Öznur İsPir Demir

Clinical placements expose nursing students to patient safety incidents and provide important opportunities for learning about safe care. This study explored how nursing students in four countries recognized and interpreted patient safety incidents encountered or witnessed during clinical practice, including perceived contributing factors. A secondary qualitative content analysis was conducted using narrative data from 1442 undergraduate nursing students in the Czech Republic, Italy, Slovakia, and Türkiye. In total, 287 incident descriptions and 263 explanations of perceived reasons were analyzed using an inductive–deductive approach supported by descriptive frequency counts. Medication safety incidents and patient falls were most frequently reported, alongside infection prevention breaches, missed or inadequate care, communication failures, adverse outcomes, and environmental hazards. Students described incidents as multifactorial, involving patient and contextual factors, organizational and system conditions, and human and professional factors. Cross‐country differences reflected patterns within the analyzed narratives rather than differences in incident prevalence or quality of care. The findings support practice‐integrated patient safety education, effective supervision, structured reflection and debriefing, clear reporting pathways, and psychologically and emotionally safe, nonpunitive learning environments.

Objective: This study aimed to adapt the Patients’ Perception of Nurse–Patient Relationship as Healing Transformations Scale for use in Turkish and to examine its psychometric properties among hospitalized patients. Method: A methodological design was employed. The study included 263 inpatients receiving care in 3 public hospitals across different regions of Türkiye. Data were collected between August 25 and December 10, 2025, using a Patient Information Form and the Patients’ Perception of Nurse–Patient Relationship as Healing Transformations Scale. For the Turkish adaptation, language and content validity were first assessed. Then, confirmatory, exploratory, and confirmatory factor analyses were conducted, respectively. Reliability was evaluated through Cronbach’s alpha and test–retest methods. Results: The content validity index of the scale was 1.00. Two items were removed from the scale because they appeared in both factors. Principal component analysis resulted in a final 15-item, 2-factor structure that explained 80.24% of the total variance. According to confirmatory factor analysis, the scale’s ­ goodness-of-fit values were found to be χ²/df=3.1, RMSEA (root mean square error of approximation) = 0.090, GFI (goodness-of-fit index) = 0.890, AGFI (adjusted goodness-of-fit index) = 0.846, SRMR (standardized mean square residual) = 0.036, NFI (normed fit index) = 0.946, IFI (Incremental Fit Index) = 0.963, CFI (Comparative Fit Index) =0.963, and TLI (Tucker Lewis Index) =0.955. The overall reliability of the scale was α = 0.971. The item-total correlation values of the scale ranged from 0.693 to 0.923. Test–retest analyses showed high correlations, ranging from 0.851 to 0.865 for the subdimensions and 0.876 for the total scale. According to the Turkish version of the scale scores, 96.6% of patients perceived the nurse–patient relationship as healing and transformative. Conclusion: The Turkish version of the scale, with 15 items and 2 factors, is a valid and reliable instrument. It can be used to assess patients’ perceptions of the healing transformation that occurs in the nurse–patient relationship as a nursing care outcome.

Aim: To assess perceived patient safety competencies among nursing students and to examine their associations with their perceptions regarding clinical learning environment and unfinished nursing care. Design: An international comparative cross‐sectional study. Methods: A total of 1442 nursing students from the Czech Republic, Italy, Slovakia, and Türkiye participated between February and December 2025. Data were collected using the Health Professional Education in Patient Safety Survey, the Clinical Learning Environment, Supervision and Nurse Teacher scale, and the Unfinished Nursing Care Survey for Students. Descriptive statistics, non‐parametric tests, Spearman correlations, and multivariate general linear modelling were applied. Results: Students reported significantly higher patient safety competencies in clinical compared with academic settings ( p ≤ 0.001). Significant cross‐country differences were observed across all competency domains ( p ≤ 0.001). Perceived patient safety competencies were positively correlated with the overall quality of the clinical learning environment ( r = 0.356–0.420; p < 0.001) and negatively correlated with unfinished nursing care ( r = −0.107 to −0.171; p < 0.001). Multivariate analysis demonstrated that pedagogical atmosphere, premises of nursing care, supervisory relationship, and particularly the role of the nurse teacher were significant predictors of patient safety competencies. Conclusion: The development of nursing students' patient safety competencies is closely linked to the quality of clinical learning environments. Strengthening educational and organisational conditions within clinical placements may play an important role in preparing future nurses for safe clinical practice. Implications for the Profession and/or Patient Care: Improving the quality of clinical learning environments, strengthening supervision, and addressing unfinished nursing care may support the development of nursing students' patient safety competencies and contribute to safer patient care. Reporting Method: The study was carried out according to the STROBE checklist. Patient or Public Contribution: No Patient or Public Contribution.

Background: In the sustainability of quality systems, monitoring patient safety and satisfaction from the patients' perspective contributes to improving the quality of care and providing care in line with the needs and expectations of patients. Objective: This study aimed to explore the relationship between patients' perceptions of individualized care, patient safety, their experiences with adverse events, and satisfaction with nursing care, and the sequential mediating role of patient safety perception and adverse event experience in the relationship between individualized care and satisfaction with nursing care. Methods: A total of 660 patients from the inpatient units of a public hospital in Türkiye were included in this cross‐sectional study. Data collection was conducted between April and July 2024 using the Individualized Care Scale—Patient version, the Patient Measure of Safety‐30, a question assessing the experience of adverse events, and the Newcastle Satisfaction with Nursing Care Scale. Data were analysed using descriptive and correlation analysis, and the hypothesis model was tested using structural equation modeling. Results: The findings show that individualized care is associated with higher levels of patient satisfaction with nursing care and more positive patient safety perceptions, while also contributing to a lower experience of adverse events. In the final model, it was determined that the patient safety perception mediated the effect of individualized care on nursing care satisfaction among both those who experienced adverse events and those who did not. Conclusions: These results suggest that healthcare institutions should place greater emphasis on strengthening individualized care practices by supporting nurses in planning and delivering care tailored to patients' specific needs. In addition, integrating an individualized care approach into nursing education programs and broader healthcare policies may play a key role in improving patient safety and satisfaction with nursing care.

Aim: The aim of the study was to investigate the mediating effect of patient‐reported missed care in the relationship between care dependency, adverse events, trust in nurses and satisfaction with nursing care.Design: A cross‐sectional and correlational study.Methods: A total of 374 patients were recruited from the medical and surgical inpatient units of two public university hospitals in Türkiye using a convenience sampling method from May to August 2022. The data were collected using the Care Dependency Scale, MISSCARE Survey‐Patient, Trust in Nurses Scale and Newcastle Satisfaction with Nursing Care Scale. The relationships between the variables were analysed using a sequential mediation model (Model 6) in Hayes' PROCESS macro.Results: Care dependency was found to have a significant negative effect on misscare‐communication; however, it had no significant effect on misscare‐basic care. Misscare‐communication had a significant positive effect on the experience of adverse events, while misscare‐basic care had no significant effect. Misscare‐communication and basic care had a significant negative effect on trust in nurses and satisfaction with nursing care. Misscare‐communication was found to have a partial mediating effect on the relationship between care dependency and experiencing adverse events, trust in nurses and satisfaction with nursing care.Conclusion: The results emphasize the importance of misscare‐basic care, communication and patients' care dependency in improving patient outcomes such as experiencing adverse events, trust in nurses and satisfaction with nursing care, and they extend existing nursing studies by addressing missed care and care dependency together from the perspective of patients.Impact: We urge nurse managers to consider the role of misscare in the impact of patients' level of care dependency on patient outcomes. Accordingly, nurse managers should focus first on interventions to eliminate misscare‐communication. Effective interventions to address factors that impact communication and fulfilment of basic care are necessary to achieve better patient outcomes.Reporting Method: EQUATOR guidelines were followed using the STROBE reporting method.Patient or Public Contribution: No patient or public contribution. Patients only contributed to data collection. Data were obtained from patients hospitalized in the medical and surgical inpatient units of two public university hospitals.

Practices that strengthen nurse work environments and enable them to have control over nursing practices have gained importance in recent years as they increase nurses’ retention and patient care quality. This study aimed to examine the relationships between structural empowerment and nurse and patient-reported outcomes and the mediating role of control over nursing practices in these relationships. This correlational and cross-sectional study was carried out from September 2018 to May 2019 at two public hospitals in Turkey. We recruited staff nurses ( n = 319) working in the inpatient units of these hospitals and their patients ( n = 319). Data were collected using self-report measures from staff nurses and patients. It was determined that structural empowerment and control over nursing practices had a positive relationship with job satisfaction and nursing care quality, as well as a negative relationship with intention to turnover; however, there was no relationship with patient-reported outcomes. Control over nursing practices partially mediated the relationship between structural empowerment and outcomes of job satisfaction and nursing care quality. This study indicates that promoting the structural empowerment of nurses and ensuring that they have control over practice will increase job satisfaction and quality of care. Nurse managers can increase nurses’ job satisfaction and quality of care by creating supportive work environments and ensuring they have control over nursing practices.

Aim: To examine the relationship between nursing work environment, nurses' perception of decent work, job satisfaction, and physical and mental health.Background: According to the psychology of working theory, work‐related and overall well‐being levels of employees with decent work increase as their basic needs are met.Methods: This study was conducted as a cross‐sectional, correlational study. The study sample consisted of 311 nurses working in two hospitals in a province of Turkey. The participants were selected using convenience sampling method. The model of the research was analyzed using structural equation modeling. This study was reported using the STROBE checklist for cross‐sectional studies.Results: The four dimensions of the nursing work environment were found to have a significant relationship with decent work. Decent work was found to have a direct relationship with physical and mental health. It had an indirect relationship between three subscales of work environment and physical and mental health, however, decent work had no significant relationship with job satisfaction.Conclusions: The findings of this study indicated the role of decent work environment and its relationship with nurses’ physical and mental health.Implications for nursing and health policy: Nurse managers, policy makers, and decision‐makers at all levels should improve nursing work environment and working conditions.