Nurses' Safety in the Hospital Environment: Evolutionary Concept Analysis

Abstract

Purpose: The purpose of this study was to analyze the concept of nurses`` safety within the context of the hospital environment. Methods: We used Rodgers`` method of evolutionary concept analysis and reviewed the relevant literature and noted and categorized characteristics that appeared frequently. Results: Nurses`` safety was defined as safe status and safe activity among nurses. Three key defining attributes were identified as: (a) the minimization of actual or perceived risk, (b) personal duties and rights, and (c) ensuring within a safe working environment. Antecedents of nurses`` safety were categorized into three dimensions: (a) individual, including vigilance and knowledge gained through education and training; (b) institutional, including safety provision in the organizations; and (c) national, including legislation. The outcomes of nurses`` safety included the following: (a) continued competence in nurses`` work; (b) enhancement of the quality of patient care; and (c) reductions in nurses`` turnover rates. Conclusion: Nurses`` safety ensures that qualified nurses are able to continue to perform their duties and provide good patient care. The findings of this study could contribute to future research examining nurses`` safety. In addition, appropriate tools must be developed to measure the concept.