Advances in Nursing & Midwifery

Introduction: Cultivating a patient safety culture within an organization is essential for enhancing patient safety. This culture is closely tied to nursing practices, and any lapses in care can significantly compromise the delivery of safe nursing services. As such, missed nursing care is closely associated with the broader patient safety culture. This study aims to explore the relationship between patient safety culture and missed nursing care.
Methods: This descriptive-correlational study was conducted between 2022 and 2023 with nurses at Shahid Sadoughi University of Medical Sciences. The inclusion criteria were: having a minimum of a bachelor's degree in nursing, at least six months of experience in the department, and willingness to participate. Stratified random sampling was used for participant selection. Data were collected using a demographic questionnaire, the Kalisch and Williams Missed Nursing Care Questionnaire, and the HSOPS Questionnaire. Data analysis was performed using SPSS software (version 22), with statistical methods including descriptive statistics, t-tests, one-way ANOVA, linear regression, and Pearson correlation.
Results: The study sample comprised 233 nurses, including 94 males and 139 females. The results revealed a statistically significant difference in the mean score of overall patient safety culture based on work experience (p-value < 0.001), working hours (p-value < 0.001), and work shifts (p-value < 0.001). However, no significant difference was found in the total mean score of missed nursing care across different age groups (p-value = 0.287), work experience (p-value = 0.294), and shift work (p-value = 0.059), although a significant difference was observed with weekly working hours (p-value = 0.002). These findings were further supported by univariate linear regression analysis. The Pearson correlation coefficient indicated a significant negative correlation between missed nursing care and patient safety culture.
Conclusions: This research enhances our understanding of the relationship between patient safety culture and missed care. By exploring this connection, it provides empirical evidence for improving care quality and its management, while also laying the groundwork for future research in this area.

Introduction: In order to achieve success in the fight against the pandemic, society's perception of the pandemic and its attitudes towards its control have gained importance. It is wondered whether the level of fear experienced during the pandemic affects individuals' attitudes towards the COVID-19 vaccine. The purpose of this study is to determine the relationship between individuals' attitudes towards the COVID-19 vaccine and their level of fear.
Methods: This study utilized a descriptive and correlational design. The sample of the study consisted of 400 individuals aged 18-70 years who lived in Erzurum city center in Turkey between May 2021 and January 2023 and agreed to participate in the study. Data were collected through the Personal Information Form, the Fear of COVID-19 Scale, and the Attitudes towards the COVID-19 Vaccine Scale. Ethics committee approval was obtained for the study. Data analysis was done in a computer environment using SPSS 20 package program and parametric tests were used.
Results: It was determined that the average age of the participants was 33.87±14.93, 66.3% were female, 34.7% had a bachelor's degree or higher, 53.2% were single, 71.8% were unemployed, 57% lived with their families, 71.8% did not smoke, and 84.3% did not have a chronic disease. The Attitudes towards the COVID-19 Vaccine Scale positive attitude sub-scale mean score was 3.41±1.41 and the negative attitude sub-scale mean score was 3.28±1.15. It was determined that the total score average obtained from the Fear of COVID-19 Scale was 17.42±8.70, indicating above-average fear. A positive and moderate-level correlation was detected between the participants’ Attitudes towards the COVID-19 Vaccine Scale positive and negative attitude sub-scales and the fear of COVID-19 scores (r= 0.582, p<0.001).
Conclusions: The results obtained show that the participants' attitudes towards the COVID-19 vaccine are positive. Fear of COVID-19 positively affects attitudes towards vaccines.