Table 3.
Results of exploratory factor analysis of safe nursing care instrument in ICU (N = 300)
| Factors | Qn | Factor loading |
|---|---|---|
| Professional behavior by following the guidelines | 17- The nurse uses Venous Thromboembolism Risk Assessment Scale to assess possibility of deep vein thrombosis. | 0.836 |
| 8- The nurse uses physical restraint alternately. | 0.749 | |
| 7- The nurse physically restrains the patient according to the hospital’s standard instructions. | 0.721 | |
| 6- The nurse uses the physical or chemical (pharmacological) restraint on the basis of the doctor’s order. | 0.650 | |
| 3- The nurse is aware of the side effects of the medication. | 0.636 | |
| 19- The nurse uses personal protective equipment such as gowns, masks, gloves, glasses and hats as required. | 0.591 | |
| 22- To identify the patient, the nurse checks the wristband according to the hospital’s instructions. | 0.588 | |
| 18- The nurse performs proper hand hygiene | 0.577 | |
| 1- The nurse performs procedures such as sounding, gavage, suction, enema, dressing changes, etc. according to standard principles. | 0.562 | |
| 37- The nurse checks the patient’s dietary pattern | 0.532 | |
| 43- The nurse carries out the oral hygiene of the patient with a tooth brush, mouth wash, etc. | 0.531 | |
| 2- The nurse administers the medication according to the 8 correct principles of medication administration. | 0.528 | |
| 15- The nurse uses the fall risk assessment scale to assess the patient’s potential for falls. | 0.511 | |
| 12- The nurse pays attention to peripheral and central venous catheter complications such as phlebitis and thromboembolism. | 0.473 | |
| 33- The nurse pays attention to the pattern of sleep and rest of the patient. | 0.443 | |
| 4- The nurse has the ability to perform medication calculations. | 0.440 | |
| 5- The nurse administers the blood infusion according to the Haemovigilance chain. | 0.416 | |
| Comprehensive care | 26- In mechanically ventilated patients, the nurse is alert to the warning of increased airway pressure. | 0.853 |
| 30- The nurse checks the changes in the level of consciousness of the patient. | 0.832 | |
| 28- The nurse responds to device alerts in a timely and accurate manner. | 0.815 | |
| 34- The nurse checks the heart rate and rhythm of the patient. | 0.789 | |
| 29- Nurse adjusts ventilator alarm settings to safe range | 0.730 | |
| 25- The nurse adjusts the ventilator settings for mechanically ventilated patients based on the patient’s ventilatory status and the clinician’s instructions. | 0.689 | |
| 27- For mechanically ventilated patients, the nurse ensures bilateral chest ventilation. | 0.688 | |
| 23- The nurse is correctly managing the patient’s airway | 0.596 | |
| 35- The nurse closely monitors the vital signs of the patient. | 0.563 | |
| 16- Before removing the patient from the bed, the nurse pays attention to the vital signs of the patient. | 0.554 | |
| 24- The nurse checks the patient’s breathing status (rhythm, number and blood oxygen saturation levels). | 0.516 | |
| 31- The nurse recognizes symptoms of delirium in time. | 0.505 | |
| 20- The nurse provides nursing care to the patients without interruption (handover of the patient to other colleagues when the patient is required to leave) | 0.477 | |
| 13- The nurse pays attention to the patient’s pain symptoms. | 0.466 | |
| 11- The nurse checks the function of connections, including airways (tracheal tube and tracheostomy), drains, catheters, ostomies and digestive tubes. | 0.458 | |
| 14- The nurse assesses the effectiveness of pain control interventions. | 0.449 | |
| 10- The nurse checks the effectiveness of the medications used in chemical restraint in terms of the patient’s clinical symptoms. | 0.408 | |
| Accurate documentation | 46- The nurse records documents correctly (initial assessment, preoperative care, handover, flow sheet and medication administration records). | 0.823 |
| 45- The nurse follows the instructions of the telephone orders. | 0.753 | |
| 44- The nurse writes a nursing report on the basis of the ICU nursing report format. | 0.705 | |
| 48- The nurse informs the doctor about the changing condition of the patient. | 0.568 | |
| 47- The nurse explains to the patient or her companion about the complications of procedures that require informed consent. | 0.405 | |
| Pressure Ulcer Care | 42- The nurse takes care of the pressure injuries in a timely manner. | 0.812 |
| 41- The nurse prevents pressure injuries. | 0.769 | |
| 40- The nurse uses the hospital’s standard scale to assess the patient’s risk of developing pressure ulcers. | 0.461 |