Impact of Covid-19 on patient safety culture in hospital wards: A comparative study

Yosra Raziani , Ahmad Nazari , Sheno Raziani
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Abstract

Background

The current coronavirus pandemic has profoundly impacted healthcare services across all dimensions. Patient safety culture stands as a pivotal element in enhancing safety and the quality of patient care. This study aimed to compare the patient safety culture in the COVID-19 ward with that in other inpatient wards.

Methods

In this cross-sectional study, 418 nurses were selected through a quota sampling method from an educational hospital in Western Iran. For data collection, the Hospital Survey on Patient Safety Culture (HSOPSC), developed by AHRQ, was utilized. Data were analyzed using descriptive statistics, including mean and standard deviation (SD), as well as analytical statistics such as independent-samples t-test, Mann-Whitney test, Spearman's correlation test, and Kruskal-Wallis test. SPSS 25 was used for analysis, and the significance level was set at p ≤ 0.05.

Results

There was no statistically significant difference between the two groups (p > 0.05), but there were variations in the mean scores within different dimensions. The overall mean score of patient safety culture in the coronavirus ward was 117 ± 20.91, indicating a moderate to low level of patient safety culture in this group. In contrast, in other inpatient wards, the mean score was 122.66 ± 23.47.

Conclusion

In the coronavirus department, due to the heightened patient severity and increased nursing workload, the patient safety culture was rated as weak. Therefore, it demands specific attention from management to provide additional training for healthcare staff, aiming to enhance their performance in coping with stressful and unpredictable conditions.

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Covid-19 对医院病房患者安全文化的影响:比较研究
背景当前的冠状病毒大流行对医疗保健服务的各个方面都产生了深远的影响。患者安全文化是提高患者护理安全和质量的关键因素。本研究旨在比较 COVID-19 病房与其他住院病房的患者安全文化。方法在这项横断面研究中,通过配额抽样方法从伊朗西部的一家教育医院选取了 418 名护士。在收集数据时,使用了由 AHRQ 开发的医院患者安全文化调查 (HSOPSC)。数据分析采用描述性统计,包括平均值和标准差(SD),以及分析性统计,如独立样本 t 检验、曼-惠特尼检验、斯皮尔曼相关检验和 Kruskal-Wallis 检验。结果两组间差异无统计学意义(P> 0.05),但不同维度的平均得分存在差异。冠状病毒病房的患者安全文化总平均分为(117 ± 20.91)分,表明该组的患者安全文化处于中低水平。结论 在冠状病毒科,由于患者病情严重,护理工作量增加,患者安全文化被评为薄弱。因此,管理层需要特别关注为医护人员提供额外培训,以提高他们应对压力和不可预测情况的能力。
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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
114
审稿时长
21 weeks
期刊介绍: International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.
期刊最新文献
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