The patient safety culture perception of Turkish nurses who work in operating room and intensive care unit

Intensive care unit (ICU) nurses face many uncertain situations that may affect their patient care decisions and jeopardize patients’ safety.Aim: This study aimed to explore the relationship between uncertainty and patient safety culture among intensive care unit nurses at Tanta Main University Hospital.Study subject: included (155) nurses worked in intensive care units at Tanta University Main Hospital. Two tools were used Tool (I): Nurses’ Uncertainty Questionnaire. Tool (II): Patient Safety Culture Questionnaire.Results: 74.2% of participant ICU nurses’ experienced high levels of uncertainty. Above half (56.1% and 56.1%) of them always experienced being uncomfortable and confused& loss of control when facing uncertain situations in ICUs. 84.5% and 76.8% of them always used team work; and learn from past experience to deal with uncertainty. 47.1% of them evaluated patient safety in their ICUs as acceptable and bad. There was a high statistical negative correlation between the levels of patient safety culture and experiencing uncertainty by ICU nurses at p= 0.000.Conclusions: ICU nurses experienced high level of uncertainty; they rely on experience and teamwork rather than evidence-based practices to manage clinical uncertainty. High statistical significant negative correlation was found between patient safety culture and experiencing uncertainty by ICU nurses.

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Patient safety culture in the intensive care unit: cross-study

The Journal of Infection in Developing Countries ◽

10.3855/jidc.11166 ◽

2019 ◽

Vol 13 (06) ◽

pp. 496-503

Author(s):

Mabel Duarte Alves Gomides ◽

Astrídia Marília de Souza Fontes ◽

Amanda Oliveira Soares Monteiro Silveira ◽

Geraldo Sadoyama

Keyword(s):

Intensive Care Unit ◽

Patient Safety ◽

Intensive Care ◽

Safety Culture ◽

Work Experience ◽

Patient Safety Culture ◽

University Hospital ◽

Cross Sectional ◽

Safety Attitudes ◽

Adult Intensive Care Unit

Introduction: Patient safety culture has been the reason for great concern for the scientific community due to the high number of failures resulting from the provision of health care. The objective of this study was to evaluate the perception regarding the patient safety culture and their differences between categories, in the professional teams of the adult intensive care unit (ICU). Methodology: This is a cross-sectional descriptive study, with a quantitative approach, to evaluate the patient safety culture developed in the unit adult ICU of a public university hospital. Results: In this survey, 138 employees of the ICU participated, among them: physicians, psychologists, nutritionists, physiotherapists, nurses, nursing technicians, and secretaries. There was a predominance of nursing technicians (76.8%) and work experience time from 5 to ≥ 21 years (62.3%). The overall mean of the safety culture in the ICU was 57.80, and the domains with the best average were stress perception (73.84) and satisfaction at work (72.38) and with the worst mean was the perception of hospital management (42.69). The perception of safety attitudes in the professional category of physicians presented a general average of 61.63, being strengthened to job satisfaction (77,89) and with a higher perception in relation to nurses. Conclusions: The overall ICU average for the patient safety culture was less than 75, which demonstrates a team with weakened safety attitude and, in addition, low perceptions of safety attitudes based on the results of management domains, working conditions and communication failures.

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Patient safety culture in a Dutch pediatric surgical intensive care unit: An evaluation using the Safety Attitudes Questionnaire

Pediatric Critical Care Medicine ◽

10.1097/pcc.0b013e318220afca ◽

2011 ◽

Vol 12 (6) ◽

pp. e310-e316 ◽

Cited By ~ 24

Author(s):

Marten J. Poley ◽

Cynthia van der Starre ◽

Ada van den Bos ◽

Monique van Dijk ◽

Dick Tibboel

Keyword(s):

Intensive Care Unit ◽

Patient Safety ◽

Intensive Care ◽

Safety Culture ◽

Patient Safety Culture ◽

Surgical Intensive Care Unit ◽

Surgical Intensive Care ◽

Safety Attitudes ◽

Safety Attitudes Questionnaire

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The association between self‐reported workload and perceptions of patient safety culture: A study of intensive care unit nurses

Journal of Clinical Nursing ◽

10.1111/jocn.15646 ◽

2021 ◽

Author(s):

Yaseen Mohammed A. Alrabae ◽

Ahmad E. Aboshaiqah ◽

Regie B. Tumala

Keyword(s):

Intensive Care Unit ◽

Patient Safety ◽

Intensive Care ◽

Safety Culture ◽

Patient Safety Culture ◽

Intensive Care Unit Nurses

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Patient safety culture at neonatal intensive care units: perspectives of the nursing and medical team

Revista Latino-Americana de Enfermagem ◽

10.1590/0104-1169.3624.2477 ◽

2014 ◽

Vol 22 (5) ◽

pp. 755-763 ◽

Cited By ~ 13

Author(s):

Andréia Tomazoni ◽

Patrícia Kuerten Rocha ◽

Sabrina de Souza ◽

Jane Cristina Anders ◽

Hamilton Filipe Correia de Malfussi

Keyword(s):

Patient Safety ◽

Intensive Care ◽

Intensive Care Units ◽

Safety Culture ◽

Neonatal Intensive Care ◽

Patient Safety Culture ◽

Neonatal Intensive Care Units ◽

Cronbach’S Alpha ◽

Cronbach's Alpha ◽

Professional Characteristics

OBJECTIVE: to verify the assessment of the patient safety culture according to the function and length of experience of the nursing and medical teams at Neonatal Intensive Care Units.METHOD: quantitative survey undertaken at four Neonatal Intensive Care Units in Florianópolis, Brazil. The sample totaled 141 subjects. The data were collected between February and April 2013 through the application of the Hospital Survey on Patient Safety Culture. For analysis, the Kruskal-Wallis and Chi-Square tests and Cronbach's Alpha coefficient were used. Approval for the research project was obtained from the Ethics Committee, CAAE: 05274612.7.0000.0121.RESULTS: differences in the number of positive answers to the Hospital Survey on Patient Safety Culture, the safety grade and the number of reported events were found according to the professional characteristics. A significant association was found between a shorter Length of work at the hospital and Length of work at the unit and a larger number of positive answers; longer length of experience in the profession represented higher grades and less reported events. The physicians and nursing technicians assessed the patient safety culture more positively. Cronbach's alpha demonstrated the reliability of the instrument.CONCLUSION: the differences found reveal a possible relation between the assessment of the safety culture and the subjects' professional characteristics at the Neonatal Intensive Care Units.

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Assessment of patient safety culture in intensive care units and factors affecting it

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.530 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

M A Tlili ◽

W Aouicha ◽

H Lamine ◽

E Taghouti ◽

M B e n Dhiab ◽

...

Keyword(s):

Patient Safety ◽

Intensive Care ◽

Adverse Events ◽

Intensive Care Units ◽

Safety Culture ◽

Improve Patient Safety ◽

Healthcare Quality ◽

Patient Safety Culture ◽

Cross Sectional ◽

Learning From Errors

Abstract Background The intensive care units are a high-risk environments for the occurrence of adverse events with serious consequences. The development of patient safety culture is a strategic focus to prevent these adverse events and improve patient safety and healthcare quality. This study aimed to assess patient safety culture in Tunisian intensive care units and to determine its associated factors. Methods It is a multicenter, descriptive cross-sectional study, among healthcare professionals of the intensive care units in the Tunisian center. The data collection was spread over a period of 2 months (October-November 2017). The measuring instrument used is the validated French version of the Hospital Survey On Patient Safety Culture questionnaire. Data entry and analysis was carried out by the Statistical Package for Social Sciences (SPSS 20.0) and Epi Info 6.04. Chi-square test was used to explore factors associated with patient safety culture. Results A total of 404 professionals participated in the study with a participation rate of 81.94%, spread over 10 hospitals and 18 units. All dimensions were to be improved. The overall perception of safety was 32.35%. The most developed dimension was teamwork within units with a score of 47.87% and the least developed dimension was the non-punitive response to error (18.6%). The patient safety culture was significantly more developed in private hospitals in seven of the 10 dimensions. Participants working in small units had a significantly higher patient safety culture. It has been shown that when workload is reduced the patient safety culture was significantly increased. Conclusions This study has shown that the patient safety culture still needs to be improved and allowed a clearer view of the safety aspects requiring special attention. Thus, improving patient safety culture. by implementing the quality management and error reporting systems could contribute to enhance the quality of healthcare provided to patients. Key messages The culture of culpability is the main weakness in the study. Encouraging event reporting and learning from errors s should be priorities in hospitals to enhance patient safety and healthcare quality.

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