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Structural Equation Modeling of Associations Between Nursing Practice Environment And Missed Nursing Care: A
Mozhgan Rivaz1, Fereshteh Abbasi, Nilofar Pasyar
1Author Affiliations: Department of Nursing (Dr Rivaz) and Community Based Psychiatric Care Research Center (Dr Pasyar), School of Nursing and Midwifery (Ms Abbasi), Student Research Committee of Shiraz University of Medical Sciences, Shiraz, Iran.
Background:
Missed nursing care (MNC) negatively impacts the quality of patient care. There may be a relationship between the nursing practice environment (NPE) and MNC; however, this relationship has not been examined in developing countries during the COVID-19 pandemic.
Purpose:
To determine the relationship between the NPE and MNC during the COVID-19 pandemic.
Methods:
A cross-sectional study of 300 participants was conducted in 4 teaching hospitals in Iran. Data were collected using a demographic and clinical form, the Nursing Professional Practice Environment Questionnaire, and MISSCARE survey and analyzed using structural equation modeling.
Results:
The hypothesized model was well fit, showing that 1 unit improvement of the NPE domains of patient-centered care , effective leadership , and policy transparency decreased MNC by 0.18, 0.12, and 0.05, respectively.
Conclusion:
The model confirmed the association between the dimensions of the NPE and MNC. These findings can assist health policymakers and nursing managers in improving the NPE.
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