The Relationship Between Knowledge of Patient Safety, Nursing Professionalism and Patient Safety Management Activities in Nursing Students

BackgroundSpeaking up is important for patient safety, but healthcare professionals often hesitate to voice their concerns. Direct supervisors have an important role in influencing speaking up. However, good insight into the relationship between managers’ behaviour and employees’ perceptions about whether speaking up is safe and worthwhile is still lacking.AimTo explore the relationships between control-based and commitment-based safety management, climate for safety, psychological safety and nurses’ willingness to speak up.MethodsWe conducted a cross-sectional survey study, resulting in a sample of 980 nurses and 93 nurse managers working in Dutch clinical hospital wards. To test our hypotheses, hierarchical regression analyses (at ward level) and multilevel regression analyses were conducted.ResultsSignificantly positive associations were found between nurses’ perceptions of control-based safety management and climate for safety (β=0.74; p<0.001), and between the perceived levels of commitment-based management and team psychological safety (β=0.36; p<0.01). Furthermore, team psychological safety is found to be positively related to nurses’ speaking up attitudes (B=0.24; t=2.04; p<0.05). The relationship between nurse-rated commitment-based safety management and nurses’ willingness to speak up is fully mediated by team psychological safety.ConclusionResults provide initial support that nurses who perceive higher levels of commitment-based safety management feel safer to take interpersonal risks and are more willing to speak up about patient safety concerns. Furthermore, nurses’ perceptions of control-based safety management are found to be positively related to a climate for safety, although no association was found with speaking up. Both control-based and commitment-based management approaches seem to be relevant for managing patient safety, but when it comes to encouraging speaking up, a commitment-based safety management approach seems to be most valuable.

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The relationship between safety management and patient safety culture in Cancer Treatment Centers

Asian Pacific Journal of Environment and Cancer ◽

10.31557/apjec.2019.2.1.11 ◽

2019 ◽

Vol 2 (1) ◽

Author(s):

Ali Maher ◽

Mohammad Monfared ◽

Mehrnoosh Jafari

Keyword(s):

Patient Safety ◽

Cancer Treatment ◽

Safety Culture ◽

Safety Management ◽

Service Providers ◽

Patient Safety Culture ◽

Hospital Organization ◽

Statistical Population ◽

Health Service Providers ◽

The Relationship

Introduction: Enhancement of patient safety represents a principle objective followed by any health system, and it is necessary to consistently monitor the patient safety culture among nurses. Adopted by health service providers, the patient safety culture is described as the acceptance and maintenance of the patient safety as a common priority and value across the organization, or representation of the common patient safety-related values, beliefs, perceptions, and attitudes among the staff at centers providing health services, as expressed in their behaviors. Given the importance of this topic, the present research investigates the state of safety management in the relationship between safety management and patient safety culture in Cancer Treatment Centers, so as to study the patient safety culture among the personnel at the hospitals. Methods: The present research plan is an applied study following a descriptive aim via a correlational methodology. Validity of the questionnaires used in this research was confirmed based on opinions of five experts, with the reliability of the results among the observers confirmed by a Cronbach’s alpha of 0.86. The statistical population included three training hospitals in the city of Kermanshah, where different departments such as management, operating rooms, nurses, and the committee of safety and incidents were investigated during 2017-2018. Results: Based on the findings of the present research, significant direct relationships were observed between the patient safety culture and safety management variables (e.g., operating room standards assessment, the committee of safety and incidents, hospitalization wards assessment, hospital accreditation score, hospital structure, and hospital organization), and an inverse relationship was obtained between the hospital occupancy rate and the patient safety culture. Conclusion: Determination of safety policies by the management, keeping the personnel well-trained, and continuous reports by the personnel tend to enhance the level of safety across a hospital, thereby adding to the safety culture and productivity of the hospital while reducing potential safety risks. Accordingly, in order to enhance patient safety, it is necessary to adequately invest on the assessment of the safety culture.

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Nursing Students’ Informal Learning of Patient Safety Management Activities

Healthcare ◽

10.3390/healthcare9121635 ◽

2021 ◽

Vol 9 (12) ◽

pp. 1635

Author(s):

Nam-Yi Kim

Keyword(s):

Patient Safety ◽

Clinical Practice ◽

Nursing Students ◽

Informal Learning ◽

Goodness Of Fit ◽

Safety Management ◽

Mediating Effect ◽

Likelihood Method ◽

Specific Patient ◽

Fit Index

Nursing students require experience in patient safety management to prevent accidents that compromise patient safety. This study examined the mediating effects of informal learning on nursing students’ patient safety management activities. Responses to questionnaires issued to 136 nursing students in South Korea were analyzed. The independent, mediating, and dependent variables used were nursing competencies, informal learning, and patient safety management activities, respectively. Concept validity and model fitness were confirmed using average variance extracted and composite reliability. Model fitness was confirmed using the goodness-of-fit index, normed fit index, Tucker–Lewis index, comparative fit index, and standardized root mean squared residual. The mediating effect was analyzed using the maximum likelihood method, and statistical significance was assessed through bootstrapping. Informal learning mediated the relationship between nursing competence and patient safety management activities. To improve the implementation of patient safety management activities and increase patient safety competence, learning and teaching of specific patient safety-related knowledge, skills, and attitudes need to be improved. For this, informal learning opportunities (e.g., simulation education and clinical practice) must be increased in the nursing curriculum, and the patient safety education capacity should be increased to maintain continuity and connectivity in clinical practice.

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Moderating Effect of Empowerment of Perioperative Nurses in the Relationship between Their Patient Safety Culture Awareness and Safety Management Activities

Chonnam Research Institute of Nursing Science ◽

10.33527/nhi2019.24.2.89 ◽

2019 ◽

Vol 24 (2) ◽

pp. 89-95

Author(s):

Jeong Im Heo ◽

Hee Moon

Keyword(s):

Patient Safety ◽

Safety Culture ◽

Safety Management ◽

Patient Safety Culture ◽

Moderating Effect ◽

Perioperative Nurses ◽

The Relationship

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The relationship between safety management and patient safety culture in Cancer Treatment Centers

Asian Pacific Journal of Environment and Cancer ◽

10.31557/apjec.2019.2.1.11-16 ◽

2019 ◽

Vol 2 (1) ◽

pp. 11-16

Author(s):

Ali Maher ◽

Mohammad Monfared ◽

Mehrnoosh Jafari

Keyword(s):

Patient Safety ◽

Cancer Treatment ◽

Safety Culture ◽

Safety Management ◽

Service Providers ◽

Patient Safety Culture ◽

Hospital Organization ◽

Statistical Population ◽

Health Service Providers ◽

The Relationship

Introduction: Enhancement of patient safety represents a principle objective followed by any health system, and it is necessary to consistently monitor the patient safety culture among nurses. Adopted by health service providers, the patient safety culture is described as the acceptance and maintenance of the patient safety as a common priority and value across the organization, or representation of the common patient safety-related values, beliefs, perceptions, and attitudes among the staff at centers providing health services, as expressed in their behaviors. Given the importance of this topic, the present research investigates the state of safety management in the relationship between safety management and patient safety culture in Cancer Treatment Centers, so as to study the patient safety culture among the personnel at the hospitals. Methods: The present research plan is an applied study following a descriptive aim via a correlational methodology. Validity of the questionnaires used in this research was confirmed based on opinions of five experts, with the reliability of the results among the observers confirmed by a Cronbach’s alpha of 0.86. The statistical population included three training hospitals in the city of Kermanshah, where different departments such as management, operating rooms, nurses, and the committee of safety and incidents were investigated during 2017-2018. Results: Based on the findings of the present research, significant direct relationships were observed between the patient safety culture and safety management variables (e.g., operating room standards assessment, the committee of safety and incidents, hospitalization wards assessment, hospital accreditation score, hospital structure, and hospital organization), and an inverse relationship was obtained between the hospital occupancy rate and the patient safety culture. Conclusion: Determination of safety policies by the management, keeping the personnel well-trained, and continuous reports by the personnel tend to enhance the level of safety across a hospital, thereby adding to the safety culture and productivity of the hospital while reducing potential safety risks. Accordingly, in order to enhance patient safety, it is necessary to adequately invest on the assessment of the safety culture.

Download Full-text