scholarly journals Organizational Supports as Moderation in Increasing the Effect of Professionalism on Patient Safety Culture

2021 ◽  
Vol 4 (2) ◽  
pp. 85-98
Author(s):  
Naufal Fakhri Nugraha ◽  
Hadi Susiarno ◽  
Hendrati Dwi Mulyaningsih
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Safety Culture ◽  
Organizational Support ◽  
Medical Staff ◽  
Patient Safety Culture ◽  
Health Care Facilities ◽  
P Value ◽  
Cross Sectional ◽  
Patient Safety Incidents

Patient safety is a fundamental concept in providing health services and it is critical that health care facilities consider it. Negligence in the application of patient safety will lead to patient safety incidents. The individual factors of medical staff have a significant influence on the implementation of patient safety. The attitude of medical staff can affect the culture of patient safety because being unprofessional will cause problems in providing quality care, encourage bad events and medical errors, and ultimately reduce patient satisfaction. Organizational support also has a role in the attitude and behavior of medical staff. There are already policies in the form of regulations from the Minister of Health, standard operating procedures, and training for medical staff. However, there are still many patient safety incidents that occurred. There is also medical staff who are not aware of the importance of reporting so that patient safety incidents are not recorded. The study was conducted in 12 Primary Health Care (PHC) in Kuningan Regency. The research method used is quantitative analysis with a cross-sectional design using a questionnaire. The research data was taken using proportional stratified random sampling to 200 medical staff in 12 PHC in Kuningan Regency. The questionnaire consists of 3 parts regarding professionalism, patient safety culture, and organizational support. The results showed that professionalism had a positive and significant impact on patient safety culture (p-value <0.001), and Organizational support is a quasi-moderating variable on the effect of professionalism on patient safety culture (p-value <0.001).

scholarly journals Comparison of patient safety culture among psychiatric, general, and specialized hospitals of Tehran

2015 ◽  
Vol 5 (1) ◽  
pp. 52 ◽  
Author(s):  
Pouran Raeissi ◽  
Erfan Shakibaei
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Middle East ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Health Care Facilities ◽  
Sampling Frame ◽  
Cross Sectional ◽  
Middle East Countries ◽  
Care Systems

<p>Patient safety culture (PSC) has been considered less than its significance within high risk health care facilities so far. The aim of this study was to firstly compare PSC among psychiatric, general, and critical/intensive care systems then, focus on common weaknesses between Middle East countries. The study design was cross-sectional which was executed by using of a two stage sampling frame. Researchers had 298 questionnaire completed (RR=62%) among three groups comprising nurses, nurse’s aides, and laboratory personnel. The Farsi version of Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire was employed in this study. Descriptive statistics, and One Way ANOVA were used aiming to analyze collected data by using of SPSS 20. The highest percent of composite mean scores in Specialized, Psychiatric, and Generals were 61.49%, 56.67%, and 55.69% respectively. Common weakest dimensions of PSC among the three groups of hospitals included: Non-punitive response to error (24.3%), Staffing (32.18%), and Communication openness (42.44%). There were no significant differences among means and variences of the three groups of hospitals. It can be concluded that health care systems may have no differences in PSC correspond to disparities in amount of risk and job pressure. An implication of this study is the possibility that PSC is mostly local, although some weaknesses between our study and Middle East seemed to be symmetrical.</p>

scholarly journals THE RELATIONSHIP BETWEEN CLINICAL LEADERSHIP OF NURSE AND THE IMPLEMENTATION OF PATIENT SAFETY CULTURE AT NURUL HASANAH HOSPITAL

2020 ◽  
Vol 8 (12) ◽  
pp. 1065-1068
Author(s):  
Sontina Saragih ◽  
◽  
Yusnaini a ◽  
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Formal Education ◽  
Sampling Technique ◽  
Patient Safety Culture ◽  
P Value ◽  
Cross Sectional ◽  
Clinical Leadership ◽  
Good Patient ◽  
The Relationship

The quality of health services is the main focus in health service facilities, especially hospitals. A patient safety culture can improve quality and patient safety. Nurse clinical leadership was identified as one of the supporting factors for the successful application of a patient safety culture. This study aims to analyze the relationship between clinical leadership of nurses and the application of a patient safety culture at Nurul Hasanah Hospital. This type of research is descriptive correlational analytic with cross sectional approach.The population in this study were all nurses at Nurul Hasanah Hospital with a total sampling technique of 62 nurses. The results showed that most of the respondents with good clinical leadership (53.2%), most of the application of a good patient safety culture (66.1%) and there was a significant relationship between the clinical leadership of nurses and the application of a patient safety culture (p-value = 0.043). So it can be concluded that the application of a good patient safety culture can be realized by the optimal clinical leadership abilities of nurses. Therefore, the support of the hospital managerial is very important to support the clinical leadership competence of nurses in realizing the achievement of a patient safety culture through both formal and non-formal education.

scholarly journals Nursing Leadership Models in Promoting and Improving Patient’s Safety Culture in Healthcare Facilities; A Systematic Review

2020 ◽  
Author(s):  
Yodang Yodang ◽  
Nuridah Nuridah
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Safety Culture ◽  
Improve Patient Safety ◽  
Patient Safety Culture ◽  
Nursing Leadership ◽  
Health Care Facilities ◽  
Leadership Models ◽  
Care Facilities ◽  
Improve Patient

Background: Nurse leader has an important role in encouraging patient’s safety culture among nurses in the healthcare system. This literature review aims to identify the nursing leadership model and to promote and improve patient safety culture to improve patient outcomes in health care facilities including hospitals, primary health care, and nursing home settings. Methods: Searching appropriate journals through some journal databases were applied including DOAJ, GARUDA, Google Scholar, MDPI, Proquest, Pubmed, Sage Journals, ScienceDirect, and Wiley Online Library, which were published from 2015 to 2020. Results: Fourteen articles meet the criteria and are included in this review. The majority of these articles were retrieved from western countries, the US, Canada, and Finland. This review identifies three nursing leadership models that seem useful to promote and improve patient safety culture in health care facilities which are transformational, authentic, and ethical leadership models. Conclusion: The patient safety influences health care outcomes. The evidence shows the leadership has positive relation to patient satisfaction and patient safety outcomes improvement. The transformational, authentic, and ethical leadership models seem to be more useful in promoting, maintaining, and improving patient safety culture in health care facilities.  

scholarly journals Patient safety culture in the Primary Health Care

2019 ◽  
Vol 72 (1) ◽  
pp. 27-34
Author(s):  
Marina Mazzuco de Souza ◽  
Juliana Dal Ongaro ◽  
Taís Carpes Lanes ◽  
Rafaela Andolhe ◽  
Adriane Cristina Bernat Kolankiewicz ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Safety Culture ◽  
Family Health ◽  
Positive Culture ◽  
Patient Safety Culture ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Safety Attitudes ◽  
Family Health Strategy

ABSTRACT Objective: To evaluate thepatient safety culturein thePrimary Health Care (PHC). Method: A cross-sectional study with 349 health professionals and PHC managers from a city of Rio Grande do Sul, Brazil. The tool used was Safety Attitudes Questionnaire Ambulatory Version. Data-independent double typing and descriptive and inferential statistical analysis were performed. Results: The total score varied between 3.4 and 8.4 with mean (7.0 ± 1.3), positive evaluation in the "Patient Safety" domain (8.2 ± 2.0). Working on the Family Health Strategy and having five to 12 years of work was significant for positive culture. The recommendations to improve the safety culture were: Implementation of protocols, training, communication improvement and resolvability. Conclusion: The patient safety culture prevailed. Establishing a constructive safety culture with safe behaviors represents factors for improving patient safety in Primary Care settings.

scholarly journals Evaluation of patient safety culture in the hemodynamics sector in a private hospital in São Luís – MA

2020 ◽  
pp. 43-56
Author(s):  
Inaldo Kley do Nascimento Moraes ◽  
Sara Coelho Oliveira ◽  
Daniela Bassi Dibai ◽  
Rosane da Silva Dias
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Safety Culture ◽  
Private Hospital ◽  
Patient Safety Culture ◽  
Management Support ◽  
Quality Health Care ◽  
Cross Sectional ◽  
Acceptable Risks ◽  
Almost All

Patient safety is understood as reducing to the minimum acceptable risks of damage associated with health care. This depends on a safety culture formed from a qualified and safe service, involving all hospital professionals, and constant monitoring of the determining factors for quality health care. The general objective of the study was to evaluate the culture of patient safety in the hemodynamics sector in a private hospital in São Luís. This is a cross-sectional, descriptive, quantitative study conducted in the hemodynamic sector of the cardiology center of Hospital São Domingos, through the HSOPSC – Hospital Survey on Patiente Safety Culture questionnaire divided into 12 dimensions, the perception of each of them is described by the percentage of positive responses. Participants were 69 professionals, of which 47 (68%) were women, 16 (23%) were nurses, 30 (43%) worked in the hospital between 1 and 5 years, 33 (48%) with weekly workload between 20 and 39 hours. Regarding the dimensions evaluated the “Expectations on the supervisor/boss” (79%); “Organizational learning / continued improvement” (90%); “Teamwork within the unit” with (78%) and “hospital management support” (91%) considered strong. In addition, 52 (68%) participants reported not having submitted or completed any adverse event reports in the last 12 months. Therefore, the patient safety culture of the sector has potential for improvement in almost all dimensions evaluated.

scholarly journals Patient safety culture in Primary Health Care

Rev Rene ◽  
2021 ◽  
Vol 22 ◽  
pp. e70874
Author(s):  
Jéssica Karine Lopes Bohrer ◽  
Ana Catarina Laboissière Vasconcelos ◽  
Ana Lúcia Queiroz Bezerra ◽  
Cristiane Chagas Teixeira ◽  
Juliane Andrade ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Patient Safety ◽  
Primary Health Care ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Primary Health ◽  
Primary Care Health

Objective: to evaluate the patient safety culture in a primary care health unit. Methods: cross-sectional study conducted with 51 professionals linked to Primary Health Care. Data were collected using the self-administered instrument Medical Office Survey on Patient Safety Culture, translated, adapted and validated for use in Brazil. Descriptive statistical analysis was performed. Nurses, physicians, Community Health Agents, among other professionals participated. Results: the dimensions of the patient safety culture in Primary Health Care indicated opportunities for improvement or weaknesses in the service. The general assessment of patient safety and the global assessment of the quality of care provided in Primary Health Care were appointed as good or fair. Conclusion: the safety culture in Primary Care did not identify strong dimensions; there were problems with equipment, performance and availability of test results and exchange of information with imaging centers/laboratories in the care network.

scholarly journals Baseline assessment of patient safety culture in primary care centres in Kuwait: a national cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Talal ALFadhalah ◽  
Buthaina Al Mudaf ◽  
Hanaa A. Alghanim ◽  
Gheed Al Salem ◽  
Dina Ali ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Primary Health Care ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Multivariate Regression Analysis ◽  
Healthcare Services ◽  
Cross Sectional ◽  
Significance Level ◽  
Primary Health

Abstract Background Assessments of the culture surrounding patient safety can inform healthcare settings on how their structures and processes impact patient outcomes. This study investigated patient safety culture in Primary Health Care Centres in Kuwait, and benchmarked the findings against regional and international results. This study also examined the association between predictors and outcomes of patient safety culture in these settings. Methods This cross-sectional quantitative study used the Medical Office Survey on Patient Safety Culture. The study was targeted at staff of all the Primary Health Care Centres in Kuwait with at least one year of experience. Data were analysed using SPSS 23 at a significance level of ≤ .05. Univariate (means, standard deviations, frequencies, percentages) and bivariate (chi-squared tests, student t-tests, ANOVA F-tests, Kruskal–Wallis tests, Spearman’s correlation) analyses provided an overview of participant socio-demographics and the association between patient safety culture composites and outcomes. We undertook a multivariate regression analysis to predict the determinants of patient safety culture. Results were benchmarked against similar local (Kuwait, 2014), regional (Yemen, 2015) and international (US, 2018) studies. Results The responses of 6602 employees from 94 centres were included in the study, with an overall response rate of 78.7%. The survey revealed Teamwork (87.8% positive ratings) and Organisational Learning (78.8%) as perceived areas of strength. Communication about Error (57.7%), Overall Perceptions of Patient Safety and Quality (57.4%), Communication Openness (54.4%), Owner/Managing Partner/Leadership Support for Patient Safety (53.8%) and Work Pressure and Pace (28.4%) were identified as areas requiring improvement. Benchmarking analysis revealed that Kuwait centres are performing at benchmark levels or better on four and six composites when compared to international and regional findings, respectively. Regression modelling highlighted significant predictions regarding patient safety outcomes and composites. Conclusions This is the first major study addressing the culture of patient safety in public Primary Health Care Centres regionally. Improving patient safety culture is critical for these centres to improve the quality and safety of the healthcare services they provide. The findings of this study can guide country-level strategies to develop the systems that govern patient safety practices.

scholarly journals Patient safety in organizational culture as perceived by leaderships of hospital institutions with different types of administration

2016 ◽  
Vol 50 (3) ◽  
pp. 490-497 ◽  
Author(s):  
Natasha Dejigov Monteiro da Silva ◽  
Antonio Pires Barbosa ◽  
Kátia Grillo Padilha ◽  
Ana Maria Malik
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Safety Climate ◽  
Statistical Significance ◽  
Explanatory Power ◽  
Patient Safety Culture ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Private Organizations

Abstract OBJECTIVE To identify the perceptions of leaderships toward patient safety culture dimensions in the routine of hospitals with different administrative profiles: government, social and private organizations, and make correlations among participating institutions regarding dimensions of patient safety culture used. METHOD A quantitative cross-sectional study that used the Self Assessment Questionnaire 30 translated into Portuguese. The data were processed by analysis of variance (ANOVA) in addition to descriptive statistics, with statistical significance set at p-value ≤ 0.05. RESULTS According to the participants' perceptions, the significant dimensions of patient safety culture were 'patient safety climate' and 'organizational learning', with 81% explanatory power. Mean scores showed that among private organizations, higher values were attributed to statements; however, the correlation between dimensions was stronger among government hospitals. CONCLUSION Different hospital organizations present distinct values for each dimension of patient safety culture and their investigation enables professionals to identify which dimensions need to be introduced or improved to increase patient safety.

scholarly journals Patient safety culture shapes presenteeism and absenteeism: a cross-sectional study among Croatian healthcare workers

2017 ◽  
Vol 68 (3) ◽  
pp. 185-189 ◽  
Author(s):  
Hana Brborović ◽  
Ognjen Brborović
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Safety Culture ◽  
Healthcare Workers ◽  
Work Performance ◽  
Short Form ◽  
Hospital Setting ◽  
Patient Safety Culture ◽  
Cross Sectional Study ◽  
Cross Sectional

Abstract Healthcare workers have high rates of injuries and illnesses at the workplace, and both their absence from work due to illness (absenteeism) or working ill (presenteeism) can compromise patient safety and the quality of health care delivered. Following this premise, we wanted to determine whether presenteeism and absenteeism were associated with patient safety culture (PSC) and in what way. Our sample consisted of 595 Croatian healthcare workers (150 physicians and 445 nurses) who answered the short-form WHO Health and Work Performance Questionnaire and the Hospital Survey on Patient Safety Culture. The results have confirmed the association with both presenteeism and absenteeism in several PSC dimensions, but not as we expected based on the premise from which we started. Opposite to our expectations, lower job performance (as a measure of presenteeism) was associated with higher PSC instead of lower PSC. Absenteeism, in turn, was associated with lower PSC, just as we expected. These findings suggest that it is the PSC that shapes presenteeist and absenteeist behaviour and not the other way around. High PSC leads to presenteeism, and low PSC to absenteeism. We also believe that the presenteeism questionnaires should be adjusted to health care and better define what lower performance means both quantitatively and qualitatively in a hospital setting

scholarly journals Peningkatan Budaya Keselamatan Pasien Melalui Peningkatan Motivasi Perawat dan Optimalisasi Peran Kepala Ruang

2019 ◽  
Vol 2 (2) ◽  
pp. 58
Author(s):  
Mei Rani Wulandari ◽  
Sri Yulia ◽  
Renny Triwijayanti
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Health Workers ◽  
Patient Safety Culture ◽  
P Value ◽  
Head Nurse ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test

A poor patient safety culture will have an impact on increasing the incident rate  or the risk of an incident. The patient safety culture is an important matter that needs to be considered by the hospital. The objectives of this research are finding out the relationship among nurse motivation, role of head nurse, and patient safety culture. This was a descriptive correlational study with cross sectional approach. The number of samples was 49 nurses. This study used chi-square  test. Data were gathered by means of questionnaires about nurse motivation, role of head nurse, and patient safety culture. Results of this research describe 25 respondents (51%) had good motivation, 27 respondents (55.1%) had good role of head nurse, and 26 respondents (66.7) had good patient safety culture. The results showed that there was a relationship between nurse motivation and patient safety culture whith p value of 0.003 (p value < α 0,05) and there was a relationship between role of head nurse and patient safety culture with p value of 0.003 (p value < α 0,05). There was a relationship between nurse motivation and patient safety culture and there was a relationship between role of head nurse and patient safety culture. Nurse’s motivation needs to be improved so that the quality of health workers is better and the efforts of the head nurse in carrying out his/her role in his/her unit need to be made more affective to optimize the patient safety culture.

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