Background: The clinical environment plays a crucial role in patient safety, as it encompasses the physical, organizational, and cultural aspects of healthcare delivery. Adverse events, such as active errors, can often be attributed to systemic issues within the clinical environment. Addressing and improving environmental factors is essential for minimizing adverse events and enhancing overall patient care quality. Methods: A descriptive, cross-sectional design was applied. The study utilized two questionnaires: the Reporting of Clinical Adverse Events Scale (RoCAES) and the Revised Professional Practice Environment (RPPE) scale. A total of 1388 questionnaires were fully filled out, with a response rate of 71 percent. Results: Nurses who expressed higher levels of satisfaction with various aspects of the clinical environment were more inclined to indicate their intention to report adverse events in the future. These positive relationships suggest that a contented clinical environment fosters a greater willingness among nurses to report adverse event occurrences. Conclusion: The findings of our study support the evidence that demonstrated that the clinical environment plays a significant role in influencing the reporting of adverse events in healthcare settings. It significantly influences nurses’ attitudes, quality of care, and adverse event reporting rate.
Aim: To identify the attitudes of Generation Y nurses toward evidence‐based nursing practice in university and municipality level hospitals in Lithuania.Design: A mixed‐methods study with a convergent parallel design was used, allowing simultaneous collection and analysis of quantitative and qualitative data.Methods: The Evidence‐Based Practice Attitude Scale‐50 (EBPAS‐50) was employed in the quantitative phase, while focus group interviews were conducted in the qualitative phase. Of the 1955 surveys distributed, 1388 were fully completed (71% response rate), with Generation Y nurses (born 1980–2000) selected for further analysis (n = 368; 27.2%). Out of 14 invited nurses, eight participated in two focus group interviews.Results: Generation Y nurses exhibited a positive attitude toward evidence‐based practice, valuing its relevance to patient needs and feedback. However, time constraints and administrative challenges were identified as key barriers. Qualitative analysis further revealed resources and organisational limitations in applying evidence‐based practice.Conclusion: Generation Y nurses view evidence‐based practice positively and recognise its role in enhancing patient care. However, barriers like time constraints, administrative challenges, and limited resources hinder implementation. Critical thinking, teamwork, and organisational support are essential for successfully integrating evidence‐based practice into clinical practice.Implications for the Profession and/or Patient Care: Generation Y nurses' attitudes toward evidence‐based practice, along with their perceptions of barriers and facilitators, can guide administration in developing strategies to enhance evidence‐based practice integration.Patient or Public Contribution: Participants contributed to this study by agreeing to complete a questionnaire and answer questions during focus group interviews.