Nursing Practice Environment and Patient Safety in Primary Health Care

NCT06762015 | Active Not Recruiting

• 1 other identifier: CES n. 57_2024
• Study Type: interventional
• Target: 45
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this study is to conduct an experimental, controlled, and randomized study, which will involve two data collection points - pre-intervention, post-intervention and a follow-up to asses the impact of the program. The study will be carried out with two groups - an intervention group and a control group, consisting of nurses interested in participating in the Positive Nursing Practice Environments Promotion Program (PAPEP), a multi-component intervention program aimed at promoting positive nursing practice environments. Participant allocation will be conducted randomly, using software to ensure stratified randomization of participants between the two groups.

Conditions

Healthy Work Environment; Patient Safety; Primary Health Care

Keywords

Healthy Work Environment; Patient Safety; Primary Health Care; Nurses

Outcome Measures

Primary Outcomes (2)

• Work Environment

  Scale for the environments evaluation of professional nursing practice-shortened version. The Scale for the Environment's Evaluation of Professional Nursing Practice-Shortened Version consists of 59 items across three subscales: Structure (29 items), Process (19 items), and Outcome (11 items). Participants rate each item on a five-point Likert scale (1: never to 5: always). Higher scores indicate a more favorable nursing practice environment for care quality and professional well-being. Scores are interpreted as follows: \<35% (unfavorable), 35-55% (moderately favorable), 55-75% (favorable), and \>75% (very favorable).

  6 months

• Safety climate

  Safety Attitudes Questionnaire - Short Form The Safety Attitudes Questionnaire (SAQ) - Short Form 2006 assesses healthcare professionals' perceptions of patient safety attitudes across various clinical areas and healthcare services. It has been validated and culturally adapted to the context in which the study will be conducted. The SAQ - Short Form 2006 comprises six dimensions, addressing organizational factors, work environment factors, and team factors, with a total of 30 items. Participants respond to each item using a five-point Likert scale: "strongly disagree," "partially disagree," "neutral," "partially agree," and "strongly agree." The final score ranges from 0 to 100, where 0 represents the worst perception and 100 the best perception of the safety climate.

  6 months

Study Arms (2)

Intervention Group

EXPERIMENTAL

Participants who will undertake the Positive Nursing Practice Environments Promotion Program

Behavioral: Positive Nursing Practice Environments Promotion Program

Control Group

NO INTERVENTION

Interventions

Positive Nursing Practice Environments Promotion Program BEHAVIORAL

A multi-component intervention program aimed at promoting positive nursing practice environments.

Intervention Group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Nurses working in primary health care units

You may not qualify if:

• Nurses in primary health care who refuse to participate in the study

Sponsors & Collaborators

• Cintia Silva Fassarella: lead
• CINTESIS - Center for Health Technology and Services Research, Porto: collaborator
• Universidade do Porto: collaborator

Study Sites (1)

ULS Entre Douro e Vouga

Santa Maria da Feira, Aveiro District, Portugal

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Masking Details: Stratified random sample
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Professor Dr.

Study Record Dates

• First Submitted: December 26, 2024
• First Posted: January 7, 2025
• Study Start: September 2, 2024
• Primary Completion: March 31, 2025
• Study Completion: April 1, 2025
• Last Updated: January 7, 2025

Record last verified: 2025-01

Locations

PT (1)