Volume 21, Issue 8 (11-2023)
Nursing and Midwifery Journal 2023, 21(8): 631-642 |
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Bagherzadeh R, Akaberian S, Hajinejad F, Salemipour Y, Vahedparast H. PATIENT SAFETY CULTURE AND ITS RELATED FACTORS FROM THE POINT OF VIEW OF NURSES WORKING IN HOSPITALS AFFILIATED TO BUSHEHR UNIVERSITY OF MEDICAL SCIENCES IN 2020. Nursing and Midwifery Journal 2023; 21 (8) :631-642
URL: http://unmf.umsu.ac.ir/article-1-4909-en.html
URL: http://unmf.umsu.ac.ir/article-1-4909-en.html
Razieh Bagherzadeh1 
, Sherafat Akaberian2 , Fatemeh Hajinejad3 , Yasamin Salemipour4 , Hakimeh Vahedparast *5
, Sherafat Akaberian2 , Fatemeh Hajinejad3 , Yasamin Salemipour4 , Hakimeh Vahedparast *5
1- Associate Professor, School of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, Iran
2- Assistant Professor, School of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, Iran
3- Instructor, School of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, Iran
4- Master's degree in nursing, Specialized and sub specialized heart hospital, Bushehr, Iran
5- Associate Professor, School of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, Iran, (Coresponding Author) ,h.vahedparast@bpums.ac.ir
2- Assistant Professor, School of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, Iran
3- Instructor, School of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, Iran
4- Master's degree in nursing, Specialized and sub specialized heart hospital, Bushehr, Iran
5- Associate Professor, School of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, Iran, (Coresponding Author) ,
Abstract: (1626 Views)
Background & Aim: Annually, millions of patients in the world are injured and die due to unsafe medical care. In order to manage this issue, it is important to examine the safety status and the factors affecting it. Because of their essential role in the healthcare system and their responsibility for at least half of the patient's health and safety services in hospitals, nurses are considered as one of the most important influencing factors in this field. The culture of patient safety in the sense of accepting patient safety as the first priority and measuring this importance in order to minimize unsafe medical care has a special priority. Therefore, this research was conducted to determine the status of patient safety culture and its related factors from the perspective of nurses working in hospitals affiliated to Bushehr University of Medical Sciences, Iran.
Materials & Methods: This descriptive-analytical cross-sectional study included 595 nurses working in hospitals affiliated to Bushehr University of Medical Sciences. Data were collected using two questionnaires of demographic information and the Hospital Survey on Patient Safety Culture (HSOPSC). Data were analyzed using SPSS Ver.19 and univariate and multivariate linear regression statistical tests.
Results: The results showed that the mean score of patient safety culture from the nurses’ point of view (133.79±12.30) was moderate. 75.3 and 24.7 percent of the participants reported the patient safety culture as moderate and weak, respectively. None of the participants reported an excellent safety culture. Interest in nursing had a statistically significant and positive relationship with patient safety culture (p> 0.001; β=0.141). Other demographic and occupational variables had no statistically significant relationship with patient safety culture (P>0/05).
Conclusion: Considering the moderate level of safety culture, reviewing ways to improve twelve safety culture indicators should be on the managers' agenda. Because with increasing interest in the nursing profession, the culture of patient safety rises from the point of view of nurses, attention to the interest in the field should be operationalized when admitting students. It is also necessary to try to attract interested personnel and create organizational support for the sustainability of this interest to improve patient safety.
Materials & Methods: This descriptive-analytical cross-sectional study included 595 nurses working in hospitals affiliated to Bushehr University of Medical Sciences. Data were collected using two questionnaires of demographic information and the Hospital Survey on Patient Safety Culture (HSOPSC). Data were analyzed using SPSS Ver.19 and univariate and multivariate linear regression statistical tests.
Results: The results showed that the mean score of patient safety culture from the nurses’ point of view (133.79±12.30) was moderate. 75.3 and 24.7 percent of the participants reported the patient safety culture as moderate and weak, respectively. None of the participants reported an excellent safety culture. Interest in nursing had a statistically significant and positive relationship with patient safety culture (p> 0.001; β=0.141). Other demographic and occupational variables had no statistically significant relationship with patient safety culture (P>0/05).
Conclusion: Considering the moderate level of safety culture, reviewing ways to improve twelve safety culture indicators should be on the managers' agenda. Because with increasing interest in the nursing profession, the culture of patient safety rises from the point of view of nurses, attention to the interest in the field should be operationalized when admitting students. It is also necessary to try to attract interested personnel and create organizational support for the sustainability of this interest to improve patient safety.
Type of Study: Research |
Subject:
مدیریت پرستاری
References
1. Yousefian M, Eyni S, Amini K, Ershadifard S, Gheybati F, H. A. The status of patient safety culture in Iranian hospitals: a systematic review. payesh 2023;22(2):129-38. Doi:10.5254/payesh.22.2.129 [DOI:10.52547/payesh.22.2.129]
2. Gaba DM. Anaesthesiology as a model for patient safety in health care. Br Med J 2000;320(7237):785-8. [DOI:10.1136/bmj.320.7237.785] [PMID] []
3. Khoshakhlagh AH, Khatooni E, Akbarzadeh I, Yazdanirad S, Sheidaei A. Analysis of affecting factors on patient safety culture in public and private hospitals in Iran. BMC Health Serv Res 2019;19(1):1-14. Doi: 10.1186/s12913-019-4863-x [DOI:10.1186/s12913-019-4863-x] [PMID] []
4. Beyene Shashamo B, Endashaw Yesera G, Girma Abate M, Estifanos Madebo W, Ena Digesa L, T. CC. Patient safety culture and associated factors among nurses working at public hospitals in Gamo Zone, Southern Ethiopia. BMC Health Serv Res 2023;23:670-81. Doi:10.118/S12913-023-09671-6 [DOI:10.1186/s12913-023-09671-6] [PMID] []
5. Jang S-J, Lee H, Son Y-J. Perceptions of patient safety culture and medication error reporting among early-and mid-career female nurses in South Korea. Int J Environ Res Public Health 2021;18(9):48-53. Doi: 10.3390/ijerph18094853 [DOI:10.3390/ijerph18094853] [PMID] []
6. Asadi H, Habibi Soola A, Davari M, Ershadifard S. The Status of Patient Safety Culture in Nurses of Imam Khomeini Hospital in Ardabil, Iran during the Outbreak of COVID-19, in 2020. J Mil Med 2020;22(11):1162-70. (persian) [URL]
7. Afework A, Tamene A, Tesfaye A, Tafa A, S. G. Status and Factors Affecting Patient Safety Culture at Dilla University Teaching Hospital: A Mixed Method Cross-Sectional Study. Risk Manag HealthC Policy 2023;16:1157-69. Doi.org/10.2147/RMHP.S419990 [DOI:10.2147/RMHP.S419990] [PMID] []
8. Tran TNH, Pham QT, Tran LH, Vu TA, Nguyen MT, Pham HT, et al. Comparison of Perceptions About Patient Safety Culture Between Physicians and Nurses in Public Hospitals in Vietnam. Risk Manag HealthC Policy. 2022;15:1695-704. Doi:10.2147/RMHP.S373249 [DOI:10.2147/RMHP.S373249] [PMID] []
9. Ayisa A, Getahun Y, Yesuf N. Patient Safety Culture and Associated Factors Among Health-Care Providers in the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia. Drug Healthc Patient Safety 2021;13:141-50. Doi:10.2147/DHPS.S291012 [DOI:10.2147/DHPS.S291012] [PMID] []
10. Kumbi M, Hussen A, Lette A, Nuriye S, Morka G. Patient safety culture and associated factors among health care providers in bale zone hospitals, southeast ethiopia: An institutional based cross-sectional study. rug Healthc Patient Safety 2020;12:1-14. Doi: 10.2147/DHPS.S198146 [DOI:10.2147/DHPS.S198146] [PMID] []
11. Salarvand. Sh, Moayyed kazemi. AR, Bahri.N, Dalvand P, Moghimian M, Mahmoudi ghafar. A, et al. Assessing medical staff's view of patient safety culture. Q J Nurs Manag 2015;4(3):54-64. (persian) [URL]
12. Taghavi Larijani T, Ghane. G. Actual Position of Patient Safety Culture in the Health System: A Review Study. Sci J Nurs Midwifery Paramed Fac 2018;4(2):1-16. (persian) [Google Scholar]
13. Fujita S, Seto K, Ito S, Wu Y, Huang C-C, Hasegawa T. The characteristics of patient safety culture in Japan, Taiwan and the United States. BMC Health Serv Res 2013;13(1):1-10. [DOI:10.1186/1472-6963-13-20] [PMID] []
14. Zwijnenberg NC, Hendriks M, Hoogervorst-Schilp J, Wagner C. Healthcare professionals' views on feedback of a patient safety culture assessment. BMC Health Serv Res 2016;16(1):1-10. Doi: 10.1186/s12913-016-1404-8 [DOI:10.1186/s12913-016-1404-8] [PMID] []
15. Hessels. JA, Paliwal.M, H WS, Siddiqui.D, W. TA. Impact of patient safety culture on missed nursing care and adverse patient events. J Nurs Care Qual 2019;34(4):287-94. Doi: 10.1097/NCQ.0000000000000378 [DOI:10.1097/NCQ.0000000000000378] [PMID] []
16. Gunawan D,Tutik Sri Hariyati R. The implementation of patient safety culture in nursing practice. Enfermeria Clinica 2019;29:139-45. Doi:10.1016/j.enfcli.2019.05.007 [DOI:10.1016/j.enfcli.2019.05.007]
17. Khorami Markani A, Mokhtari L, Khanalilo Z. Evidence on the patient safety culture and nursing work environment in Iran. J Patient Safety Qual Improv 2018;6(1):636-43. [URL]
18. Moghri j, Akbari Sari A, Rahimi Forooshani A, Arab M. Patient Safety Culture Status in General Hospitals Affiliated to Tehran University of Medical Sciences. Hakim Res J 2013;16(3):243-250. (persian) [URL]
19. Amiran P, Pour Rabi M, Fatemi Mehr A. Evaluation of patient safety culture based on the viewpoint of nurses and physicians employed in a Military hospital. Mil Caring Sci 2018;5(1):26-33. (persian) [DOI:10.29252/mcs.5.1.26]
20. Ebrahimabadi.M, Karimy. M, Poorcheraghi.H, Naseri Salahshoor.V, Fournier. A, Abedi.A. Perspectives of Teaching Hospitals' Medical Staff of the Dimensions of Patient Safety Culture. J Client-Centered Nurs Care 2022;8(1):15-22. Doi:10.32598/JCCNC.8.1.277.4 [DOI:10.32598/JCCNC.8.1.277.4]
21. Sheikhy-Chaman M. Patient Safety Culture from the Perspective of Nurses Working in Selected Hospitals of Tehran University of Medical Sciences. Iran J Nurs 2020;33(124):92-103. (persian) [Google Scholar]
22. Yan L, Yao L, Li Y, Chen H. Assessment and analysis of patient safety competency of Chinese nurses with associate degrees: A cross‐sectional study. Nurs Open 2021;8(1):395-403. Doi: 10.1002/nop2.640 [DOI:10.1002/nop2.640] [PMID] []
23. Granel-Giménez N, Palmieri PA, Watson-Badia CE, Gómez-Ibáñez R, Leyva-Moral JM, Bernabeu-Tamayo MD. Patient Safety Culture in European Hospitals: A Comparative Mixed Methods Study. Int J Env Res Pub Health 2022;19(2):939. Doi: 10.3390/ijerph19020939 [DOI:10.3390/ijerph19020939] [PMID] []
24. Talebi S, Tajabadi A, Afshari Saleh T, Arabasadi R. Comparison of the Patient Safety Culture in the Nurses of Vasei Hospital in Sabzevar, Iran (2016-2020). Iran J Nurs 2021;34(130):1-14. (persian) [DOI:10.52547/ijn.34.130.1]
25. Wami SD, Demssie AF, Wassie MM, Ahmed AN. Patient safety culture and associated factors: A quantitative and qualitative study of healthcare workers' view in Jimma zone Hospitals, Southwest Ethiopia. BMC Health Serv Res 2016;16(1):110-27. DOI 10.1186/s12913-016-1757-z [DOI:10.1186/s12913-016-1757-z] [PMID] []
26. Mosadeghrad A. Essentials of healthcare organization and management. Tehran: Dibagran Tehran; 2015. [URL]
27. Kaware M, Ibrahim M, Shafei M, Hairon S, Abdollahi A. Patient Safety Culture and Its Associated Factors: A Situational Analysis among Nurses in Katsina Public Hospitals, Northwest Nigeria. Int J Environ Res Public Health 2022;19(6):1-14. Doi:10.3390/ijerph 19063305 [DOI:10.3390/ijerph]
28. Rahimi E, Alizadeh S, Safaeian A, Abbasgholizadeh N. An investigation of patient safety culture: the beginning for quality and safety improvement plans in patient care services. J Health 2020;11(2):235-47. Doi:10.29252/J.health.11.2.235 [DOI:10.29252/j.health.11.2.235]
29. Pedroso AC, Fernandes FP, Tuma P, Vernal S, Pellizzari M, Seisdedos MG, et al. Patient safety culture in South America: a cross-sectional study.BMJ Open Qual 2023;12(4):e002362. Doi:10.1136/bmjoq [Google Scholar]
30. Mekonnen A, McLachlan A, Jo-anne E, Mekonnen D, Abay Z. Hospital survey on patient safety culture in Ethiopian public hospitals: a cross-sectional study. Safety Health 2017;3(11):1-11. Doi: 10.1186/s40886-017-0062-9 [DOI:10.1186/s40886-017-0062-9]
31. Rezaei. T, Akram Ghahramanian. A, Abdullahzaed. F, Asghari-jafarabadi. M, Sheikhalipour Z, Z. F. Patient safety culture and the factors influencing from the perspective of nurses of medical center of Imam Reza(AZ) Tabriz. Nurs Midwifery J 2018;15(10):768-76. (persian) [Google Scholar]
32. Zamanzadeh V, Irajpour A, Valizadeh L, Shohani M. Motivational Factors Affecting Collaboration Among Nurses: A Qualitative Study. Avicenna J Nurs Midwifery Care 2015;23(1(48)):14-25. (persian) [Google Scholar]
33. Ylitörmänen T, Kvist T, H. T. Perceptions on nurse-nurse collaboration among registered nurses in Finland and Norway. Scand J Caring Sci 2019;33(3):731-40. Doi:10.1111/scs.12669 [DOI:10.1111/scs.12669] [PMID]
34. Rezaean. M, Aqaie Borz Abad. P, Yazdanpanah. A, SF. ZM. Patient Safety Culture Status From The Perspective Medical Staff Of Yasuj Hospitals In 2015. Armaghane Danesh 2016;20(10):935-46. (persian) [Google Scholar]
35. Tebaraee Y,HaghGoshaee E, Takbiri A,Yaghoobifar M A. Evaluation of patient safety culture and identify strengths and weaknesses in Sabzevar hospitals: 2011. J Sabzevar Univ Med Sci 2012;2(20):10. (persian) [URL]
36. Sorra J, Famolaro T, Dyer N, Nelson D, Khanna K.Hospital Survey on Patient Safety Culture: 2008 Comparative Database Report. MD: Agency for Healthcare Research and Quality March 2008. AHRQ Publication No. 08-0039. [URL]
38. Behzadifar M, Behzadifar M, Jahanpanah F, Bragazzi NL. Patient safety culture assessment in Iran using the "Hospital survey on patient safety culture" tool: A systematic review and meta-analysis. Clin Epidemiology Glob Health 2019;7(4):641-7. Doi: 10.1016/j.cegh.2019.02.008 [DOI:10.1016/j.cegh.2019.02.008]
39. Jolaee S HF, Peyravi H, Haghani H. Nursing medication errors and its relationship with work condition in Iran University of Medical Sciences. Iran J Med Ethics History Med 2009;3(1):65-76. (persian) [Google Scholar]
40. Malekzadeh R, Abedi G, Sarafraz S, Ranjbar M, T. A. Assessment of Patient Safety Culture in Hospitals Affiliated with Mazandaran University of Medical Sciences, 2020. J Mazandaran Univ Med Sci 2021;30(194):127-33. (persian) [Google Scholar]
41. Beigmoradi S, Pourshirvani A, Pazokian M, M. N. Evaluation of Nursing Handoff Skill among Nurses Using Situation-background-assessment-recommendation Checklist in General Wards. Evid Based Care J 2019;9(3):63-8. Doi:10.22038/EBCJ 2019.40897.2078 [Google Scholar]
42. Ozturk K, AK. A. Factors Affecting Nurses' Patient Safety Culture and Job Satisfaction: A Comparative Study. Kafkas J Med Sci 2021;11(3):381-9. Doi:10.5505/kjms.2021.99897 [DOI:10.5505/kjms.2021.99897]
43. Al-Surimi K, Almuhayshir A, Ghailan KY, NA. S. Impact of Patient Safety Culture on Job Satisfaction and Intention to Leave Among Healthcare Workers: Evidence from Middle East Context. Risk Manag Healthc Policy 2022;15:2435-2451. Doi:10.2147/RMHP.S390021 [DOI:10.2147/RMHP.S390021] [PMID] []
44. Barely E, Lawson V. Using health psychology to help patients: Theories of behaviour change. Br J Nurs 2016;25(16):924-7. Doi: 10.12968/bjon.2016.25.16.924. [DOI:10.12968/bjon.2016.25.16.924] [PMID]
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