The Impact of Educational Interventions on Enhancing Perceptions of Patient Safety Culture Among Jordanian Senior Nurses

Nursing Forum ◽  
2014 ◽  
Vol 49 (2) ◽  
pp. 139-150 ◽  
Author(s):  
Raeda Fawzi AbuAlRub ◽  
Eyad Hani Abu Alhijaa
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Educational Interventions ◽  
The Impact

scholarly journals The Impact of a National Accreditation Program on Patient Safety Culture in a Tertiary Hospital: Pre- and Post-Evaluation Study

2021 ◽  
Vol 4 (1) ◽  
pp. 18-26
Author(s):  
Khaled Al-Surimi ◽  
Shahenaz Najjar ◽  
Abdulrazak Al Quidaihi ◽  
Emad Masuadi
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Secondary Outcome ◽  
Event Reporting ◽  
National Accreditation ◽  
Hospital Units ◽  
Accreditation Program ◽  
Perceptions Of Safety ◽  
The Impact

ABSTRACT Introduction The objective of this study was to assess the effectiveness of the Saudi national accreditation program on patient safety culture in a secondary-tertiary public hospital in Saudi Arabia. Methods Three hundred health professionals were randomly selected to participate in a survey. The survey was used in three phases: baseline, before accreditation, and after accreditation. Primary and secondary outcome measures were teamwork within hospital units, feedback and communication about errors, hospital handoffs and transitions, overall perceptions of safety, frequency of event reporting, and perception of patient safety grade. Results The survey response rate was 100%. A statistically significant impact of accreditation was found for teamwork within hospital units, feedback and communication about errors, and hospital handoffs and transitions (p = 0.002, 0.009, and 0.010, respectively). Ordinal logistic regression confirmed that the accreditation program had a significant effect on overall perceptions of safety (odds ratio [OR] [1.42–13.56], p = 0.010), frequency of event reporting (OR [0.91–7.96], p = 0.073), and staff awareness of grading safety culture (OR [0.02–0.70]) and reporting behavior (OR 0.10 [0.03–0.37]). Conclusion The Saudi national accreditation program had a significant positive impact on some patient safety culture dimensions and outcomes. These findings provide local empirical evidence on the benefits of implementing national accreditation programs. Further research on a larger scale is highly recommended.

scholarly journals The impact of patient safety culture and the leader coaching behaviour of nurses on the intention to report errors: A cross-sectional survey

2020 ◽  
Author(s):  
Zahra Chegini ◽  
Edris Kakemam ◽  
Mohammad Asghari Jafarabadi ◽  
Ali Janati
Keyword(s):  
Patient Safety ◽  
Regression Analysis ◽  
Safety Culture ◽  
Linear Regression Analysis ◽  
Educational Status ◽  
Patient Safety Culture ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Coaching Behavior ◽  
The Impact

Abstract Background: There is growing interest in examining the factors affecting the reporting of errors by nurses. However, little research has been conducted into the effects of perceived patient safety culture and leader coaching of nurses on the intention to report errors. Methods: This cross-sectional study was conducted amongst 256 nurses in the emergency departments of 18 public and private hospitals in Tabriz, northwest Iran. Participants completed the Hospital Survey on Patient Safety Culture (HSOPSC), Coaching Behavior Scale and Intention to Report Errors questionnaires and the data was analyzed using multiple linear regression analysis. Results: Overall, 43% of nurses had an intention to report errors; 50% of respondents reported that their nursing managers demonstrated high levels of coaching. With regard to patient safety culture, areas of strength and weakness were “teamwork within units” (PRR = 66.80%) and “non-punitive response errors” (PRR = 19.66%). Regression analysis findings highlighted a significant association between an intention to report errors and patient safety culture (B=0.123, CI 95%: 0.005 to 0.328, P = 0.026), leader coaching behavior (B=0.172, CI 95%: 0.066 to 0.347, P = 0.004) and nurses’ educational status (B=0. 787, 95% CI: -.064 to 1.638, P = 0.048). Conclusions: Further research is needed to assess how interventions addressing patient safety culture and leader coaching behaviours might increase the intention to report errors.

Reducing Three Infections Across Cardiac Surgery Programs: A Multisite Cross-Unit Collaboration

2019 ◽  
Vol 35 (1) ◽  
pp. 37-45 ◽  
Author(s):  
Bickey H. Chang ◽  
Yea-Jen Hsu ◽  
Michael A. Rosen ◽  
Ayse P. Gurses ◽  
Shu Huang ◽  
...  
Keyword(s):  
Patient Safety ◽  
Cardiac Surgery ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Central Line ◽  
Management Support ◽  
Culture Dimensions ◽  
Health Care Associated Infections ◽  
Future Work ◽  
The Impact

Using a pre–post design, this study examined the impact of a multifaceted program to simultaneously improve 3 health care–associated infections and patient safety culture throughout the cardiac surgery service line in 11 hospitals. Interventions included the Comprehensive Unit-based Safety Program to improve safety culture and evidence-based bundles to prevent central line–associated bloodstream infection (CLABSI), surgical site infection (SSI), and ventilator-associated pneumonia (VAP). CLABSIs and SSIs showed a downward trend over 2 years, then the rates returned to levels similar to baseline in the third year. VAP rate changes were difficult to interpret because of the VAP definition change. Patient safety culture domain “hospital management support” showed significant improvement, but feedback and communication about errors and staffing declined. Simultaneous implementation of multiple interventions across units is challenging. The findings highlight the importance of sustainment efforts and suggest future work should anticipate both positive and negative change in safety culture dimensions.

scholarly journals The impact of accreditation for excellence on patient safety culture in an Italian hospital

2016 ◽  
Vol 26 (suppl_1) ◽  
Author(s):  
G Menegazzi ◽  
C Londero ◽  
L Calligaris ◽  
A De Cristofaro ◽  
R Quattrin ◽  
...  
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Italian Hospital ◽  
The Impact

Bricks-and-mortar and patient safety culture

2017 ◽  
Vol 31 (4) ◽  
pp. 459-470
Author(s):  
Susan Brandis ◽  
Stephanie Schleimer ◽  
John Rice
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Tertiary Hospital ◽  
Clinical Staff ◽  
Content Type ◽  
Physical Context ◽  
The Difference ◽  
Management Approaches ◽  
The Impact

Purpose Building a new hospital requires a major investment in capital infrastructure. The purpose of this paper is to investigate the impact of bricks-and-mortar on patient safety culture before and two years after the move of a large tertiary hospital to a greenfield site. The difference in patient safety perceptions between clinical and non-clinical staff is also explored. Design/methodology/approach This research uses data collected from the same workforce across two time periods (2013 and 2015) in a large Australian healthcare service. Validated surveys of patient safety culture (n=306 and 246) were analysed using descriptive and inferential statistics. Findings Using two-way analysis of variance, the authors found that perceived patient safety culture remains unchanged for staff despite a major relocation and upgrade of services and different perceptions of patient safety culture between staff groups remains the same throughout change. Practical implications A dramatic change in physical context, such as moving an entire hospital, made no measurable impact on perceived patient safety culture by major groups of staff. Improving patient safety culture requires more than investment in buildings and infrastructure. Understanding differences in professional perspectives of patient safety culture may inform organisational management approaches, and enhance the targeting of specific strategies. Originality/value The authors believe this to be the first empirically based paper that investigates the impact of a large investment into hospital capital and a subsequent relocation of services on clinical and non-clinical staff perceptions of patient safety culture.

scholarly journals The Impact of Patient Safety Culture and the Leader Coaching Behavior of Nurses on the Intention to Report Errors: A Cross-Sectional Survey

2020 ◽  
Author(s):  
Zahra Chegini ◽  
Mohammad ASGHARI JAFARABADI ◽  
Edris KAKEMAM ◽  
Ali JANATI
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Educational Status ◽  
Patient Safety Culture ◽  
Cross Sectional Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Coaching Behavior ◽  
The Impact

Abstract Background There is growing interest in examining the factors affecting the reporting of errors by nurses. However, little research has been conducted into the effects of perceived patient safety culture and leader coaching behavior of nurses on the intention to report errors.Methods This cross-sectional study was conducted amongst 256 nurses in the emergency departments of 18 public and private hospitals in Tabriz, northwest Iran. Participants completed the self- administered questionnaires and the data was analyzed using linear regression analysis.Results Overall, 43% of nurses had an intention to report errors; 50% of respondents reported that their nursing managers demonstrated high levels of coaching. With regard to patient safety culture, areas of strength and weakness were “Teamwork within Units” (PRR = 66.80%) and “Non-punitive response errors” (PRR = 19.66%). Regression findings highlighted a significant association between an intention to report errors and patient safety culture (B=0.123, CI 95%: 0.005 to 0.328, P = 0.026), leader coaching behavior (B=0.172, CI 95%: 0.066 to 0.347, P = 0.004) and nurses’ educational status (B=0. 787, 95% CI: -.064 to 1.638, P = 0.048). Conclusions Further research is needed to assess how interventions addressing patient safety culture and leader coaching behaviors might increase the intention to report errors.

scholarly journals The impact of patient safety culture and the leader coaching behaviour of nurses on the intention to report errors: A cross-sectional survey

2020 ◽  
Author(s):  
Zahra Chegini ◽  
Edris Kakemam ◽  
Mohammad Asghari Jafarabadi ◽  
Ali Janati
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Educational Status ◽  
Patient Safety Culture ◽  
Cross Sectional Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Coaching Behavior ◽  
The Impact

Abstract Background: There is growing interest in examining the factors affecting the reporting of errors by nurses. However, little research has been conducted into the effects of perceived patient safety culture and leader coaching of nurses on the intention to report errors.Methods: This cross-sectional study was conducted amongst 256 nurses in the emergency departments of 18 public and private hospitals in Tabriz, northwest Iran. Participants completed the Hospital Survey on Patient Safety Culture (HSOPSC), Coaching Behavior Scale and Intention to Report Errors’ questionnaires and the data was analyzed using multiple linear regression analysis.Results: Overall, 43% of nurses had an intention to report errors; 50% of respondents reported that their nursing managers demonstrated high levels of coaching. With regard to patient safety culture, areas of strength and weakness were “teamwork within units” (PRR = 66.8%) and “non-punitive response errors” (PRR = 19.7%). Regression analysis findings highlighted a significant association between an intention to report errors and patient safety culture (B = 0.2, CI 95%: 0.1 to 0.3, P < 0.05), leader coaching behavior (B = 0.2, CI 95%: 0.1 to 0.3, P < 0.01) and nurses’ educational status (B = 0. 8, 95% CI: -0.1 to 1.6, P < 0.05).Conclusions: Further research is needed to assess how interventions addressing patient safety culture and leader coaching behaviours might increase the intention to report errors.

scholarly journals Using a Positive Deviance Approach to Influence the Culture of Patient Safety Related to Infection Prevention

2018 ◽  
Vol 5 (10) ◽  
Author(s):  
Pranavi Sreeramoju ◽  
Lucia Dura ◽  
Maria E Fernandez ◽  
Abu Minhajuddin ◽  
Kristina Simacek ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Social Network ◽  
Safety Culture ◽  
Infection Prevention ◽  
Technical Problem ◽  
Patient Safety Culture ◽  
The United States ◽  
Positive Deviance ◽  
The Impact

Abstract Background Health care–associated infections (HAIs) are a socio-technical problem. We evaluated the impact of a social change intervention on health care personnel (HCP), called “positive deviance” (PD), on patient safety culture related to infection prevention among HCP. Methods This observational study was done in 6 medical wards at an 800-bed public academic hospital in the United States. Three of these wards were randomly assigned to receive PD intervention on HCP. After a retrospective 6-month baseline period, PD was implemented over 9 months, followed by 9 months of follow-up. Patient safety culture and social networks among HCP were surveyed at 6, 15, and 24 months. Rates of HAI were measured among patients. Results The measured patient safety culture was steady over time at 69% aggregate percent positive responses in wards with PD vs decline from 79% to 75% in wards without PD (F statistic 10.55; P = .005). Social network maps suggested that nurses, charge nurses, medical assistants, ward managers, and ward clerks play a key role in preventing infections. Fitted time series of monthly HAI rates showed a decrease from 4.8 to 2.8 per 1000 patient-days (95% confidence interval [CI], 2.1 to 3.5) in wards without PD, and 5.0 to 2.1 per 1000 patient-days (95% CI, –0.4 to 4.5) in wards with PD. Conclusions A positive deviance approach appeared to have a significant impact on patient safety culture among HCP who received the intervention. Social network analysis identified HCP who are likely to help disseminate infection prevention information. Systemwide interventions independent of PD resulted in HAI reduction in both intervention and control wards.

Hospital Nurses' Perceived Patient Safety Culture and Adverse Nurse Outcomes in Korea

2019 ◽  
Vol 33 (2) ◽  
pp. 134-146
Author(s):  
Eun Wha Choi ◽  
Gi Yon Kim ◽  
Jae Lan Shim ◽  
Youn-Jung Son
Keyword(s):  
Patient Safety ◽  
Linear Regression ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Cross Sectional Study ◽  
Hospital Nurses ◽  
Clinical Settings ◽  
Cross Sectional ◽  
The Impact ◽  
Nurse Outcomes

BackgroundHospital nurses are likely to be the first to observe patient safety issues in clinical settings, and thus it is important to include their views on patient safety culture. However, there are few studies addressing the influence of nurses' perceived patient safety culture on adverse nurse outcomes as quality of care.PurposeThis study was to identify the relationship between nurses' perceptions of patient safety culture and adverse nurse outcomes in Korea.MethodsThis cross-sectional study was included 299 nurses at two tertiary hospitals. Hierarchical linear regression was conducted to examine the impact of patient safety culture on adverse nurse outcomes among hospital nurses.ResultsThe mean score of patient safety culture and adverse nurse outcomes were 3.50 out of 5 points and 3.07 out of 4 points respectively. In hierarchical linear regression, hospital work environment, the attitude of supervisor/manager, and hospital climate/culture of patient safety culture predicted adverse nurse outcomes after adjusting for general characteristics.ConclusionsIt is crucial for healthcare facilities to assess or evaluate their current patient safety culture perceptions on a regular basis. Furthermore, provision workshops and staff training on changing behaviors and perceptions regarding patient safety activities can improve nursing performance in clinical settings.

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