Understanding the Relationship Between Critical Care Nurses' Perception of Patient Safety Culture and Adverse Events.

IF 2 Q2 NURSING SAGE Open Nursing Pub Date : 2024-11-04 eCollection Date: 2024-01-01 DOI:10.1177/23779608241292847
Sameer A Alkubati, Talal Al-Qalah, Basma Salameh, Mohammed Alsabri, Gamil Ghaleb Alrubaiee, Ahmed Loutfy, Sadeq A Alwesabi, Ahmed H El-Monshed, Shimmaa M Elsayed
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Abstract

Background: Establishing a positive safety-culture environment is essential in healthcare settings to enhance patient care. This study aimed to determine the relationship between critical care nurses' perceptions of patient safety culture and adverse events.

Methods: A cross-sectional study was conducted among 200 nurses working in critical care units in the Damanhour Governorate in Egypt. Data were collected using a self-administered questionnaire, including the Hospital Survey of Patients' Safety Culture (HSOPSC) and information on adverse events (AEs).

Results: The study revealed areas for improvement in patient safety culture, with low positive response rates in staffing (26.6%), non-punitive response to errors (38%), handoffs and transitions (39.4%), teamwork across and within units (42.3%), and overall perception of patient safety (49.3%). The majority of critical care nurses had a moderate to high level of overall perception of patient safety at 42.5% and 42.0%, respectively. The most frequent adverse events reported daily were complaints from patients or their families (65.5%). Adverse drug events and patient falls occurred several times per week in 56.5% and 57.0% of patients, respectively. A significant association was found between low safety culture perception and higher rates of patient falls (p = .008), adverse drug events (p = .005), and patient/family complaints (p = .030).

Conclusion: The findings of the study indicate that nurses' perceptions of patient safety culture are moderate. Adverse medication responses, falls, and complaints from patients or their families were noted. Female nurses aged 31 to 40, especially divorced nurses, had more experience, worked fewer than 8 h daily, and had a higher education level, which appeared to influence overall safety culture perceptions. Furthermore, there was a correlation between the prevalence of adverse events and patient safety culture, with cooperation being the key factor.

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了解重症监护护士对患者安全文化的认知与不良事件之间的关系。
背景:在医疗机构中建立积极的安全文化环境对加强患者护理至关重要。本研究旨在确定重症监护护士对患者安全文化的认知与不良事件之间的关系:在埃及达曼胡尔省重症监护病房工作的 200 名护士中开展了一项横断面研究。数据收集采用自填式问卷,包括医院患者安全文化调查(HSOPSC)和不良事件(AEs)信息:研究结果表明,患者安全文化存在有待改进的地方,在人员配备(26.6%)、对错误的非惩罚性反应(38%)、交接和转换(39.4%)、跨科室和科室内的团队合作(42.3%)以及患者安全的整体感知(49.3%)方面的正面回答率较低。大多数重症监护护士对患者安全的总体感知为中度到高度,分别为 42.5%和 42.0%。每天报告最多的不良事件是来自患者或其家属的投诉(65.5%)。每周发生数次药物不良事件和患者跌倒的比例分别为 56.5% 和 57.0%。研究发现,低安全文化感知与较高的患者跌倒率(p = .008)、药物不良事件(p = .005)和患者/家属投诉(p = .030)之间存在明显关联:结论:研究结果表明,护士对患者安全文化的认知程度一般。研究结果表明,护士对患者安全文化的认知程度一般,存在不良用药反应、跌倒、患者或家属投诉等问题。31 至 40 岁的女护士,尤其是离婚护士,经验更丰富,每天工作时间少于 8 小时,教育程度更高,这些因素似乎会影响对整体安全文化的看法。此外,不良事件发生率与患者安全文化之间存在相关性,其中合作是关键因素。
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来源期刊
CiteScore
2.10
自引率
5.00%
发文量
106
审稿时长
15 weeks
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