adherence to clinical safety guidelines (β = 2.492, p < 0.001) and a lower frequency of missed nursing care (β = −0.2919, p = 0.015). Adherence to clinical safety guidelines partially mediated the relationship between the nurse practice environment and missed nursing care (β = −0.055, p < 0.001).
Enhancing the nurse practice environment plays a crucial role in improving nurses' adherence to clinical safety guidelines, which in turn reduces compromised nursing care.
Healthcare administrators and policymakers should prioritize improving working conditions to enhance nurses' adherence to clinical safety guidelines, thereby minimizing the occurrence of missed care and improving overall patient outcomes.
Ensuring patient safety is a critical component of healthcare delivery, and nurses play a vital role in adhering to patient safety protocols to prevent adverse events. However, studies linking nurses' adherence to these protocols with patient outcomes is scarce. This study has two-fold purposes: (1) to examine determinants of nurses' adherence to patient safety protocols, and (2) to investigate the relationship between nurses' adherence to patient safety protocols and adverse patient events.
A cross-sectional design.
A total of 343 clinical nurses from five hospitals in the Philippines were included in this study. Two standardized scales were used to collect data, including the Patient Safety Adherence Scale and the Adverse Patient Events Scale. Data collection took place from April 2022 to August 2022.
Adherence to patient safety protocols was generally moderate to high (M = 4.483), while nurse-reported adverse events occurred at a lower frequency (M = 1.150). Lower adherence rates were identified in areas such as reporting safety errors (M = 3.950), conducting fall risk assessments (M = 4.299), and adhering to pressure ulcer prevention guidelines (M = 3.979). Patients' and their families' complaints (M = 2.129) and abuses (M = 1.475) were the most frequently reported adverse events. Increased adherence to safety protocols was associated with higher reporting of adverse patient events (β = 0.115, p < 0.001).
Higher adherence to patient safety protocols resulted in an increased reporting of adverse patient events. The factors identified that contributed to nurses' adherence to patient safety protocols can be utilized in the development of strategies aimed at improving compliance, especially in areas where adherence is currently low.
Healthcare organizations should prioritize efforts to enhance adherence to patient safety protocols, particularly in areas with lower compliance rates, through relevant trainings, resource provision, and support systems. Promoting a culture of open communication and reporting can significantly contribute to reducing adverse events and improving patient safety.
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