Evaluation of Patient Safety Culture Perceptions of Nurses Working in University Hospitals in Turkey

Yıl 2022, Cilt: 5 Sayı: 3, 255 - 271, 30.12.2022

Belgin Dilmen , Melek Serpil Talas

https://doi.org/10.56150/tjhsl.1208654

Cited By: 1

Öz

ABSTRACT: Ensuring patient safety is an important home section that shows health care services in all health facilities. Nurses are the most important health professionals in establishing and maintaining patient safety in health care packages.
OBJECTIVE: This study was conducted with the aim of evaluating the patient safety culture evaluations and examination criteria of the staff working in university hospitals.
METHODS: This study was conducted with 420 cross-sectional images working in three university hospitals. The research data were collected using the Nurses' question formula to hide their introductory information and patient safety status, and the Patient Safety Culture Hospital Questionnaire. Genetic statistics, t-test, Mann Whitney U test, analysis of variance and Kruskall-Wallis test were used to evaluate the data.
RESULTS: In the study, the overall score of the Patient Safety Culture Hospital Questionnaire (PSCHQ) of the pictures was 43.3%. It was found that the sub-dimension of PSCHQ with the highest positive response percentage was “team work within the units (68.5%)”, and the sub-dimensions that were determined as tests and whose dimensions were required first were “staffing (26.9%)”, “hospital interventions and (28.3%)” and “error reporting rate (29.4%)” and “open breakdown of communication (37%)”. In the study, the difference between the women (46.56±22.64) and the configuration (35.71±26.73) “HSPSC-comprehensive perception of security” sub-dimension positive response percentage average was maintained as closed (p=0.027). The difference between the mean percentage of positive responses belonging to the "HSPSC-error reporting rate" sub-dimension of male administrators (45.24±45.55) and female administrators (28.23±39.92) was obtained as the extent of difference (p=0.037). According to the education level of the nurses, the sub-dimension of “HSPSC-report of errors” sub-dimension positive response percentages was found to be the difference between the groups (p=0.021).
CONCLUSION: These results show that in ensuring and maintaining patient safety, they should primarily take responsibility at the administrative level and create a permanent patient safety culture in the health care stages.

Anahtar Kelimeler

Nursing, patient safety, safety culture.

Destekleyen Kurum

Yok

Proje Numarası

-

Teşekkür

-

Kaynakça

• AbuAlrub, R. F. , Abu Alhijaa, E. H. (2014). The Impact of Educational Interventions On Enhancing Perceptions of Patient Safety Culture Among Jordanian Senior Nurses. Nursing Forum, 49(2), 139-149.
• Aboul-Fotouh, A. M., Ismail, N. A., Ez Elarab, H. S., Wassif, G. O. (2012). Assessment of Patient Safety Culture Among Health-Care providers at a Teaching Hospital in Cairo, Egypt. Eastern Mediterranean Health Journal, 8(4), 372-377.
• Agency for Healthcare Research and Quality. (2003). AHRQ’s Patient Safety Initiative: Building Foundation, Reducing Risk. archive.ahrq.gov/research/ finding/ final-reports/pscongrpt/psini2.html.
• Akgün, S. , Al-Assaf, A. F. (2007). Sağlık Kuruluşlarında Hasta Güvenliği Kültürünü Nasıl Oluşturabiliriz? . Sağlık Düşüncesi ve Tıp Kültürü Platformu, 3, 42-47. Anderson, D. J., Webster, C. S. (2001). A Systems Approach to the Reduction of Medication Error on the Hospital Ward. Journal of Advenced Nursing, 35(1),34-41.
• Atan, Ü., Ş., Dönmez, S. , Taşçı, E. (2013). Üniversite Hastanesinde Çalışan Hemşirelerde Hasta Güvenliği Kültürünün İncelenmesi. Florence Nightingale Hemşirelik Dergisi, 21(3),172-180.
• Ausserhofer, D., Schubert, M., Desmedt, M., Blegen, M.A., DeGeest, S. ve Schwendimann, R. (2013). The Association of Patient Safety Climate and Nurse-Related Organizational Factors with Selected Patient Outcomes: A Cross-Sectional Survey. International Journal of Nursing Studies, 50, 240-252.
• Australian Nursing Federation. (2009). Ensuring Quality, Safety and Positive Patient Outcomes. Melbourne.
• Ballangrud, R., Hedelin, B., Hall-Lord, M. L. (2012). Nurses’ Perceptions of Patient Safety Climate in Intensive Care Units: A Cross- Sectional Study. Intensive and Critical Care Nursing, 28, 344-354.
• Bodur, S. , Filiz, E. (2010). Validity and reliability of Turkish version of "Hospital Survey on Patient Safety Culture" and perception of patient safety in public hospitals in Turkey. BMC Health Services Research, 28,1-9.
• Chen, C., Li, H. (2010). Measuring Patient Safety Culture in Taiwan Using the Hospital Survey on Patient Safety Culture (HSOPSC). BMC Health Services Research, 10,152.
• Dursun, S., Bayram, N.ve Aytaç, S. (2010). Hasta Güvenliği Kültürü Üzerine Bir Uygulama. Sosyal Bilimler, 8(1),1-14.
• El-Jardali, F., Sheikh, F., Garcia, A., N., Jamal, D., Abdo, A. (2014). Patient Safety Culture in a Large Teaching Hospital in Riyadh: Baseline Assessment, Comparative Analysis and Opportunities for Improvement. BMC Health Services Research, 14, 122
• Ertem, G., Oksel, E. ve Akbıyık, A. (2009). Hatalı Tıbbi Uygulamalar (Malpraktis) ile İlgili Retrospektif Bir İnceleme. Dirim Tıp Gazetesi, 84(1), 1-10.
• Filiz, E. (2009). Hastanede Hasta Güvenliği Kültürü Algılamasının Ve Sağlık Çalışanları İle Toplumun Hasta Güvenliği Hakkındaki Tutumunun Belirlenmesi. Yüksek Lisans Tezi, Selçuk Üniversitesi, Konya.
• Gadd, S., Collins, A. M. (2002). Safety Culture: A review of the literature. Health & Safety Laboratory. Erişim: 17 mayıs 2016, http://www.hse.gov.uk/ research/hsl_pdf/2002/hsl02-25.pdf
• Grober, E. D., Bohnen, J. M.A. (2005). Defining Medical Error. Canadian Journal of Surgery, 48(1), 39-44. Gündoğdu, S., Bahçecik, N. (2012). Hemşirelerde Hasta Güvenliği Kültürü Algılamasının Belirlenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi,15(2), 119-128.
• Güneş, Y., Ü., Gürlek, Ö., Sönmez, M. (2015). A Survey of the Patient Safety Culture of Hospital Nurses in Turkey. Collegian, 310,1-8.
• Health and Safety Executive. (2005). A review of safety culture and safety climate literature for the development of safety culture inspection toolkit. Bristol.Research (report 367). www.hse.gov.uk/research/rrpdf/rr367.pdf.
• Hughes, R. G., Mary A. Blegen, A. M. (2008). Patient Safety and Quality An Evidence-Based Handbook for Nurses. Rockville. http://www.ncbi.nlm.nih.gov/books/NBK2651
• Ilan., R. , Fowler, R. (2005). Brief History of Patient Safety Culture and Science. Journal of Critical Care, 20, 2-5.
• Institute of Medicine. (1999). To Err Is Human: Building a Safer Health System. http://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/1999/To-Err-is-Human/To%20Err%20is%20Human%201999%20%20report%20brief.pdf.
• The Joint Commission (2016). Patient Safety Systems Chapter for the Hospitals Program. https://www.jointcommission.org/patient_safety_systems_chapter_for_the hospital_ program.
• Karahan, A. (2008). Nurses and Patient safety 2. International Patient Safety Congress.25-29 March, Antalya.
• Kohn, L. T., Corrigan, J. M., Donaldson, M. S. (2000). To Err is Human: Building a Safer Health System. Instıtute of Medicine. National Academy Press, Washington.www.ncbi.nlm.nih.gov/books/NBK225182/pdf/Bookshelf_NBK225182.pdf.
• Leape, L.L. (2009). Errors in Medicine. Clinica Chimica Acta, 404, 2-5.
• Moussavi, F., Moghri, J., Gholizadeh, Y., Karami, A., Najjari, S., Mehmandust, R. ve diğerleri. (2013). Assessment of Patient Safety Culture Among Personel in the Hospitals Associated with Islamic Azad University in Tehran in 2013. Electronic Physician,5(3), 664-671.
• Natarajan, N. , Hoffmeister, A. (2009). “Do No Harm’’: Can Healthcare Live Up To It?. http://www.irma-international.org/viewtitle/26343/
• Nieva, F. V. , Sora, J. (2003). Safety Culture Assessment: A Tool For Improving Patient Safety in Healthcare Organizations. Quality & Safety in Health Care, 17- 23.
• Nordin, A. (2015). Patient Safety Culture in Hospital Settings- Measurements, Health Care Staff Perceptions and Suggestions for Improvement. Karistad University Studies.
• Nowickı, T., Fulbrook, P., Burns, C. (2010). Bed Safety off the Rails. Australian Nursing Journal, 18(1), 31-34.
• Ocloo, J. E. (2010). Harmed Patients Gaining Voice: Challenging Dominant Perspectives in the Construction of Medical Harm and Patient Safety Reforms. Social Science & Medicine, 71, 510-516.
• Özkan, A. (2012). Hasta Güvenliği Önlemlerinin Perinatal Kliniklere Uyarlanması ve Uygulama Rehberlerinin Geliştirilmesi. Doktora tezi, Marmara Üniversitesi, İstanbul.
• Patient Safety ICN Position. (2012). Erişim: 04 Haziran 2014, http://www.icn.ch/images/stories/documents/publications/position_statements/D05_Patient_Safety.pdf.
• Pronovost, P. J., Goeschel, C. A., Colantuoni, E., Watson, S., Lubomski, L. H., Berenholtz, S. M. ve diğerleri. (2010). Sustaining Reductions in Catheter Related Bloodstream Infections in Michigan Intensive Care Units: Observational Study. British Medical Journal, 1-6. http://www.bmj.com/ content/bmj/340/ bmj.c309. full.pdf
• Pumar-Mѐndez, M. J., Attree, M., Wakefield, A. (2014). Methodological Aspects in the Assessment of Safety Culture in the Hospital Setting: A Review of the Literature. Nurse Education Today, 34,162-170.
• Sorra, J, Famolaro, T. ,Yount, N. D. , Smith, S. A.,Wilson, S. , Liu, H. (2014). Hospital Survey on Patient Safety Culture 2014 User Comparative Database Report. Agency for Healthcare Research and Quality, Rockville. Sammer, C. E., Lykens, K., Singh, K. P., Mains, D.A. ve Lackan,N. A. (A2010). What Is Patient Culture? A Review of The Literature. Journal of Nursing Scholarship, 42(2), 156-165 The Joint Commission. (2012). Preventing Central Line–Associated Bloodstream Infections: A Global Challenge, a Global Perspective. Oak Brook, IL: Joint Commission Resources, USA. http://www.jointcommission. org/assets/1/18/ clabsi_monograph.pdf.
• The Joint Commission (2016). Patient Safety Systems Chapter for the Hospitals Program. https://www.jointcommission. org/patient_safety_systems_chapter_ for_the_hospital_program.
• Türkmen, E., Baykal, Ü., Seren, Ş. ve Altuntaş, S. (2011). Hasta Güvenliği Kültürü Ölçeği’nin Geliştirilmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi,14(4), 38-46.
• Turunen, H. , Partanen, P. , Kvist, T. , Miettinen, M. ,Vehviäinen-Julkunen, K. (2013). Patient Safety Culture in Acute Care: A Web-Based Survey of Nurse Managers’ and Registered Nurses’ Views in Four Finnish Hospitals. International Journal of Nursing Practice,19, 609-617.
• Yardımcı, F., Başbakkal, Z. , Beytut, D. , Muslu, G. , Ersun,A. (2014). Bir Devlet Hastanesinde Sağlık Çalışanlarının Hasta Güvenliği Kültürü Algısının İncelenmesi. Anatolian Journal of Clinical Investigation, 8(4),173-179.
• Wang, X., Liu, K., You, L.M., Xiang, J.G., Hu, H.G., Zhang, L.F. ve diğerleri. (2014). The Relationship Between Patient Safety Culture and Adverse Events: A Questionnaire Survey. International Journal of Nursing Studies,51,1114-1122.
• Warburton, R. N. (2009). Improving Patient Safety: An Economic Perspective on the Role of Nurses. Journal of Nursing Management, 17, 223-229.
• World Health Organization (2008). The Research Priority Setting Working Group of the WHO World Alliance for Patient Safety. Summary of the Evidence on Patient Safety: Implications for Research.