A comparative study on patient safety culture among emergency nurses in the public and private hospitals of Tabriz, Iran (original) (raw)
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Iranian Nurse Association Perception of Patient Safety Culture
Iranian Red Crescent Medical Journal, 2014
Background: In recent decades, patient safety has become a high priority health system issue, due to the high potential of occurring adverse events in health facilities. Objectives: This study was aimed to survey patient safety culture in 2 Iranian educational hospitals. Materials and Methods: In a descriptive, cross-sectional survey, a hospital survey on patient safety culture, was used in two teaching hospitals in Yazd, Iran during 2012. Study population was comprised of the same hospitals' nurses. Stratified-random sampling method was used and distributed among a total of 340 randomly-selected nurses from different units. From all distributed questionnaires, 302 ones were answered completely and afterwards analyzed using SPSS 17. Dimensional-and item-level positive scores were used for results reporting. Additionally descriptive statistics (mean and standard deviation), independent sample t-test and ANOVA were sued for data analyzing. Results: Research findings demonstrated that both hospitals had low to average scores in all dimensions of patient safety culture. Nonpunitive response to error, staffing and frequency of events reported had the lowest positive scores of patient safety dimensions with scores 15.26, 19.26, 16.65, 30 and 32.87, 31.10 respectively in Shahid Sadoughi and Shahid Rahnemoon Hospitals. Also only 29.20 and 28.80 percent of nurses in Shahid Sadoughi and Shahid Rahnemoon Hospitals, respectively, evaluated the patient safety grade of their hospital as "excellent" and "very good". Indeed, the studied hospitals had a statistical difference in 3 dimensions of patient safety culture (frequency of events reported, organizational learning and staffing). (P ≤ 0.05) Conclusions: Our study results were indicating of the challenge of weak patient safety culture, in educational hospitals. Therefore, the issue should be integrated to all policy makers and managerial initiatives in our health system, as a top priority.
2021
Background Patient safety culture is an important factor in determining hospitals’ ability to address and reduce the occurrence of adverse events (AEs). However, few studies have reported on the impact of nurses’ perceptions of patient safety culture on the occurrence of AEs. Our study aimed to assess the association between nurses’ perception of patient safety culture and their perceived proportion of adverse events. Methods A cross-sectional survey was carried out among 2295 nurses employed in thirty-two teaching hospitals in Iran. Nurses completed the Persian version of the hospital survey of patients’ safety culture between October 2018 and September 2019. Results Positive Response Rates of overall patient safety culture was 34.1% and dimensions of patient safety culture varied from 20.9 to 43.8%. Also, nurses estimated that the occurrence of six adverse events varied from 51.2–63.0% in the past year. The higher nurses’ perceptions of “Staffing”, “Hospital handoffs and transitio...
2014
Patient safety is regarded as a main and important part of healthcare quality (1,2). It is also considered as a main human concern in healthcare field (3). Studies show that patients are in the risk of adverse incidents (4). Adverse incidents and medical errors are challenges which have involved health care systems of all countries. Therefore, an attempt is necessary to decrease their induced damages and minimize them (5). Although many efforts have been done by different health care organizations to minimize them, but clinical errors are still common and need considerable human resources and costs to be circumvented (3). There are many countries which have seriously concentrated on the task of preventing or decreasing medical errors to promote safety level due to the very high severity of their induced damages (5). Improving patient safety is considered as a paramount importance and health care organizations have put it in their agenda since 21th century (6). Also, hospital leaders...
Journal of patient safety and quality improvement, 2017
Introduction: Patient safety is a major component of healthcare quality, which is defined as the avoidance of causing harm to patients in providing healthcare services. The present study aimed to investigate the attitude of nurses toward the patient safety culture in the teaching general hospitals affiliated to Tehran University of Medical Sciences, Iran. Materials and Methods: This cross-sectional study was conducted in 2014. Data were collected using the adapted version of the safety attitude questionnaire (SAQ). Sample size consisted of 385 nurses, who were selected randomly. In total, 325 participants completed the questionnaire. Data analysis was performed in SPSS Version 19 using descriptive statistics, t-test, and analysis of variance (ANOVA). Results:Mean age of the participants was 36.21±6.9 years, and 92 and 8 of the respondents were female and male, respectively. In terms of the occupational status, 92.1 of the participants had a contractual job or permanent official empl...
Evidence on the Patient Safety Culture and Nursing Work Environment in Iran
Journal of patient safety and quality improvement, 2018
Introduction: Patient safety is a universal concern with numerous gaps requiring research. Nurses are the largest workforce in healthcare system and play a pivotal role in the profitability and patient safety indices in hospitals. The present study aimed to evaluate the perception of nurses toward the patient safety culture and nursing work environment in Iran. Materials and Methods: This cross-sectional study was conducted on 100 nurses in Khoy, located in West Azerbaijan, Iran. Data were collected using the hospital survey on patient safety culture (HSPSC), which was completed by the participants during July 1st-30th 2017. Data analysis was performed in SPSS version 19. Results:Positive response rate was 7-82% for 42 items in the HSPSC. The highest positive response rate was in the item "When one area in the ward becomes very busy, others help out." (82%), whereas the lowest rate was in the item "We have enough staff to handle the workload." (7%). In addition,...
Patient Safety in Surgery, 2023
Background Adverse events have become a global problem and are an important indicator of patient safety. Patient safety culture is essential in efforts to reduce adverse events in the hospital. This study aimed to investigate the status of the patient safety culture, the frequency of adverse events, and the relationship between them in Qazvin's hospitals in Iran. Methods The present study is a descriptive-analytical study conducted in six hospitals in Qazvin, Iran, in 2020. The study population was nurses working in Qazvin hospitals. We collected data via a patient safety culture questionnaire and an adverse event checklist. Three hundred sixty nurses completed questionnaires. Multiple logistic regression was used to investigate the relationship between variables. Results The highest mean of patient safety culture was related to the organizational learning dimension (3.5, SD = .074) and feedback and communication about errors (3.4, SD = 0.82). The participants gave the lowest score to dimensions of exchanges and transfer of information (2.45,=0.86) and management support for patient safety (2.62,Sd = 0.65). Management's support for patient safety, general understanding of patient safety culture, teamwork within organizational units, communication and feedback on errors, staff issues, and information exchange and transfer were significant predictors of adverse events. Conclusion This study confirms patient safety culture as a predictor of adverse events. Healthcare managers should provide the basis for improving the patient safety culture and reducing adverse events through methods such as encouraging the reporting of adverse events and also holding training courses for nurses.
Patient safety culture from nurses’ perspectives at Qazvin University of Medical Sciences
Journal of preventive epidemiology, 2019
Introduction: The most important priority for healthcare providers is to provide high quality and safe services to patients and nurses' role in ICUs is very important due to the complexity of their profession and the importance of care for critical patients. Therefore, identifying the weaknesses and strengths of the patient safety culture is a step towards the advancement of safety culture. Objectives: The aim of this study was to determine the safety culture of nurses in the intensive care units of Qazvin University of Medical Sciences. Patients and Methods: This study is a descriptive-correlation one which was conducted on 214 nurses working in the intensive care units who had the inclusion criteria. To collect data "Hospital Survey on Patient Safety Culture; HSOPSC" was used. This questionnaire has 42 questions that examine the safety culture in 12 composites. The questionnaires were distributed among all the nurses working in the target departments of different hospitals and detailed information about the questionnaire was given. After data collection, the data were analyzed using SPSS v23. Results: The mean percentage of positive responses to the safety culture questionnaire in intensive care unit was 75.39%. The strengths of the patient safety culture were related to teamwork expectations within units (67.3%), management support for patient safety (62.6%), and teamwork across units (62.6%) and the lowest score for the patient safety culture was related to the non-punitive response to errors (3.3%) and staffing issues (4.2%) and also communication openness (23.8%). Conclusion: The status of the safety culture in intensive care units of Qazvin is acceptable. However, the attention of nursing managers in some areas in planning and policymaking to promote the patient safety culture seems necessary.
The Perceptions of Nurses About Patient Safety Culture: An Example Province in North East of Turkey
2021
The purpose of this study is to evaluate the perceptions of nurses about the patient safety culture and include five hospitals which are in a province in north east of Turkey. The research universe consists of 1299 nurses working in different five hospitals. It was used for sample selection in this study. The data were collected by "Nurse Information Form" and "Patient Safety Culture Scale". In analysis of the data were used Kolmogrov-Smirnov, Kruskal-Wallis and Mann-Whitney U Nurses' the mean score of scale was 2.90 ± 0.379. There were significantly differences between the hospitals about the mean score of scale and subscales (p<0.05). There were significantly differences between nurses' education levels and experience in the profession and the mean score of scale and subscales (p<0.05). A significant difference was not found between nurses' ages, duties, departments, working procedures, working hours in a week and experience years in the institution and the mean scores of scale and sub-dimensions (p>0.05). It was determined that there were significant differences between the institutions' mean score of PSCS and all subdimensions and the perception of the patient safety culture of the nurses who were working in private hospitals higher than in other hospitals.
Patient Safety Culture from the Viewpoint of Nurses: A Cross-Sectional Study in 2016
Journal of Research Development in Nursing and Midwifery, 2019
Background: Patient safety is one of the main components of the health care services quality that implies avoidance of any harm or damage to the patient during the delivery of health care. The purpose of this study was to determine the patient safety culture from the view point of nurses in the hospitals of Guilan province in 2016. Methods: This cross-sectional study was done on 400 nurses from the nurse community in Guilan province, Iran in 2016. The sampling was performed as the two-stage cluster sampling method. Data were collected using a modified questionnaire based on the Hospital Survey on Patient Safety Culture (HSOPSC). Data were presented with descriptive statistics analysis using in SPSS-14. The significant level was considered less than 0.05. Results: Most of the nurses were female (89%), with a mean age of 34.28±6.86 years. The most response to the items was related to "Please give your work area/unit in this hospital an overall grade on patient safety" that was the acceptable option (47.5%). The mean score of the patient safety was 3.28 ±0.86. Conclusions: The results showed two dimensions including staffing and teamwork within units.
Patient safety culture and job stress among nurses in Mazandaran, Iran
Electronic Physician
Background: Paying attention to patient safety is a basic right and a necessary issue in providing medical care, and failure to observe it leads to irreparable damage. One of the factors affecting an individuals' performance in an organization is stress, which also endangers their health. Objective: To determine the relationship between patient safety culture and levels of job stress among the nurses working in the hospitals affiliated with Mazandaran University of Medical Sciences. Methods: The present study was carried out using a cross-sectional method in the hospitals affiliated with Mazandaran University of Medical Sciences in 2016. A multistage stratified sampling method using a Morgan Table was employed to select 380 nurses as the study sample from among 3,180 nurses. They were selected by a multistage stratified sampling method. The study instruments were Stinemetz Standard Job Stress Questionnaire and Hospital Survey on Patient Safety Culture (HSOPSC). After the required data were collected, they were analyzed using descriptive and inferential statistical methods (Pearson correlation, independent-samples t-test, and ANOVA) through SPSS version 23. Results: The results of the present study showed that 75% of the nurses experienced average and high levels of stress. Among different dimensions of safety culture, organizational learning and handoffs and transitions obtained the highest and the lowest scores, respectively (72.5 and 24.5). The mean score of safety culture dimensions was 51.52. The results of the Pearson correlation test showed that there was a direct significant relationship between different dimensions of safety culture among nurses and the level of stress (p≤0.05). Conclusion: According to the findings, patient safety should be considered as a strategic priority for the senior managers of the health system. In order to enhance patient safety, managers should pay special attention to evaluating safety culture in organizations that deliver health service, especially hospitals.