Medical Error Prevalence, Nursing Power, and Structural Empowerment: A Serial Mediation Analysis

Overview

Journal ScientificWorldJournal

Publisher Wiley

Specialty Biology

Date 2024 May 3

PMID 38699216

Authors

Wafaa Taan

Affiliations

Soon will be listed here.

Abstract

Aim: To investigate how structural empowerment and power may contribute to and predict the reduction of medical errors.

Background: Medical errors threaten patient well-being, leading to adverse outcomes. Improving work conditions holds promise for reducing medical errors among nurses.

Methods: A multisite correlational cross-sectional design was utilized. Data were completed by 375 nurses from four hospitals in Jordan. Data collection occurred between September and November 2023 using sociodemographic, structural empowerment, and medical error questionnaires. The study employed descriptive statistics, Pearson correlation, and serial mediation analysis. Informed consent was obtained from each participant.

Results: Pearson correlation revealed significant negative correlations between medical error and structural empowerment, formal power, and informal power. The conceptual framework was significant and predicted 16% of the variance in medical errors. The mediation analysis confirmed that formal power and informal power mediate the relationship between structural empowerment and medical error. . This study sheds light on the intricate connection of structural empowerment, formal and informal power, and their collective impact on reducing medical errors. Understanding and addressing these dynamics allows nurses and administrators to achieve a culture of patient safety. Reduction of medical errors is paramount to a safe healthcare environment that prioritizes patient outcomes. Strategies should be fostered to enhance structural empowerment, refine formal power structures, and leverage the positive aspects of informal networks.

Citing Articles

Innovative behavior and structural empowerment among the Chinese clinical nurses: the mediating role of decent work perception.

Wang Z, Yang L, Zhu Y, Tang X, Wang T, Chen L BMC Nurs. 2024; 23(1):881.

PMID: 39627823 PMC: 11613594. DOI: 10.1186/s12912-024-02554-z.

References

Al-Hammouri M, Rababah J, Taan W . Structural empowerment, formal and informal power, and job performance quality: A moderated mediation analysis. J Nurs Manag. 2021; 29(6):1596-1602. DOI: 10.1111/jonm.13311. View

Taan W, Alhurani J, Alhalal E, Al-Dwaikat T, Al-Faouri I . Nursing Empowerment: How Job Performance Is Affected by a Structurally Empowered Work Environment. J Nurs Adm. 2020; 50(12):635-641. DOI: 10.1097/NNA.0000000000000951. View

Salameh B, Eddy L, Batran A, Hijaz A, Jaser S . Nurses' Attitudes Toward the Use of an Electronic Health Information System in a Developing Country. SAGE Open Nurs. 2021; 5:2377960819843711. PMC: 7774452. DOI: 10.1177/2377960819843711. View

Ghareeb N, El-Shafei D, Eladl A . Workplace violence among healthcare workers during COVID-19 pandemic in a Jordanian governmental hospital: the tip of the iceberg. Environ Sci Pollut Res Int. 2021; 28(43):61441-61449. PMC: 8233595. DOI: 10.1007/s11356-021-15112-w. View

Asif M, Jameel A, Hussain A, Hwang J, Sahito N . Linking Transformational Leadership with Nurse-Assessed Adverse Patient Outcomes and the Quality of Care: Assessing the Role of Job Satisfaction and Structural Empowerment. Int J Environ Res Public Health. 2019; 16(13). PMC: 6651060. DOI: 10.3390/ijerph16132381. View

Niinihuhta M, Terkamo-Moisio A, Kvist T, Haggman-Laitila A . Nurse leaders' work-related well-being-Relationships to a superior's transformational leadership style and structural empowerment. J Nurs Manag. 2022; 30(7):2791-2800. PMC: 10091755. DOI: 10.1111/jonm.13806. View

Choi S, Goh C, Adam M, Tan O . Transformational leadership, empowerment, and job satisfaction: the mediating role of employee empowerment. Hum Resour Health. 2016; 14(1):73. PMC: 5131441. DOI: 10.1186/s12960-016-0171-2. View

Simonetti M, Aiken L, Lake E . Association between the nurse work environment and patient experience in Chilean hospitals: A multi-hospital cross-sectional study. J Nurs Scholarsh. 2023; 55(6):1248-1257. DOI: 10.1111/jnu.12898. View

Jha A, Larizgoitia I, Audera-Lopez C, Prasopa-Plaizier N, Waters H, Bates D . The global burden of unsafe medical care: analytic modelling of observational studies. BMJ Qual Saf. 2013; 22(10):809-15. DOI: 10.1136/bmjqs-2012-001748. View

10.

Taan W, Al-Hammouri M, Rababah J . The predicting effects of professional governance and structural empowerment on job satisfaction among Jordanian nurses: A cross-sectional study. J Nurs Manag. 2022; 30(7):3013-3021. DOI: 10.1111/jonm.13698. View

11.

Taan W, Al-Hammouri M, Rababah J, Suliman M . Reliability and validation of the Arabic version of the Conditions for Workplace Effectiveness Questionnaire-II. Int J Nurs Sci. 2021; 8(2):215-220. PMC: 8105540. DOI: 10.1016/j.ijnss.2021.03.011. View

12.

Robertson J, Long B . Suffering in Silence: Medical Error and its Impact on Health Care Providers. J Emerg Med. 2018; 54(4):402-409. DOI: 10.1016/j.jemermed.2017.12.001. View

13.

Khan B, Quinn Griffin M, Fitzpatrick J . Staff Nurses' Perceptions of Their Nurse Managers' Transformational Leadership Behaviors and Their Own Structural Empowerment. J Nurs Adm. 2018; 48(12):609-614. DOI: 10.1097/NNA.0000000000000690. View

14.

Goedhart N, Oostveen C, Vermeulen H . The effect of structural empowerment of nurses on quality outcomes in hospitals: a scoping review. J Nurs Manag. 2017; 25(3):194-206. DOI: 10.1111/jonm.12455. View

15.

Alhalal E, Alrashidi L, Alanazi A . Predictors of patient-centered care provision among nurses in acute care setting. J Nurs Manag. 2020; 28(6):1400-1409. DOI: 10.1111/jonm.13100. View

16.

Nursalam N, Fibriansari R, Yuwono S, Hadi M, Efendi F, Bushy A . Development of an empowerment model for burnout syndrome and quality of nursing work life in Indonesia. Int J Nurs Sci. 2019; 5(4):390-395. PMC: 6626272. DOI: 10.1016/j.ijnss.2018.05.001. View

17.

Honavar S . To err is human, but errors can be prevented. Indian J Ophthalmol. 2019; 67(10):1517-1518. PMC: 6786163. DOI: 10.4103/ijo.IJO_1728_19. View

18.

Fragkos K, Makrykosta P, Frangos C . Structural empowerment is a strong predictor of organizational commitment in nurses: A systematic review and meta-analysis. J Adv Nurs. 2019; 76(4):939-962. DOI: 10.1111/jan.14289. View

19.

Obeidat R, Qanir Y, Turaani H . The relationship between perceived competence and perceived workplace bullying among registered nurses: A cross sectional survey. Int J Nurs Stud. 2018; 88:71-78. DOI: 10.1016/j.ijnurstu.2018.08.012. View

20.

Taan W, Suliman M, Al-Hammouri M, Taan A . Prevalence of medical errors and barriers to report among nurses and nursing students in Jordan: A cross-sectional study. Nurs Forum. 2020; 56(2):284-290. DOI: 10.1111/nuf.12542. View