Nursing practice environment and employee silence about patient safety: The mediating role of professional discrimination experienced by nurses

Journal of Advanced Nursing

Volumn 78, Issue 2, 2022, Pages 434-445

  Kritsotakis, George ^a,b   Gkorezis, Panagiotis ^b,c   Andreadaki, Eirini ^b,d   Theodoropoulou, Maria ^b   Grigoriou, Georgios ^b   Alvizou, Anastasia ^b   Kostagiolas, Petros ^b,e   Ratsika, Nikoleta ^a  

^a TECHNOLOGICAL EDUCATIONAL INSTITUTE OF CRETE   (Greece)

^b HELLENIC OPEN UNIVERSITY   (Greece)

^c ARISTOTLE UNIVERSITY OF THESSALONIKI   (Greece)

^d Aghios Nikolaos General Hospital   (Greece)

^e Ionian University   (Greece)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CHANGE MANAGEMENT; CROSS-SECTIONAL STUDY; DRUG SAFETY; EMPLOYEE; FEMALE; GREECE; HEALTH CARE QUALITY; HUMAN; MALE; MANAGER; MULTICENTER STUDY; NURSING ASSISTANT; NURSING PRACTICE; OCCUPATION; PATIENT SAFETY; SPEECH; WORK ENVIRONMENT; JOB SATISFACTION; NURSE; NURSING STAFF; WORKPLACE;

CROSS-SECTIONAL STUDIES; HUMANS; JOB SATISFACTION; NURSES; NURSING STAFF, HOSPITAL; PATIENT SAFETY; WORKFORCE; WORKPLACE;

EID: 85111944439     PISSN: 03092402     EISSN: 13652648     Source Type: Journal    
DOI: 10.1111/jan.14994     Document Type: Article

References (86)

1. Aiken, L. H., Cimiotti, J. P., Sloane, D. M., Smith, H. L., Flynn, L., & Neff, D. F. (2011). Effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments. Medical Care, 49(12), 1047–1053. https://doi.org/10.1097/MLR.0b013e3182330b6e
2. Aiken, L. H., Sermeus, W., Van den Heede, K., Sloane, D. M., Busse, R., McKee, M., Bruyneel, L., Rafferty, A. M., Griffiths, P., Moreno-Casbas, M. T., Tishelman, C., Scott, A., Brzostek, T., Kinnunen, J., Schwendimann, R., Heinen, M., Zikos, D., Sjetne, I. S., Smith, H. L., & Kutney-Lee, A. (2012). Patient safety, satisfaction, and quality of hospital care: Cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ, 344, e1717. https://doi.org/10.1136/bmj.e1717
3. Alingh, C. W., van Wijngaarden, J. D., van de Voorde, K., Paauwe, J., & Huijsman, R. (2019). Speaking up about patient safety concerns: The influence of safety management approaches and climate on nurses’ willingness to speak up. BMJ Quality & Safety, 28(1), 39–48. https://doi.org/10.1136/bmjqs-2017-007163
4. Allan, H., Tschudin, V., & Horton, K. (2008). The devaluation of nursing: A position statement. Nursing Ethics, 15(4), 549–556. https://doi.org/10.1177/0969733008090526
5. Banks, K. H., & Stephens, J. (2018). Reframing internalized racial oppression and charting a way forward. Social Issues and Policy Review, 12(1), 91–111. https://doi.org/10.1111/sipr.12041
6. Becker, T. E. (2005). Potential problems in the statistical control of variables in organizational research: A qualitative analysis with recommendations. Organizational Research Methods, 8(3), 274–289. https://doi.org/10.1177/1094428105278021
7. Berry, J. C., Davis, J. T., Bartman, T., Hafer, C. C., Lieb, L. M., Khan, N., & Brilli, R. J. (2020). Improved safety culture and teamwork climate are associated with decreases in patient harm and hospital mortality across a hospital system. Journal of Patient Safety, 16(2), 130–136. https://doi.org/10.1097/PTS.0000000000000251
8. Bisel, R. S., & Arterburn, E. N. (2012). Making sense of organizational members’ silence: A sensemaking-resource model. Communication Research Reports, 29(3), 217–226. https://doi.org/10.1080/08824096.2012.684985
9. Brofidi, K., Vlasiadis, K., Philalithis, A. (2018). Assessment of the nursing practice environment in Greek Hospitals: A cross-sectional study. Journal of Research in Nursing, 23(6), 535–545. http://doi.org/10.1177/1744987118788705
10. Bruyneel, L., Lesaffre, E., Meuleman, B., & Sermeus, W. (2019). Power distance and physician-nurse collegial relations across 14 European countries: National culture is not merely a nuisance factor in international comparative research. Journal of Nursing Scholarship, 51(6), 708–716. https://doi.org/10.1111/jnu.12514
11. Chae, D. H., Wang, Y., Martz, C. D., Slopen, N., Yip, T., Adler, N. E., Fuller-Rowell, T. E., Lin, J., Matthews, K. A., Brody, G. H., Spears, E. C., Puterman, E., & Epel, E. S. (2020). Racial discrimination and telomere shortening among African Americans: The Coronary Artery Risk Development in Young Adults (CARDIA) Study. Health Psychology, 39(3), 209–219. https://doi.org/10.1037/hea0000832
12. Chang, H. Y., Chu, T. L., Liao, Y. N., Chang, Y. T., & Teng, C. I. (2019). How do career barriers and supports impact nurse professional commitment and professional turnover intention? Journal of Nursing Management, 27(2), 347–356. https://doi.org/10.1111/jonm.12674
13. Cole, D. A., Bersick, E., Skarbek, A., Cummins, K., Dugan, K., & Grantoza, R. (2019). The courage to speak out: A study describing nurses’ attitudes to report unsafe practices in patient care. Journal of Nursing Management, 27(6), 1176–1181. https://doi.org/10.1111/jonm.12789
14. Dedahanov, A. T., Lee, D. H., & Rhee, J. (2016). Silence as a mediator between organizational factors and stress. Journal of Managerial Psychology, 31(8), 1251–1264. https://doi.org/10.1108/JMP-09-2014-0265
15. Dhanani, L. Y., Beus, J. M., & Joseph, D. L. (2018). Workplace discrimination: A meta-analytic extension, critique, and future research agenda. Personnel Psychology, 71(2), 147–179. https://doi.org/10.1111/peps.12254
16. Doo, E. Y., & Kim, M. (2020). Effects of hospital nurses’ internalized dominant values, organizational silence, horizontal violence, and organizational communication on patient safety. Research in Nursing & Health, 43(5), 499–510. https://doi.org/10.1002/nur.22067
17. Edwards, R. L., Markaki, A., Shirey, M. R., & Patrician, P. A. (2020). A model operationalizing sustainability in global nursing. Nursing Outlook, 68, 345–354. https://doi.org/10.1016/j.outlook.2020.01.006
18. Fagan, A., Lea, J., & Parker, V. (2021). Conflict, confusion and inconsistencies: Pre-registration nursing students’ perceptions and experiences of speaking up for patient safety. Nursing Inquiry, 28, e12381. https://doi.org/10.1111/nin.12381
19. Fatima, D., Abdul Ghaffar, M. B., Zakariya, R., Muhammad, L., & Sarwar, A. (2021). Workplace bullying, knowledge hiding, and time theft: Evidence from the healthcare institutions in Pakistan. Journal of Nursing Management, 29, 813–821. https://doi.org/10.1111/jonm.13222
20. Feng, D., Su, S., Yang, Y., Xia, J., & Su, Y. (2017). Job satisfaction mediates subjective social status and turnover intention among Chinese nurses. Nursing & Health Sciences, 19(3), 388–392. https://doi.org/10.1111/nhs.12357
21. Feng, X., Bobay, K., & Weiss, M. (2008). Patient safety culture in nursing: A dimensional concept analysis. Journal of Advanced Nursing, 63(3), 310–319. https://doi.org/10.1111/j.1365-2648.2008.04728.x
22. Gkorezis, P., Panagiotou, M., & Theodorou, M. (2016). Workplace ostracism and employee silence in nursing: The mediating role of organizational identification. Journal of Advanced Nursing, 72(10), 2381–2388. https://doi.org/10.1111/jan.12992
23. Hayes, A. F., Montoya, A. K., & Rockwood, N. J. (2017). The analysis of mechanisms and their contingencies: PROCESS versus structural equation modeling. Australasian Marketing Journal, 25(1), 76–81. https://doi.org/10.1016/j.ausmj.2017.02.001
24. Henriksen, K., & Dayton, E. (2006). Organizational silence and hidden threats to patient safety. Health Services Research, 41(4p2), 1539–1554. https://doi.org/10.1111/j.1475-6773.2006.00564.x
25. Hilario, C. T., Browne, A. J., & McFadden, A. (2018). The influence of democratic racism in nursing inquiry. Nursing Inquiry, 25(1), e12213. https://doi.org/10.1111/nin.12213
26. Hu, X., & Casey, T. (2021). How and when organization identification promotes safety voice among healthcare professionals. Journal of Advanced Nursing. https://doi.org/10.1111/jan.14868
27. Huang, Y. H., Lee, J., McFadden, A. C., Murphy, L. A., Robertson, M. M., Cheung, J. H., & Zohar, D. (2016). Beyond safety outcomes: An investigation of the impact of safety climate on job satisfaction, employee engagement and turnover using social exchange theory as the theoretical framework. Applied Ergonomics, 55, 248–257. https://doi.org/10.1016/j.apergo.2015.10.007
28. Kakkar, H., Tangirala, S., Srivastava, N. K., & Kamdar, D. (2016). The dispositional antecedents of promotive and prohibitive voice. Journal of Applied Psychology, 101(9), 1342. https://doi.org/10.1037/apl0000130
29. Kieny, M. P., Evans, T. G., Scarpetta, S., Kelley, E., Klazinga, N., Forde, I., Nejad, S. B. (2018). Delivering quality health services: A global imperative for universal health coverage. World Health Organization, Organisation for Economic Co-operation and Development, and The World Bank.
30. Kim, J., Lee, J. Y., & Lee, E. (2021). Risk factors for newly acquired pressure ulcer and the impact of nurse staffing on pressure ulcer incidence. Journal of Nursing Management. https://doi.org/10.1111/jonm.12928
31. Kingma, M. (1999). Discrimination in nursing. International Nursing Review, 46(3), 87–90. http://doi.org/10.1046/j.1466-7657.46.no3issue345.21.x
32. Kirwan, M., Matthews, A., & Scott, P. A. (2013). The impact of the work environment of nurses on patient safety outcomes: A multi-level modelling approach. International Journal of Nursing Studies, 50(2), 253–263. https://doi.org/10.1016/j.ijnurstu.2012.08.020
33. Kittiteerasack, P., Matthews, A. K., Steffen, A., Corte, C., McCreary, L. L., Bostwick, W., Park, C., & Johnson, T. P. (2021). The influence of minority stress on indicators of suicidality among lesbian, gay, bisexual and transgender adults in Thailand. Journal of Psychiatric and Mental Health Nursing, 28(4), 656–669. https://doi.org/10.1111/jpm.12713
34. Knoll, M., & van Dick, R. (2013). Do I hear the whistle…? A first attempt to measure four forms of employee silence and their correlates. Journal of Business Ethics, 113, 349–362. https://doi.org/10.1007/s10551-012-1308-4
35. Kosarek, J. G. (2018). Relationships of the nursing practice environment, nursing silence behaviors, and nurse perceived patient safety. Doctoral dissertation.
36. Krieger, N. (2014). Discrimination and health inequities. International Journal of Health Services, 44(4), 643–710. https://doi.org/10.2190/HS.44.4.b
37. Krieger, N. (2020). Measures of racism, sexism, heterosexism, and gender binarism for health equity research: From structural injustice to embodied harm—An ecosocial analysis. Annual Review of Public Health, 41, 37–62. https://doi.org/10.1146/annurev-publhealth-040119-094017
38. Krieger, N., Smith, K., Naishadham, D., Hartman, C., & Barbeau, E. M. (2005). Experiences of discrimination: Validity and reliability of a self-report measure for population health research on racism and health. Social Science & Medicine, 61(7), 1576–1596. https://doi.org/10.1016/j.socscimed.2005.03.006
39. Kritsotakis, G., Andreadaki, E., Linardakis, M., Manomenidis, G., Bellali, T., & Kostagiolas, P. (2021). Associations of the nursing practice environment with nurses’ ehealth literacy. International Nursing Review (accepted, in press). https://doi.org/10.1111/inr.12650
40. Kritsotakis, G., Chatzi, L., Vasilaki, M., Georgiou, V., Kogevinas, M., Philalithis, A., & Koutis, A. (2015). Social capital, tolerance of diversity and adherence to Mediterranean diet: The Mother-Child Cohort (Rhea study). Public Health Nutrition, 18(7), 1300–1307. https://doi.org/10.1017/S136898001400144X
41. Kritsotakis, G., & Gamarnikow, E. (2004). What is social capital and how does it relate to health? International Journal of Nursing Studies, 51, 43–50. https://doi.org/10.1016/S0020-7489(03)00097-X
42. Kritsotakis, G., Vassilaki, M., Melaki, V., Georgiou, V., Philalithis, A. E., Bitsios, P., Kogevinas, M., Chatzi, L., & Koutis, A. (2013). Social capital in pregnancy and postpartum depressive symptoms: A prospective mother-child cohort study (the Rhea study). International Journal of Nursing Studies, 50(1), 63–72. https://doi.org/10.1016/j.ijnurstu.2012.08.012
43. Kyratsis, Y., Ahmad, R., Iwami, M., Castro-Sánchez, E., Atun, R., & Holmes, A. H. (2019). A multilevel neo-institutional analysis of infection prevention and control in English hospitals: Coerced safety culture change? Sociology of Health & Illness, 41(6), 1138–1158. https://doi.org/10.1111/1467-9566.12897
44. Lake, E. T. (2002). Development of the practice environment scale of the nursing work index. Research in Nursing & Health, 25, 176–188. https://doi.org/10.1002/nur.10032
45. Lake, E. T., Riman, K. A., & Sloane, D. M. (2020). Improved work environments and staffing lead to less missed nursing care: A panel study. Journal of Nursing Management, 28, 2157–2165. https://doi.org/10.1111/jonm.12970
46. Lake, E. T., Sanders, J., Duan, R., Riman, K. A., Schoenauer, K. M., & Chen, Y. (2019). A meta-analysis of the associations between the nurse work environment in hospitals and 4 sets of outcomes. Medical Care, 57(5), 353–361. https://doi.org/10.1097/MLR.0000000000001109
47. Larsen, J. A. (2007). Embodiment of discrimination and overseas nurses’ career progression. Journal of Clinical Nursing, 16(12), 2187–2195. https://doi.org/10.1111/j.1365-2702.2007.02017.x
48. Laschinger, H. K. S., & Leiter, M. P. (2006). The impact of nursing work environments on patient safety outcomes: The mediating role of burnout engagement. JONA: The Journal of Nursing Administration, 36(5), 259–267. https://doi.org/10.1097/00005110-200605000-00019
49. Lee, S. E., Scott, L. D., Dahinten, V. S., Vincent, C., Lopez, K. D., & Park, C. G. (2019). Safety culture, patient safety, and quality of care outcomes: A literature review. Western Journal of Nursing Research, 41(2), 279–304. https://doi.org/10.1177/0193945917747416
50. Levine, K. J., Carmody, M., & Silk, K. J. (2020). The influence of organizational culture, climate and commitment on speaking up about medical errors. Journal of Nursing Management, 28(1), 130–138. https://doi.org/10.1111/jonm.12906
51. Li, Z., Lin, F., Thalib, L., & Chaboyer, W. (2020). Global prevalence and incidence of pressure injuries in hospitalised adult patients: A systematic review and meta-analysis. International Journal of Nursing Studies, 105, 103546. https://doi.org/10.1016/j.ijnurstu.2020.103546
52. Meyer, C. S., Schreiner, P. J., Lim, K., Battapady, H., & Launer, L. J. (2019). Depressive symptomatology, racial discrimination experience, and brain tissue volumes observed on magnetic resonance imaging: The CARDIA study. American Journal of Epidemiology, 188(4), 656–663. https://doi.org/10.1093/aje/kwy282
53. Miles-McLean, H. A., Maldonado, A. I., & Murphy, C. M. (2021). Sexist discrimination and women’s use of intimate partner aggression: Results from a nationally representative sample of women. Psychology of Women Quarterly, 45, 50–60. https://doi.org/10.1177/0361684320974110
54. Moyce, S., Lash, R., & de Leon Siantz, M. L. (2016). Migration experiences of foreign educated nurses: A systematic review of the literature. Journal of Transcultural Nursing, 27(2), 181–188. https://doi.org/10.1177/1043659615569538
55. Needleman, J., & Shekelle, P. G. (2019). More ward nursing staff improves inpatient outcomes, but how much is enough? BMJ Quality & Safety, 28(8), 603–605. https://doi.org/10.1136/bmjqs-2018-009266
56. Nong, P., Raj, M., Creary, M., Kardia, S. L., & Platt, J. E. (2020). Patient-reported experiences of discrimination in the US health care system. JAMA Network Open, 3(12), e2029650. https://doi.org/10.1001/jamanetworkopen.2020.29650
57. OECD/European Observatory on Health Systems and Policies. (2019). Greece: Country health profile 2019. State of Health in the EU, OECD Publishing. https://doi.org/10.1787/d87da56a-en
58. Olds, D. M., Aiken, L. H., Cimiotti, J. P., & Lake, E. T. (2017). Association of nurse work environment and safety climate on patient mortality: A cross-sectional study. International Journal of Nursing Studies, 74, 155–161. https://doi.org/10.1016/j.ijnurstu.2017.06.004
59. Pope, R. (2019). Organizational silence in the NHS: ‘Hear no, see no. Speak no’. Journal of Change Management, 19(1), 45–66. https://doi.org/10.1080/14697017.2018.1513055
60. Prezerakos, P., Galanis, P., & Moisoglou, I. (2015). The work environment of haemodialysis nurses and its impact on patients’ outcomes. International Journal of Nursing Practice, 21(2), 132–140. https://doi.org/10.1111/ijn.12223
61. Rhee, C., Jones, T. M., Hamad, Y., Pande, A., Varon, J., O'Brien, C., Anderson, D. J., Warren, D. K., Dantes, R. B., Epstein, L., Klompas, M., & Centers for Disease Control and Prevention (CDC) Prevention Epicenters Program. (2019). Prevalence, underlying causes, and preventability of sepsis-associated mortality in US acute care hospitals. JAMA Network Open, 2(2), e187571. https://doi.org/10.1001/jamanetworkopen.2018.7571
62. Rich, A., Viney, R., & Griffin, A. (2019). Understanding the factors influencing doctors’ intentions to report patient safety concerns: A qualitative study. Journal of the Royal Society of Medicine, 112(10), 428–437. https://doi.org/10.1177/0141076819877542
63. Richard, O. C., Boncoeur, O. D., Chen, H., & Ford, D. L. (2018). Supervisor abuse effects on subordinate turnover intentions and subsequent interpersonal aggression: The role of power-distance orientation and perceived human resource support climate. Journal of Business Ethics, 164, 549–563. https://doi.org/10.1007/s10551-018-4019-7
64. Roviralta-Vilella, M., Moreno-Poyato, A. R., Rodríguez-Nogueira, Ó., Duran-Jordà, X., & Roldán-Merino, J. F., & MiRTCIME. CAT Working Group. (2019). Relationship between the nursing practice environment and the therapeutic relationship in acute mental health units: A cross-sectional study. International Journal of Mental Health Nursing, 28(6), 1338–1346. https://doi.org/10.1111/inm.12648
65. Schwappach, D. L. (2016). Wenn Schweigen gefährlich ist: ‘Speaking-up’ bei Sicherheitsbedenken. Zeitschrift Für Evidenz, Fortbildung Und Qualität Im Gesundheitswesen, 114, 5–12. https://doi.org/10.1016/j.zefq.2016.05.011
66. Schwappach, D. L. B., & Gehring, K. (2015). Frequency of and predictors for withholding patient safety concerns among oncology staff: A survey study. European Journal of Cancer Care, 24(3), 395–403. https://doi.org/10.1111/ecc.12255
67. Schwappach, D., & Richard, A. (2018). Speak up-related climate and its association with healthcare workers’ speaking up and withholding voice behaviours: A cross-sectional survey in Switzerland. BMJ Quality & Safety, 27(10), 827–835. https://doi.org/10.1136/bmjqs-2017-007388
68. Sculli, G. L., Fore, A. M., West, P., Neily, J., Mills, P. D., & Paull, D. E. (2013). Nursing crew resource management: A follow-up report from the Veterans Health Administration. JONA. The Journal of Nursing Administration, 43(3), 122–126. https://doi.org/10.1097/NNA.0b013e318283dafa
69. Sharp, L., Rannus, K., Olofsson, A., Kelly, D., Oldenmenger, W. H. (2019). Patient safety culture among European cancer nurses—An exploratory, cross-sectional survey comparing data from Estonia, Germany, Netherlands, and United Kingdom. Journal of Advanced Nursing, 75(12), 3535–3543. http://doi.org/10.1111/jan.14177
70. Shohani, M. (2019). Strategies of Iranian nurses to overcome professional discrimination: An explorative qualitative study. Nursing Ethics, 26(1), 235–247. https://doi.org/10.1177/0969733017700233
71. Shojania, K. G., & Dixon-Woods, M. (2017). Estimating deaths due to medical error: The ongoing controversy and why it matters. BMJ Quality & Safety, 26(5), 423–428. https://doi.org/10.1136/bmjqs-2016-006144
72. Stimpfel, A. W., Djukic, M., Brewer, C. S., & Kovner, C. T. (2019). Common predictors of nurse-reported quality of care and patient safety. Health Care Management Review, 44(1), 57–66. https://doi.org/10.1097/HMR.0000000000000155
73. Taber, K. S. (2018). The use of Cronbach’s alpha when developing and reporting research instruments in science education. Research in Science Education, 48(6), 1273–1296. https://doi.org/10.1007/s11165-016-9602-2
74. Tangirala, S., & Ramanujam, R. (2008). Employee silence on critical work issues: The cross-level effects of procedural justice climate. Personnel Psychology, 61, 37–68. https://doi.org/10.1111/j.1744-6570.2008.00105.x
75. Travers, J. L., Teitelman, A. M., Jenkins, K. A., & Castle, N. G. (2020). Exploring social-based discrimination among nursing home certified nursing assistants. Nursing Inquiry, 27(1), e12315. https://doi.org/10.1111/nin.12315
76. Tvedt, C., Sjetne, I. S., Helgeland, J., Løwer, H. L., & Bukholm, G. (2017). Nurses’ reports of staffing adequacy and surgical site infections: A cross-sectional multi-centre study. International Journal of Nursing Studies, 75, 58–64. https://doi.org/10.1016/j.ijnurstu.2017.07.008
77. van den Goor, M. M., Wagner, C. C., & Lombarts, K. M. (2020). Poor physician performance in the Netherlands: Characteristics, causes, and prevalence. Journal of Patient Safety, 16(1), 7–13. https://doi.org/10.1097/PTS.0000000000000222
78. Van Dyne, L., Ang, S., & Botero, I. C. (2003). Conceptualizing employee silence and employee voice as multidimensional constructs. Journal of Management Studies, 40, 1359–1392. https://doi.org/10.1111/1467-6486.00384
79. Viken, B., Solum, E. M., & Lyberg, A. (2018). Foreign educated nurses’ work experiences and patient safety—A systematic review of qualitative studies. Nursing Open, 5(4), 455–468. https://doi.org/10.1002/nop2.146
80. Vincelette, C., Thivierge-Southidara, M., & Rochefort, C. M. (2019). Conceptual and methodological challenges of studies examining the determinants and outcomes of omitted nursing care: A narrative review of the literature. International Journal of Nursing Studies, 100, 103403. https://doi.org/10.1016/j.ijnurstu.2019.103403
81. Walani, S. R. (2015). Global migration of internationally educated nurses: Experiences of employment discrimination. International Journal of Africa Nursing Sciences, 3, 65–70. https://doi.org/10.1016/j.ijans.2015.08.004
82. Walshe, K., & Shortall, S. M. (2004). When things go wrong: How health care organizations deal with major failures. Health Affairs, 23(3), 103–111. https://doi.org/10.1377/hlthaff.23.3.103
83. West, E., & Nayar, S. (2016). A review of the literature on the experiences of black, minority and internationally recruited nurses and midwives in the UK healthcare system. University of Greenwich. https://www.nmc.org.uk/globalassets/sitedocuments/other-publications/literature-review.pdf
84. Wheeler, R. M., Foster, J. W., & Hepburn, K. W. (2014). The experience of discrimination by US and Internationally educated nurses in hospital practice in the USA: A qualitative study. Journal of Advanced Nursing, 70(2), 350–359. https://doi.org/10.1111/jan.12197
85. WHO, World Health Organization. (2017). Patient safety: Making health care safer (No. WHO/HIS/SDS/2017.11). Author.
86. Woods, M. (2020). Moral distress revisited: The viewpoints and responses of nurses. International Nursing Review, 67, 68–75. https://doi.org/10.1111/inr.12545