scholarly journals Perception of nursing professionals on patient safety culture

2017 ◽  
Vol 70 (6) ◽  
pp. 1284-1290 ◽  
Author(s):  
Juliana Cristina Abbate Tondo ◽  
Edinêis de Brito Guirardello
Keyword(s):  
Job Satisfaction ◽  
Patient Safety ◽  
Safety Culture ◽  
Safety Climate ◽  
Patient Safety Culture ◽  
Intention To Leave ◽  
Perception Of Safety ◽  
Nursing Professionals ◽  
Safety Attitude ◽  
Transversal Study

ABSTRACT Objective: To evaluate nursing professionals’ perception on safety climate, to check if this perception differs between categories and if there is correlation between the Safety Attitude Questionaire (SAQ) domains and personal and professional variables. Method: Quantitative and transversal study held in a teaching hospital in the countryside of São Paulo, in Brazil. Data collection occurred in the period from April to July 2014, with the application of the SAQ. Results: 259 professionals participated in the study. The domain job satisfaction obtained scores above 75 for both categories. The perception of safety climate differed between the categories for most areas, except for the recognition of stress, and there is correlation between five SAQ domains and the variables time of experience and intention to leave the profession. Conclusion: Knowing the professionals’ perception on safety climate will contribute to a secure assistance.

scholarly journals GAMBARAN BUDAYA KESELAMATAN PROFESIONAL PEMBERI ASUHAN DI KAMAR OPERASI

2019 ◽  
Vol 3 (2) ◽  
pp. 139
Author(s):  
Hamzah Hamzah ◽  
Susmiati Susmiati ◽  
Emil Huriani
Keyword(s):  
Patient Safety ◽  
Operating Room ◽  
Safety Culture ◽  
Safety Climate ◽  
Patient Safety Culture ◽  
Team Work ◽  
Average Score ◽  
Attitude Questionnaire ◽  
Safety Attitude Questionnaire ◽  
Safety Attitude

Budaya keselamatan pasien di rumah sakit di Kota Jambi masih belum cukup baik seperti yang dapat dilihat dari jumlah insiden keselamatan pasien yang dilaporkan dari tim KPRS. Penelitian bertujuan untuk melihat gambaran budaya keselamatan profesional pemberi asuhan (PPA) di kamar operasi rumah sakit umumKota Jambi. Desain Penelitian kuantitatif deskriptif. Alat pengumpulan data menggunakan safety attitude questionnaire yang diadaptasi dalam bahasa Indonesia. Analisa data secara univariat dengan jumlah sampel 126 orang yang terdiri dari dokter spesialis, perawat bedah, penata anestesi, dan apoteker. Total skor budaya keselamatan (71,08), skor rata-rata iklim kerja tim (75,54), iklim keselamatan (74,83), kepuasan kerja (83,81), pengakuan stres (42,50), persepsi manajemen (69,56), dan kondisi kerja (64,28). Penelitian ini merekomendasikan perlu mengembangkan kebijakan terhadap upaya evaluasi penerapan budaya keselamatan pasien di rumah sakit, begitu juga evaluasi terhadap semua standar prosedur operasional ditinjau dari pertimbangan budaya keselamatan serta faktor yang mempengaruhinya. Kata kunci: Persepsi profesional pemberi asuhan, kamar operasi, budaya keselamatan pasien Abstract Professional safety culture description in operating rooms. The culture of patient safety in hospitals in Jambi City is still not good enough as can be seen from the number of patient safety incidents reported from the KPRS team. The aim of this study was to look at a picture of the culture of professional safety of care givers (PPA) in the operating room of the Jambi City General Hospital. Descriptive quantitative research design. The data collection tool uses a safety attitude questionnaire that was adapted in Indonesian. Univariate data analysis with a sample of 126 people consisting of specialist doctors, surgical nurses, anesthetists, and pharmacists. Total safety culture score (71.08), average score of team work climate (75.54), safety climate (74.83), job satisfaction (83.81), stres recognition (42.50), management perception ( 69.56), and working conditions (64.28). This study recommends that it is necessary to develop policies for evaluating the application of patient safety culture in hospitals, as well as evaluating all standard operating procedures in terms of safety culture considerations and the factors that influence them. Keywords: professional perceptions of caregiver, operating room, patient safety culture

scholarly journals The Association between the Participation of Quality Control Circle and Patient Safety Culture

2020 ◽  
Vol 17 (23) ◽  
pp. 8872
Author(s):  
Ni-Hu Tang ◽  
Shang-Feng Tsai ◽  
Jaw-Horng Liou ◽  
Yuan-Hui Lai ◽  
Shih-An Liu ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Quality Control ◽  
Patient Safety ◽  
Working Conditions ◽  
Safety Culture ◽  
Work Experience ◽  
Safety Climate ◽  
Patient Safety Culture ◽  
Safety Attitudes ◽  
Stress Recognition

Promoting patient safety culture (PSC) is a critical issue for healthcare providers. Quality control circles program (QCCP) can be used as an effective tool to foster long-lasting improvements on the quality of medical institution. The effect of QCCP on PSC is still unknown. This was a retrospective study conducted with matching data. A safety attitudes questionnaire (SAQ) was used for the evaluation of PSC. The association between all scores of six subscales of SAQ and the participation QCCP were analyzed with both the Mann–Whitney and Kruskal–Wallis tests. A total of 2718 valid questionnaires were collected. Most participants of QCCP were females (78.9%), nurses (52.6%), non-supervisors (92.2%), aged <40 years old (64.8%), degree of specialist or university graduates (78%), and with work experience of <10 years (61.6%). Of all participants, the highest scores were in the dimension of safety climate (74.11 ± 17.91) and the lowest scores in the dimension of working conditions (68.90 ± 18.84). The participation of QCCP was associated with higher scores in four dimensions, namely: teamwork climate (p = 0.006), safety climate (p = 0.037), perception of management (p = 0.009), and working conditions (p = 0.015). The participation or not of QCCP had similar results in the dimension of job satisfaction and stress recognition. QCCP was associated with SAQ in subjects with the following characteristics: female, nurse, non-supervisor, aged >50 years old, higher education degrees and with longer working experiences in the hospital. In this first study on the association between each dimension of SAQ and the implementation of QCCP, we found that QCCP interventions were associated with better PSC. QCCP had no benefits in the dimensions of job satisfaction and stress recognition.

scholarly journals Causal Relationship Analysis of the Patient Safety Culture Based on Safety Attitudes Questionnaire in Taiwan

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Yii-Ching Lee ◽  
Pei-Shan Zeng ◽  
Chih-Hsuan Huang ◽  
Hsin-Hung Wu
Keyword(s):  
Job Satisfaction ◽  
Patient Safety ◽  
Safety Culture ◽  
Safety Climate ◽  
Patient Safety Culture ◽  
Laboratory Method ◽  
Critical Dimensions ◽  
Safety Attitudes ◽  
Safety Attitudes Questionnaire ◽  
Relationship Analysis

This study uses the decision-making trial and evaluation laboratory method to identify critical dimensions of the safety attitudes questionnaire in Taiwan in order to improve the patient safety culture from experts’ viewpoints. Teamwork climate, stress recognition, and perceptions of management are three causal dimensions, while safety climate, job satisfaction, and working conditions are receiving dimensions. In practice, improvements on effect-based dimensions might receive little effects when a great amount of efforts have been invested. In contrast, improving a causal dimension not only improves itself but also results in better performance of other dimension(s) directly affected by this particular dimension. Teamwork climate and perceptions of management are found to be the most critical dimensions because they are both causal dimensions and have significant influences on four dimensions apiece. It is worth to note that job satisfaction is the only dimension affected by the other dimensions. In order to effectively enhance the patient safety culture for healthcare organizations, teamwork climate, and perceptions of management should be closely monitored.

scholarly journals 54 Patient Safety Culture at a Teaching Hospital in Kuala Lumpur

2019 ◽  
Vol 48 (Supplement_4) ◽  
pp. iv13-iv17
Author(s):  
Karthikayini Krishnasamy ◽  
Maw Pin Tan ◽  
Mohd Idzwan Zakaria
Keyword(s):  
Job Satisfaction ◽  
Patient Safety ◽  
Working Conditions ◽  
Safety Culture ◽  
Online Survey ◽  
Safety Climate ◽  
Healthcare Providers ◽  
Patient Safety Culture ◽  
Inpatient Falls ◽  
Stress Recognition

Abstract Introduction Patient safety, such as inpatient falls, is a global problem, accounting for increasing compensation costs from our healthcare facilities. The aim of this study was to evaluate the patient safety culture among healthcare providers. Method An online survey was developed within the hospital staff portal at the University of Malaya Medical Centre, with a dialogue box appearing on the launching of the portal website inviting the members of staff to participate in the survey. The survey contained a safety assessment questionnaire (SAQ) which measures the patient safety culture. The SAQ consists of 36 items measuring the six domains: teamwork climate, job satisfaction, safety climate, stress recognition, working conditions, and perception of management. Each domain is assigned a percentage score, and comparisons of scores according to healthcare disciplines were then made. Results 5275 (80%) responded to the online SAQ which was sent out to all 6562 healthcare professionals employed, by the hospital. The teamwork and safety climate was poor among supporting staff, with scores of 56.7 and 59.8 respectively. Job satisfaction (62.9), perception of ward management (56.8), and hospital management (53.2), and working conditions (44.7) were less among the clinicians. Stress recognition (36.5) was in alarmingly low among the nurses. Conclusion A comprehensive unit-based safety programme will be conducted in response to the SAQ findings, and should incorporate objective falls the outcome in order to convince the hospital hierarchy of the need for urgent solutions to lower the rates of inpatient falls.

scholarly journals Nursing safety attitudes: relationship with time of experience and intention to leave the job

2020 ◽  
Vol 41 ◽  
Author(s):  
Gisele Hespanhol Dorigan ◽  
Damaris Ferreira Piffer Mingato ◽  
Edinêis de Brito Guirardello
Keyword(s):  
Job Satisfaction ◽  
Safety Climate ◽  
Intention To Leave ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Safety Attitudes ◽  
Safety Attitudes Questionnaire ◽  
Material Resources ◽  
Perception Of Safety ◽  
Safety Attitude

ABSTRACT Objective: To evaluate the safety attitudes of the nursing staff and their relationship with staff adequacy and material resources, time of experience and intention to leave the job. Method: A descriptive and cross-sectional study in a teaching hospital, sampled by convenience, with the application of the Safety Attitudes Questionnaire, collected from January to April 2016. Results: 262 professionals participated, of whom 98 were nurses and 164 technicians. They reported a positive safety attitude for job satisfaction. The adequacy of staff and material resources positively influenced safety attitudes. There was a negative correlation between time of experience and perception of management, safety climate, working conditions and safe behaviors and, between the intention to leave the job and the teamwork climate, job satisfaction, and safe behaviors. Conclusion: The negative perception of safety attitudes was related to the time of experience and to the intention to leave the job.

scholarly journals Patient safety culture in home care service

2020 ◽  
Vol 54 ◽  
Author(s):  
Patrícia Conceição Oliveira ◽  
Odeony Paulo dos Santos ◽  
Edlaine Faria de Moura Villela ◽  
Patrícia de Sá Barros
Keyword(s):  
Job Satisfaction ◽  
Patient Safety ◽  
Home Care ◽  
Safety Culture ◽  
Safety Climate ◽  
Large City ◽  
Patient Safety Culture ◽  
Survey Study ◽  
Safety Attitudes ◽  
Management Actions

Abstract OBJECTIVE Verify perceptions of the health team about patient safety culture in home care in a large city in Brazilian Midwest region. METHOD A survey study involving Safety Attitudes Questionnaire and professional profile inventory. Results: From the 37 professionals, most were female (n = 32, 86.5%), lived with their spouse (n = 25, 67.6%), worked in a statutory work regime (n = 29; 78.4%) and have only one job (n = 23; 62.2%). A higher median score for job satisfaction (80.0) and a lower score for management perception (31.8) were found. There was a negative correlation between weekly workload and teamwork (p = 0.02). Safety climate was significantly higher among consolidated (Consolidação das Leis do Trabalho - CLT) professionals in the safety climate (p = 0.001) and overall (p = 0.005) domains. Physicians had a higher perception of the safety climate domain when compared to professionals in other categories (p = 0.005). Age was positively associated to the climate in the safety (p = 0.002), working conditions (p = 0.03) and overall (p = 0.04) domains. CONCLUSION Teamwork and job satisfaction were scored as positive and management actions were considered the main weakness of the safety culture.

scholarly journals Patient safety culture improves during an in situ simulation intervention: a repeated cross-sectional intervention study at two hospital sites

2021 ◽  
Vol 10 (1) ◽  
pp. e001183
Author(s):  
Anders Schram ◽  
Charlotte Paltved ◽  
Karl Bang Christensen ◽  
Gunhild Kjaergaard-Andersen ◽  
Hanne Irene Jensen ◽  
...  
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Intervention Study ◽  
Patient Safety Culture ◽  
Cross Sectional ◽  
In Situ Simulation ◽  
Culture Dimensions ◽  
Scale Scores ◽  
Safety Attitude

ObjectivesThis study aimed to investigate staff’s perceptions of patient safety culture (PSC) in two Danish hospitals before and after an in situ simulation intervention.DesignA repeated cross-sectional intervention study.SettingTwo Danish hospitals. Hospital 1 performs emergency functions, whereas hospital 2 performs elective functions.ParticipantsA total of 967 healthcare professionals were invited to participate in this study. 516 were employed in hospital 1 and 451 in hospital 2. Of these, 39 were trained as simulation instructors.InterventionA 4-day simulation instructor course was applied. Emphasis was put on team training, communication and leadership. After the course, instructors performed simulation in the hospital environment. No systematic simulation was performed prior to the intervention.Main outcome measuresThe Safety Attitude Questionnaire investigating PSC was applied prior to the intervention and again 4 and 8 weeks after intervention. The proportion of participants with a positive attitude and mean scale scores were measured as main outcomes.ResultsThe response rate varied from 63.6% to 72.0% across surveys and hospitals. Baseline scores were generally lower for hospital 1. The proportion of staff with positive attitudes in hospital 1 improved by ≥5% in five of six safety culture dimensions, whereas only two dimensions improved by ≥5% in hospital 2. The mean scale scores improved significantly in five of six safety culture dimensions in hospital 1, while only one dimension improved significantly in hospital 2.ConclusionsSafety attitude outcomes indicate an improvement in PSC from before to after the in situ simulation intervention period. However, it is possible that an effect is more profound in an acute care hospital versus an elective setting.

scholarly journals Patient safety culture in Slovenian out-of-hours primary care clinics

2017 ◽  
Vol 56 (4) ◽  
pp. 203-210 ◽  
Author(s):  
Zalika Klemenc-Ketiš ◽  
Ellen Tveter Deilkås ◽  
Dag Hofoss ◽  
Gunnar Tschudi Bondevik
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Safety Climate ◽  
International Study ◽  
Patient Safety Culture ◽  
Cross Sectional Study ◽  
Full Time ◽  
Cross Sectional ◽  
Out Of Hours ◽  
Safety Attitudes

Abstract Introduction Patient safety culture is a concept which describes how leader and staff interaction, attitudes, routines and practices protect patients from adverse events in healthcare. We aimed to investigate patient safety culture in Slovenian out-of-hours health care (OOHC) clinics, and determine the possible factors that might be associated with it. Methods This was a cross-sectional study, which took place in Slovenian OOHC, as part of the international study entitled Patient Safety Culture in European Out-of-Hours Services (SAFE-EUR-OOH). All the OOHC clinics in Slovenia (N=60) were invited to participate, and 37 agreed to do so; 438 employees from these clinics were invited to participate. We used the Slovenian version of the Safety Attitudes Questionnaire – an ambulatory version (SAQAV) to measure the climate of safety. Results Out of 438 invited participants, 250 answered the questionnaire (57.1% response rate). The mean overall score ± standard deviation of the SAQ was 56.6±16.0 points, of Perceptions of Management 53.6±19.6 points, of Job Satisfaction 48.5±18.3 points, of Safety Climate 59.1±22.1 points, of Teamwork Climate 72.7±16.6, and of Communication 51.5±23.4 points. Employees working in the Ravne na Koroškem region, employees with variable work shifts, and those with full-time jobs scored significantly higher on the SAQ-AV. Conclusion The safety culture in Slovenian OOHC clinics needs improvement. The variations in the safety culture factor scores in Slovenian OOHC clinics point to the need to eliminate variations and improve working conditions in Slovenian OOHC clinics.

scholarly journals Do Occupational and Patient Safety Culture in Hospitals Share Predictors in the Field of Psychosocial Working Conditions? Findings from a Cross-Sectional Study in German University Hospitals

2018 ◽  
Vol 15 (10) ◽  
pp. 2131 ◽  
Author(s):  
Anke Wagner ◽  
Antje Hammer ◽  
Tanja Manser ◽  
Peter Martus ◽  
Heidrun Sturm ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Patient Safety ◽  
Working Conditions ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Healthcare Sector ◽  
Management Support ◽  
University Hospitals ◽  
Psychosocial Working Conditions ◽  
Culture Model

Background: In the healthcare sector, a comprehensive safety culture includes both patient care-related and occupational aspects. In recent years, healthcare studies have demonstrated diverse relationships between aspects of psychosocial working conditions, occupational, and patient safety culture. The aim of this study was to consider and test relevant predictors for staff’s perceptions of occupational and patient safety cultures in hospitals and whether there are shared predictors. From two German university hospitals, 381 physicians and 567 nurses completed a questionnaire on psychosocial working conditions, occupational, and patient safety culture. Two regression models with predictors for occupational and patient safety culture were conceptually developed and empirically tested. In the Occupational Safety Culture model, job satisfaction (β = 0.26, p ≤ 0.001), work‒privacy conflict (β = −0.19, p ≤ 0.001), and patient-related burnout (β = −0.20, p ≤ 0.001) were identified as central predictors. Important predictors in the Patient Safety Culture model were management support for patient safety (β = 0.24, p ≤ 0.001), supervisor support for patient safety (β = 0.18, p ≤ 0.001), and staffing (β = 0.21, p ≤ 0.001). The two models mainly resulted in different predictors. However, job satisfaction and leadership seem to play an important role in both models and can be used in the development of a comprehensive management of occupational and patient safety culture.

scholarly journals Hospital Survey on Patient Safety Culture: psychometric evaluation in Kuwaiti public healthcare settings

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e028666
Author(s):  
Gheed Al Salem ◽  
Paul Bowie ◽  
Jill Morrison
Keyword(s):  
Factor Analysis ◽  
Patient Safety ◽  
Safety Culture ◽  
Safety Climate ◽  
Psychometric Evaluation ◽  
Patient Safety Culture ◽  
Public Hospitals ◽  
Public Healthcare ◽  
International Studies ◽  
Optimal Model

ObjectiveAs healthcare organisations endeavour to improve the quality and safety of their services, there is increasing recognition of the importance of building a culture of safety to promote patient safety and improve the outcomes of patient care. Surveys of safety culture/climate have not knowingly been conducted in Kuwait public hospitals, nor are valid or reliable survey instruments available for this context. This study aims to investigate the psychometric properties of the HSOPSC (Hospital Survey on Patient Safety Culture) tool in Kuwaiti public hospitals in addition to constructing an optimal model to assess the level of safety climate in this setting.DesignCross-sectional study.SettingThree public hospitals in Kuwait.ParticipantsAbout 1317 healthcare professionals.Main outcome measureAn adapted and contextualised version of HSOPSC was used to conduct psychometric evaluation including exploratory factor analysis, confirmatory factor analysis reliability and correlation analysis.Results1317 questionnaires (87%) were returned. Psychometric evaluation, showed an optimal model of eight factors and 22 safety climate items. All items have strong factor loadings (0.42–0.86) and are theoretically related. Reliability analysis showed satisfactory results (α >0.60).ConclusionsThis is the first validation study of a standardised safety climate measure in a Kuwaiti healthcare setting. An optimal model for assessing patient safety climate was produced that mirrors other international studies and which can be used for measuring the prevailing safety climate. More importance should be attached to the psychometric fidelity of safety climate questionnaires before extending their use in other healthcare culture and contexts internationally.

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