ArticleMCN. The American journal of maternal child nursing
Association of Clinical Nursing Work Environment with Quality and Safety in Maternity Care in the United States.
Article in MCN. The American journal of maternal child nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Family centered nursing practices towards women and their families in the birthing context: A qualitative systematic review.Nursing open · 2023Pooled it
- Article
- Safety climate in the operating room in the pre-pandemic and pandemic period of COVID-19: A mixed method study.PloS one · 2024Article
- Impact of COVID-19 on professional nursing practice environments and patient safety culture.Journal of nursing management · 2022Observational
- Nursing Resources by Type of Maternity Unit Across Regions of the United States.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2022Article
- The COVID-19 Pandemic and Professional Nursing Practice in the Context of Hospitals.Healthcare (Basel, Switzerland) · 2022Article
- Newborns With Neonatal Abstinence Syndrome Are Concentrated in Poorer-Quality Hospitals.Hospital pediatrics · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
Abstract
purposeMaternal outcomes in the United States are the poorest of any high-income country. Efforts to improve the quality and safety of maternity care are frequently reported by individual hospitals, limiting generalizability. The purpose of this study is to describe maternity care quality and safety in hospitals in four states. STUDY DESIGN AND
methodsThis cross-sectional study is a secondary analysis of the Panel Study of Effects of Changes in Nursing on Patient Outcomes data. Registered nurses reported on maternity unit quality, safety, and work environment. Descriptive statistics and clustered linear regressions were used.
resultsThe sample included 1,165 nurses reporting on 166 units in California, New Jersey, Pennsylvania, and Florida in 2015. One-third of nurses, on average, gave their units an overall safety grade of "excellent," but this decreased to less than one-sixth of nurses in units with poor work environments. Overall, 65% of nurses reported that their mistakes were held against them. A good work environment, compared with poor, was significantly associated with fewer nurses grading safety as poor (β -35.6, 95% CI -42.9 - -28.3). CLINICAL IMPLICATIONS: Our research found that the nurses in the majority of hospitals with maternity units in four states representing a quarter of the nation's annual births felt their units do not provide excellent quality care and have a less than optimal safety climate.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.