The Speaking Up Climate of Nurses for Patient Safety Concerns and Unprofessional Behaviors: The Effects of Teamwork and Safety Climate

IF 1.6 4区医学 Q2 NURSING Journal of Perianesthesia Nursing Pub Date : 2024-10-01 DOI:10.1016/j.jopan.2023.12.008

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Abstract

Purpose

This study aims to investigate the influence of teamwork and safety climate on nurses' speaking up for patient safety concerns and unprofessional behaviors.

Design

This study incorporates a cross-sectional research design.

Methods

The study included 217 surgical nurses employed in a Turkish university hospital. The research data were collected between April and June 2023 using the Teamwork Climate, Safety Climate Survey, Speaking Up Climate for Patient Safety, and Speaking Up Climate for Professionalism instruments. The relationships between these scales were assessed using Pearson correlation analysis. The Turkish validity and reliability of the Speaking Up Climate for Patient Safety and Speaking Up Climate for Professionalism scales were verified. The research model was tested using path analysis.

Findings

The mean age of the 217 surgical nurses was 25.88 ± 5.64 years. Teamwork climate showed a positive effect on safety climate and speaking up climate about patient safety concerns and unprofessional behaviors. Safety climate showed a positive association with nurses' speaking up climate about patient safety concerns and unprofessional behaviors.

Conclusions

Teamwork climate and safety climate both positively affect the speaking up climate about patient safety concerns and unprofessional behaviors. Nurse managers who wish to promote a culture of speaking up about patient safety and unprofessional behaviors should prioritize improvements in the teamwork climate and safety climate.

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护士对患者安全问题和非专业行为的直言不讳：团队合作和安全氛围的影响。

目的：本研究旨在探讨团队合作和安全氛围对护士为患者安全问题和非专业行为大声疾呼的影响：本研究采用横断面研究设计：研究对象包括土耳其一所大学医院的 217 名外科护士。研究数据收集于 2023 年 4 月至 6 月间，使用的工具包括团队合作氛围、安全氛围调查、为患者安全大声疾呼氛围和为职业精神大声疾呼氛围。使用皮尔逊相关分析评估了这些量表之间的关系。对 "为患者安全而大声疾呼 "和 "为专业精神而大声疾呼 "量表的土耳其语有效性和可靠性进行了验证。使用路径分析对研究模型进行了检验：217 名外科护士的平均年龄为 25.88±5.64 岁。团队合作氛围对安全氛围和对患者安全问题及非专业行为发表意见的氛围有积极影响。安全氛围与护士就患者安全问题和非专业行为发表意见的氛围呈正相关：结论：团队合作氛围和安全氛围都会对有关患者安全问题和非专业行为的直言不讳氛围产生积极影响。护士长若想促进敢于直言患者安全问题和非专业行为的文化，应优先改善团队合作氛围和安全氛围。

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来源期刊

Journal of Perianesthesia Nursing NURSING-

CiteScore

2.20

自引率

17.60%

发文量

279

审稿时长

90 days

期刊介绍： The Journal of PeriAnesthesia Nursing provides original, peer-reviewed research for a primary audience that includes nurses in perianesthesia settings, including ambulatory surgery, preadmission testing, postanesthesia care (Phases I and II), extended observation, and pain management. The Journal provides a forum for sharing professional knowledge and experience relating to management, ethics, legislation, research, and other aspects of perianesthesia nursing.

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