Hospital Staff Nurses Research Articles

Infection control and practice of standard precautions among hospital staff nurses in Indonesia

Background : Universal precaution as a strategy recommended by the Centers for Disease Control and Prevention in efforts to prevent infection and disease transmission among health workers, through the hospital Infection prevention and control (IPC) committee seeks to protect health workers and patients of the risk of transmitting the infection . Purpose : To determine the factors associated with the application of universal precautions in the prevention of infectious disease transmission in nurses at Lamaddukelleng Hospital, Wajo district. Method : A descriptive quantitative using cross-sectional design. The population is nurses at Lamaddukelleng Hospital, especially nurses in the emergency ward, with a total sampling of 28 respondents. Results: The Chi-Square test finding factor of nurses had a trained with p-value = 0.001 which shows that the nurses had a trained has a significant relationship to the application of universal precautions by nurses, while the availability of Infection prevention and control equipment facilities is p-value = 0.557 and the monitoring factor is p-value = 0.274, showing no relationship to the application of universal precautions by nurses. Conclusion : Shows that 75% of respondents have applied universal precautions. Suggestions to hospital management to be paying attention to provide Infection prevention and control equipment facilities and provide regular training, especially related to Infection Prevention and Control.

Is Hospital Nurse Staffing Legislation in the Public's Interest?: An Observational Study in New York State.

The Safe Staffing for Quality Care Act under consideration in the New York (NY) state assembly would require hospitals to staff enough nurses to safely care for patients. The impact of regulated minimum patient-to-nurse staffing ratios in acute care hospitals in NY is unknown. To examine variation in patient-to-nurse staffing in NY hospitals and its association with adverse outcomes (ie, mortality and avoidable costs). Cross-sectional data on nurse staffing in 116 acute care general hospitals in NY are linked with Medicare claims data. A total of 417,861 Medicare medical and surgical patients. Patient-to-nurse staffing is the primary predictor variable. Outcomes include in-hospital mortality, length of stay, 30-day readmission, and estimated costs using Medicare-specific cost-to-charge ratios. Hospital staffing ranged from 4.3 to 10.5 patients per nurse (P/N), and averaged 6.3 P/N. After adjusting for potential confounders each additional patient per nurse, for surgical and medical patients, respectively, was associated with higher odds of in-hospital mortality [odds ratio (OR)=1.13, P=0.0262; OR=1.13, P=0.0019], longer lengths of stay (incidence rate ratio=1.09, P=0.0008; incidence rate ratio=1.05, P=0.0023), and higher odds of 30-day readmission (OR=1.08, P=0.0002; OR=1.06, P=0.0003). Were hospitals staffed at the 4:1 P/N ratio proposed in the legislation, we conservatively estimated 4370 lives saved and $720 million saved over the 2-year study period in shorter lengths of stay and avoided readmissions. Patient-to-nurse staffing varies substantially across NY hospitals and higher ratios adversely affect patients. Our estimates of potential lives and costs saved substantially underestimate potential benefits of improved hospital nurse staffing.

Prevalence and risk factors for seclusion and restraint in old-age psychiatry inpatient units

Background and objectivesCoercion in psychiatry is legally tolerated as a last resort. The reduction of the use of coercion is a shared goal of hospital administrators, medical and nursing staff and representatives of patients and families but requires the identification of risk factors for coercion. These risk factors in geriatric psychiatric inpatient settings are not well known, especially regarding seclusion. Through examining the prevalence of coercion and patients’ characteristics, this study aims to identify risk factors for coercion in elderly people.MethodsThe use of coercion in the geriatric psychiatry division of Geneva University Hospital in 2017 was retrospectively analyzed. The incidence rate ratios were estimated with multivariable Poisson regressions to assess risk factors for coercion.ResultsEighty-one of 494 patients (16.4%) experienced at least one coercive measure during their stay (mainly seclusion). The risk factors for coercion were younger age, male gender, being divorced or married, cognitive disorders, high item 1 of the Health of the Nation Outcome Scales (HoNOS) score (overactive, aggressive, disruptive or agitated behavior) at admission, previous psychiatric hospitalizations and involuntary referrals from the emergency department. Other disorders and global HoNOS scores were not associated with the use of coercion.ConclusionHigher risks of coercion were outlined in men with cognitive disorders, agitated behaviors, and previous psychiatric hospitalizations. They differed from those observed in younger adults in terms of age, civil status, disorders, global HoNOS scores and referrals. Therefore, geriatric psychiatric populations should be specifically investigated for the development of interventions aiming coercion reduction.

Hospital Nursing Staff Perceptions of Resources Provided by Their Organizations During the COVID-19 Pandemic.

Background:The coronavirus disease 2019 (COVID-19) pandemic has profoundly impacted the health and psychological well-being of hospital nursing staff. While additional support is needed to better cope with increased job stressors, little is known about what types of hospital resources have been provided and how nursing staff perceive them. This study addressed this gap by describing nursing staff perceptions of resources provided by hospitals during the COVID-19 pandemic in the United States.Methods:Registered nurses and nursing assistants who were working in hospitals during the pandemic were recruited to an online survey via social media posts and emails between May and June 2020. A total of 360 free-text responses to an open-ended survey question were analyzed using content analysis.Results:Over half of participants reported being provided with hospital resources. “Basic needs” resources that included food on-site, groceries, and childcare support were the most frequently reported compared with four other types of resources (personal health and safe practice, financial support, managerial support, communication). Four themes emerged related to staff perceptions of support: community support, unequal benefits, decreasing resources, and insufficient personal protective equipment.Conclusion:Our findings can assist organizational leaders in the planning and allocation of different types of resources that are meaningful to nursing staff and thus ensure sustainability, optimal performance, and worker well-being during crises.

Satisfaction among hospital staff nurses on nurse staffing calculation-performance-oriented calculation based on Indonesian National Nurses Association (INNA) on information system

Background: The Indonesian National Nurses Association (INNA) has a method and tool for staffing calculation-performance-oriented calculation based on information systemPurpose: To identify of satisfaction among hospital staff nurses on nurse staffing calculation-performance-oriented calculation based on Indonesian National Nurses Association (INNA) on information systemMethod: The technique of determining the sample using the Cohen effect size (d) formula, the total sample is 30 nurses, divided by two groups, each group comprise 15 nurses the as control group and intervention group 15. The pre-post test done for both groups. The training given to participants for two days and following by measured to identify of satisfaction among hospital staff nurses twice to control and intervention groups using a questionnaire.Results: The Kolmogorov Smirnov normality test and finding the data had abnormally distributed (p <0.05), and following by the Mann Whitney test. The results showed that all the participants showed an increase in nurse satisfaction on nurse staffing calculation-performance-oriented calculation based on Indonesian National Nurses Association (INNA)Conclusion: There is a difference in the level of satisfaction between a control group and an intervention with a range of 4.66 points. Using nurse staffing calculation-performance-oriented calculation based on Indonesian National Nurses Association (INNA) on information system, it applicable and reasonable to nurses to calculate nurse staffing in the hospital.

Work environment on job satisfaction of hospital staff nurses related self-efficacy

Background: Based on data in the public health centre (Puskesmas). The ratio between the number of nurses and the number of population is irrational, so that the human resources need to be managed properly.Purpose: To analyze of work environment on job satisfaction of public health centre (Puskesmas) staff nurses related self-efficacyMethods: This research was conducted from March 2020 to June 2020. The data used are primary data, the data collection method uses the survey method, uses a saturate sample, where the sample is totally the number of 15 nurses as respondents. The method of analysis uses multiple linear regressionResults: Showing that the self-efficacy and work environment variables have a positive and significant effect on job satisfaction either partially or simultaneously.Conclusion: Management of public health centres (Puskesmas) must be able to maintain and improve nurses' self-efficacy and working conditions so that nurses will feel satisfied at work. Job satisfaction taken by nurses will result in professional and optimal service.

The Desire to Explain Phenomenon: Hospital Nursing Staff’s Familiarity and Perceived Relevance of Superstitions

The use of superstitions, in healthcare settings, is often used to understand uncontrollable events. In order to describe the knowledge and clinical relevance of superstitions, survey data were collected from nursing staff who provide direct patient care. Using a research-based, study-specific survey, the aim of this study was to describe the knowledge and clinical relevance of superstitions among nurses who provide direct patient care in a hospital setting. These data were analyzed to describe the study population, along with their knowledge and clinical relevance of superstitions, and compare the responses based on self-disclosure of superstitiousness. Participants that described themselves as superstitious reported a greater propensity for superstitions to be clinically relevant. Less education and younger age increased one’s use of superstitions in a clinical setting. The use of superstitions provides a coping mechanism for healthcare providers and a format to explain and understand uncontrollable events.

Assessment of Consumer Satisfaction to Improve Quality of Services Provided in Tertiary Care Hospital of Uttar Pradesh- A Cross-sectional Study

Introduction: Satisfaction of the patient play a very important decisive factor for pay-for-performance metrics and it also replicates the type of care being provided. One of the major parameters to establish patient satisfaction is to measure success of services provided in hospital. Aim: To assess the quality of care in terms of patient’s satisfaction in a tertiary care hospital of Uttar Pradesh. Materials and Methods: A community based cross-sectional study was carried out among patients attending the Outpatient Department (OPD) at Varunarjun Medical College and Rohilkhand Hospital, Uttar Pradesh, India. Total 88 people (patients or attendants) were interviewed by using a predesigned and pretested semi-structured proforma, in Hindi language. The questionnaire contained questions related to an individual’s experience with the staff and environment of health system at the end of their outpatient visit. Data were analysed using Statistical Package for the Social Sciences (SPSS) version 20.0. Results: The majority 37 (42.0%) belonged to age group of 34-49 years, 58 (66%) were males, 36 (40.9%) educated upto high school and 45 (51.2%) belonged to general category. In the present study, regarding hospital informatory, 28 (31.8%) respondent found good direction indicators. Waiting period was less than half-an-hour reported by 47 (53.4%) patients. Sixty-three (71.5%) patients had opportunity to ask questions about their disease and treatment. Most of the respondent 50 (56.8%) said that hospital staff listened to their questions and problems. Statistically significant association was found in- between patient satisfaction and socio-demographic variable like age, gender, education and socio-economic status (p-value <0.05). Around 68 (77.2%) respondent were not satisfied with behaviour of hospital staff (nurses and paramedical staff) whereas only 35 (39.8%) respondent were satisfied with the behaviour of treating doctor. Conclusion: Among the different domains of measurements of patient satisfaction, only few were satisfied with doctor’s and paramedical staff. Doctor's time, behaviour of paramedical staff and poor quality of services were the main reasons for dissatisfaction among dissatisfied patients.

Effects of Care Hospital Nursing Staff's Knowledge of Nosocomial Infections Management on the Execution of Nosocomial Infections Management: Mediating Effects of Health Belief

Effects of Care Hospital Nursing Staff's Knowledge of Nosocomial Infections Management on the Execution of Nosocomial Infections Management: Mediating Effects of Health Belief

THE RELATIONSHIP BETWEEN PSYCHOLOGICAL WELLBEING AND WORK MOTIVATION AMONG STAFF NURSES IN GOVERNMENTAL HOSPITALS IN PORT SAID

Background: Nurses are a main group of health service providers, but they have to face physical and psychological problems such as permanent confrontation with the patient, being exposed to health hazards. Nurses need to be motivated to accomplish their tasks, provide quality care. Motivation at work was found to be closely linked with job satisfaction and psychological well-being. Aim: the aim of the study was to investigate the relationship between psychological wellbeing and work motivation among staff nurses in Governmental Hospitals in Port Said. Subject and Methods: The current study utilized a descriptive correlational design. The study population included all staff nurses with total number 274 at inpatient units working in four hospitals namely (Port Said general hospital, Elnasr hospital, Elzohor Central hospital and Port Fouad general hospital), used two tools: Ryff Psychological Wellbeing Scale (Ryff Scale), Work Preference Inventory scale, a personal and job characteristics questionnaire sheet was added. Results: The high percentage of nurses participate in this study were females 94.2%, less than three quarter of studied staff nurses had high level of the total psychological well-being (71.5%), the majority of the studied staff nurses had highly total scores of work motivation (77.4%).Conclusions: there is a significant correlation between psychological wellbeing and work motivation among staff nurses in governmental hospitals at Port Said. Recommendations: Nurses should improve their psychological wellbeing state. In addition, nurses' managers should motivate nurses through increase incentives, appreciate and acknowledge all nurses working in hospitals.

Knowledge, attitudes and practices of healthcare workers within an Australian tertiary hospital to managing high-consequence infectious diseases.

BackgroundAdequate preparation and support for healthcare workers (HCWs) managing high-consequence infectious diseases (HCIDs) is critical to the overall clinical management of HCIDs. Qualitative studies examining how well prepared and supported HCWs feel are lacking despite their key role. This study investigated how prepared and supported front-line HCWs at an Australian tertiary hospital felt about managing HCIDs such as viral haemorrhagic fever (VHF).MethodsA qualitative research approach was used to undertake interviews with 45 Royal Melbourne Hospital medical and nursing staff from emergency, intensive care and infectious diseases. Interview questions captured data on HCWs’ role, familiarity with using protocols, psychological attributes and training for scenarios related to VHF patient management. Interviews were recorded and transcribed. Categorical responses were analysed quantitatively and open-ended responses were analysed thematically.ResultsNinety-eight percent of participants indicated feeling capable of undertaking their role in managing VHF patients; 77% felt supported through personnel/resources. However, 69% indicated barriers to managing these patients effectively; and 68% felt anxious at the prospect of managing VHF patients. Themes emerging from participants’ observations included concerns about training frequency, miscommunication, difficulty with uncertainty, feeling underprepared, and fear of transmitting infection to others.ConclusionAlthough the majority of HCWs feel confident about their ability to care for VHF patients, they also have a moderately-high degree of anxiety. Perceptions of interviewed staff have fed into recommendations to increase HCW preparedness and reduce anxiety, which include investigating support services, and exploring training options that create multi-departmental groups of highly specialised medical officers and nurses.

Hospital@Home: a proof of concept

Abstract Background Expenditure in healthcare in the Netherlands is so increasing that currently 1 in 7 employees are working in the health care/cure. Future expansion is under constrain given the 10% of GDP use and shortage of working force.Dutch healthcare consists of a cure section (mostly hospitals) and nursing care@home. Both entities have different national budgets (€25 + €20bln) Methods In a proof of concept, we explored a new Hospital@Home (H@H) model combining hospital cure and home-care budgets in a 800 mi2 district with 850,000 inhabitants. The objective comprises 4 proofs: (1)provide hospital care@home, (2) combine financial budgets (3) increasing working forces by combining teams, (4) increased satisfaction of pts and nursing staff. Results We proofed a joining budgets of the hospital and home-care group for cardiology. The homecare-budget was sufficient to hire 3 nurse practitioners who are trained by the cardiologists and work with 16 home-care cardiovascular nurses for H@H treatment. The hospital budget provided a virtual EHR cardiology ward and supplied the home care-nurses with a nursing app to assess the patients EHR. Budgets were sufficient to obtain the home-heartfailure monitoring application. The cardiology-group developed the H@H program for endocarditis treatment and heartfailure telemonitoring. Clinically, in the first 6 months, 50% of hospitalized endocarditis pts were treated with iv antibiotics@home with an average 16.5 days per pt shorter admission days without complications. 33% of eligible hospitalized heartfailure pts consented for telemonitoring@home while up-titrated on medication. Video-consulting reduced outpatient visits with 75%. Patient satisfaction was 75/100. Conclusion In this proof of concept, the H@H program provided hospital cure at home by merging hospital and home-care nursing staff and ICT budgets. Patient satisfaction score were driven by shorter admissions and less hospital visits. We call for further exploration of efforts to facilitate combined home-care and hospital-cure transmural budgets to confirm this proof of concept. Funding Acknowledgement Type of funding source: None

Knowledge and Practices on Intra Venous Cannulation among Student Nurses

Back ground: The study is generally concerned about the care and maintenance of peripheral intravenous(IV) cannulation and to assess the knowledge and practice of student nurses towards care and maintenanceof IV cannula. Intravenous cannulation is a commonest procedure performed by student nurses and staffnurses in hospitals and the procedure is closely associated with the risk of nosocomial infections if standardcare is not provided. Design: Non experimental descriptive study design was carried out and non-probabilityconvenience sampling method used for data collection. Methods: Nurses knowledge and practice towardsintravenous cannulation were assessed using a validated semi?structured self-administered questionnaire.Reliability was assessed using Cronbach’s ? coefficient method.Data were analysed through SPSS programand Microsoft excel. Result :The findings revealed that 54% respondents were doing correct practices andonly 6% shown poor practices in IV cannulation. Most student nurses (68%) has good subject knowledgeof caring and maintaining peripheral intravenous cannulation but there were some(8%) without properknowledge. None of the demographic variables and scores of knowledge and practice has an associationexcept education and the practice score. Education and practice score showed the significant relation.Conclusion: Only 6-8% of total sample expressed poor practices and knowledge . Anyhow this can bedangerous also as student nurses are dealing with patients in hospital. Further education need to be given tothe student nurses before practicing on patients.

Second Victim Support

The purpose of this study was to describe hospital nurses' experiences with organizational support after an adverse event (AE). Most hospital staff nurses will experience an AE, being left and feeling traumatized. Data collection and analysis followed a qualitative descriptive approach. Nurses yearn to feel valued and to receive timely support from nurse executives after an AE. To help lessen the suffering of the nurse after an AE, healthcare organizations and nurse executives must support the nurse in the aftermath.

Constraints, Normative Ideal, and Actions to Foster Change in the Practice of Nursing: A Qualitative Study.

The purpose of this study was to explore the lived experiences of politically engaged hospital staff nurses, the way in which they would like to practice, as well as the ideas and actions they have undertaken to foster change in their nursing practice. A qualitative design was used to collect data from a purposive sample of 39 nurses. Results indicate a deprofessionalization of nursing and a drift toward authoritarianism. There are, nonetheless, nurses who employ acts of resistance with the aim of establishing new power relations. It appears that those actions must focus on the radical renewal of democracy in hospitals.

A framework for studying risk factors for lower extremity musculoskeletal discomfort in nurses

Lower extremity musculoskeletal discomfort (MSD) is prevalent, but understudied, in nurses. A comprehensive, theoretical, aetiological model of lower extremity work-related MSD in hospital in-patient staff nurses was developed through a review of the literature to provide a framework for aetiological and intervention research. The framework informed the design of a survey of 502 hospital staff nurses. Symptom prevalence ranged from 32% in hip/thigh to 59% in ankle/foot regions. Logistic regression modelling using survey data showed that different work and personal factors were associated with discomfort in different regions of the lower extremity. Individual factors (e.g. older age, higher BMI or having any foot condition), physical factors (e.g. higher frequency of patient handling), psychosocial factors (e.g. lower job satisfaction) were associated with discomfort in one or more parts of the lower extremity. Future research should target these factors for intervention, to attempt to reduce occurrence of lower extremity discomfort in nurses. Practitioner Summary: Practitioners may find useful the illustrated, theoretical aetiological model of factors that could influence the prevalence of lower extremity discomfort in nurses. The model could guide conversations with nurses and observational analyses of nursing work. The model and survey results may provide ideas for intervention exploration. Abbreviations: MSD: musculoskeletal discomfort; BMI: body mass index; MSK: musculoskeletal; ICU: intensive care unit; NLERF: nurses' lower extremity MSD risk factor; NASA-TLX: NASA-task load index

The Relationship Between Nurse Staffing, Quality, And Financial Performance In Hospitals

Little evidence exists the relationship of nurse staffing and quality with financial performance in hospitals. This study aimed to measure the relationship between nurse staffing, quality of care, and profitability in hospitals. This study used longitudinal panel datasets from 2006 to 2010, drawn from various datasets including the American Hospital Association Annual Survey Database, Medicare Cost Report, and Hospital Compare Data. This study used the random-effects linear regression model to measure the relationship between nurse staffing, quality, and profitability. In addition, we tested a mediating effect of quality on the relationship between nurse staffing and profitability. This study found nurse staffing’s significant association with quality and profitability in hospitals. First, compared to hospitals in the lowest quintile of RNs per 1,000 inpatient days, hospitals in the higher quintiles had lower pneumonia readmission rates, and higher total profit margins, operating margins, and cash flow margins. In addition, hospitals with lower pneumonia readmission rates were found to have higher total profit margins and cash flow margins. Lastly, the current study found that the positive relationship between RNs per 1,000 inpatient days and total profit margin and cash flow margin was partially mediated by pneumonia readmission rates. In conclusion, our finding that nurse staffing is positively associated with both quality of care and profitability in hospitals suggests that the idea of hospitals responding to financial pressures by cutting RN resources with a goal of greater profitability should be called into question. The influence of lower RN staffing levels on higher profitability for hospitals is uncertain, while it is possible that RN staff reductions may compromise the quality of patient care.

Nurses Compliance Toward Patients' Rights and its Relation To Patients Satisfaction

Background: Patient rights may be considered as one of the main bases for defining the standards of clinical services. On the other hand, the concept of patient rights has been on the rise alongside the ever-growing interest of international organizations in human rights. Also nurses have more responsibility than physicians in this regard, because they are usually in closer contact with patients than other health care workers. Thus, nurses are the most suitable supporters of their rights. Aim: The aim of the study was to assess nurses’ compliance toward patients' rights and its relation to patients’ satisfaction. Research Design: The study was conducted using descriptive comparative research design. Setting: The study was carried out Coronary Care Unit (CCU) at Minia General Hospital and Minia University Hospital in Minia city. Subject: participated ofthe study included a convenience of patients total number (n=110) patient admitted to hospitals, and all staff nurses who working in CCU during the period of data collection. Their total numbers were (55) nurses. Tool: Two tools were used; Nurses’ compliance to the patient’s rights questionnaire and patient satisfaction scale. Results: there was more than half at Minia University Hospital staff nurses had high level of compliance toward patients' rights as (51.9%), less than half of the sample had moderate level of compliance toward patients' rights as (48.1%), also none of them were low level of compliance toward patients' rights in the three times observation. But nurses in General Hospital had low level of compliance toward patients' rights in the first, second, and third observation as (25.9%, 55.6% and 59.3%) respectively, also more than one third to less than two thirds of them had moderate level of compliance toward patients' rights in the first, second, and third observation as (63%, 44.4% and 37%) respectively, but the lowest percent of them have high level of compliance toward patients' rights in in the first, second, and third observation as (11.1%, 0.0% and 3.7%) respectively. Also more than half (50.9%) of patient at Minia University Hospital exhibit the responses toward moderate level and low half (43.6%) of them responses toward high level of satisfaction. But the majority (87.3%) of patient at Minia general hospital exhibit the responses toward moderate level and (12.7%) of them responses toward low level ofsatisfaction. Conclusions: More than half of staff nurses had high level of compliance toward patients' rights and low half (43.6%) of patients responded toward high level of satisfaction at Minia University Hospital. But about half of staff nurses on second and third observation had low level of compliance toward patients' rights and the majority of patient exhibited the responses toward moderate level of satisfaction at General University Hospital. Recommendation: Nurse need to attend training program about patient rights that enhance patient satisfaction, also the hospital should made policy, rules and regulations that enhance patient rights

Variables associated with missed nursing care in Alabama: A cross‐sectional analysis

To discover the extent of and factors associated with missed nursing care in Alabama. Missed nursing care is a well-documented phenomenon. However, it has not been studied in U.S. southern states that consistently rank poorly in health outcomes, such as Alabama. The Perceived Implicit Rationing of Nursing Care Instrument was administered as part of the Alabama Hospital Staff Nurse Study. Analyses were run on 950 surveys completed by inpatient registered nurses. Overall missed nursing care scores vary significantly by gender, unit type, job satisfaction and quality of nursing care. Overall missed nursing care scores are correlated with the work environment and number of patients assigned to each nurse. Unit type, quality of nursing care and the work environment are important factors associated with missed nursing care. The results of this study advance nursing science by adding to the growing body of knowledge surrounding missed nursing care. The results reveal opportunities where nurses may need support in their bedside practice. Nursing management must monitor the nursing work environment, periodically measure missed nursing care to assess for improvement opportunities, and watch for interventions that could decrease missed nursing care.

Trust in leader as a pathway between ethical leadership and safety compliance

PurposeAlthough a great number of studies have established the important role of leadership in workplace safety, it appears researchers are yet to consider the role that trust in leaders could play between ethical leadership and safety compliance within healthcare. To address that imbalance, this study aims to investigate the relationship between ethical leadership and safety compliance, with trust in the leader as the mediator.Design/methodology/approachData were collected in three time periods from 237 hospital staff nurses (76.8 per cent women and 23.2 per cent men). Ordinary least squares regression-based path analysis using PROCESS for statistical package for the social sciences (SPSS) macro was used to test the hypotheses.FindingsResults showed that ethical leadership was positively related to trust in a leader but was not related to safety compliance. In addition, trust in leader was positively related to safety compliance and also mediated the positive relationship between ethical leadership and safety compliance.Research limitations/implicationsThe data were collected within healthcare organisations in a few localities in Nigeria, making it difficult to generalise the findings beyond the current sample let alone the entire country or even continent.Practical implicationsThe findings imply that ethical leadership may not be directly effective in improving the safety compliance of subordinate nurses unless such a leader first develops a trust-based relationship with the subordinates.Originality/valueThe current study builds on and extends the burgeoning research in the area of leadership and employee outcome by investigating not only the direct relationship between ethical leadership and safety compliance but also incorporating trust in a leader as a mediator of this relationship.