{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T11:48:06Z","timestamp":1791892086063,"version":"4.3.4"},"reference-count":42,"publisher":"Wiley","issue":"19-20","license":[{"start":{"date-parts":[[2023,6,12]],"date-time":"2023-06-12T00:00:00Z","timestamp":1686528000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To examine the association between nursing unit safety culture, quality of care, missed care and nurse staffing levels, and inpatient falls using two data sources: incidence of falls and nurses' perceptions of fall frequency in their units. The study explores the association between the two sources of patient falls and identifies if nurses' perceptions of patient fall frequency reflect the actual patient falls recorded in the incident management system.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Inpatient falls are associated with severe complications that result in extended hospitalisation and increased financial consequences for patients and healthcare services.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A multi\u2010source cross\u2010sectional study guided by the STROBE guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A purposive sample of 33 nursing units (619 nurses) from five hospitals completed an online survey from August to November 2021. The survey measured safety culture, quality of care, missed care, nurse staffing levels and nurses' perceptions of patient fall frequency. In addition, secondary data on falls from participating units between 2018 and 2021 were also collected. Generalised linear models were fitted to examine the association between study variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Nursing units with strong safety climate and working conditions and lower missed care were associated with lower rates of falls using both data sources. Nurses' perceptions of the frequency of falls in their units were reflective of the actual incidence rate of falls, but the association was not statistically significant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Nursing units with a strong safety climate and better collaborations between nurses and other professionals, including physicians and pharmacists, were associated with lower incidents of patient falls.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to Clinical Practice<\/jats:title><jats:p>This study provided evidence for healthcare services and hospital managers to minimise patient falls.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient or Public Contribution<\/jats:title><jats:p>Patients who had experienced a fall, which was reported in the incident management system, from the included units in the five hospitals were part of this study.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.16792","type":"journal-article","created":{"date-parts":[[2023,6,13]],"date-time":"2023-06-13T04:30:35Z","timestamp":1686630635000},"page":"7260-7272","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["The impact of safety culture, quality of care, missed care and nurse staffing on patient falls: A multisource association study"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4266-4588","authenticated-orcid":false,"given":"Faisal Khalaf","family":"Alanazi","sequence":"first","affiliation":[{"name":"School of Nursing University of Wollongong  Wollongong New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1618-3812","authenticated-orcid":false,"given":"Samuel","family":"Lapkin","sequence":"additional","affiliation":[{"name":"School of Nursing University of Wollongong  Wollongong New South Wales Australia"},{"name":"Discipline of Nursing, Faculty of Health Southern Cross University  Gold Coast Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6120-9380","authenticated-orcid":false,"given":"Luke","family":"Molloy","sequence":"additional","affiliation":[{"name":"Discipline of Nursing, Faculty of Health Southern Cross University  Gold Coast Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6863-0541","authenticated-orcid":false,"given":"Jenny","family":"Sim","sequence":"additional","affiliation":[{"name":"School of Nursing University of Wollongong  Wollongong New South Wales Australia"},{"name":"World Health Organization Collaborating Centre for Nursing, Midwifery &amp; Health Development University of Technology Sydney  Ultimo New South Wales Australia"},{"name":"School of Nursing &amp; Midwifery University of Newcastle  Callaghan New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,6,12]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnsa.2023.100125"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.1063"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.7748\/nr.2023.e1878"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2012.04.007"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2017.08.004"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/PTS.0b013e3182699b64"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/PTS.0000000000000595"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.12742"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhq.12016"},{"key":"e_1_2_14_11_1","unstructured":"Centers for Disease Control and Prevention. 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