Cerrahi Hemşirelerinde Hasta Güvenliği Kültürü Algılarının Belirlenmesi ve Sosyodemografik Değişkenler ile İlişkisi

Year 2016, Volume: 6 Issue: 3, 149 - 153, 16.01.2017

Yeliz Ciğerci Hatice Özdemir İbrahim Kılıç

Abstract

Bu çalışmada, Afyonkarahisar il merkezinde faaliyet gösteren hastanelerde görev yapan cerrahi hemşirelerinin hasta güvenliği kültürüne ilişkin algılarının belirlenerek, hemşirelerin sosyodemografik özellikleri ile ilişkisinin ortaya konması amaçlanmıştır. Toplam 121 cerrahi hemşireden elde edilen anketler değerlendirmeye alınmıştır. Araştırma hasta güvenliği kültürüne ilişkin mevcut durumu ortaya koyması bakımından betimsel (descriptive) bir çalışma niteliğindedir. Veri toplama yöntemi olarak anket tekniği kullanılmış olup, bu çalışmada Hasta Güvenliği Kültürü Hastane “Hospital Survey on Patient Safety Culture” anketi kullanılmıştır. Verilerin analizinde ortalama ± standart sapma, frekans, yüzde, t testi ve varyans analizi kullanılmıştır. Çalışmada, hemşirelerin hasta güvenliği kültürüne ilişkin her bir boyuttaki genel algılarının orta düzeyde olduğu saptanmıştır. Bunun yanında devlete bağlı hastanelerde görev yapan hemşirelerin, özel hastanelerde çalışanlara göre daha olumsuz bir algı içerisinde oldukları tespit edilmiştir. 20 yaş ve altındaki hemşirelerin hasta güvenliği kültürüne ilişkin çalışılan birim, iletişim ve raporlama ile ilgili algısının diğer gruplardan yüksek olduğu belirlenmiştir. Araştırmada, cerrahi hemşirelerin hasta güvenliği kültürü algısının orta düzeyde olduğu sonucuna varıldı.

Keywords

Hasta güvenliği, hasta güvenliği kültürü, cerrahi hemşiresi

The Patient Safety Culture Perception of Surgery Nurses and Its Relationship with Sociodemographic Characteristics

Abstract

The aim of this study was to determine the Patient Safety Culture Perception (PSCP) of the surgery nurses working in the hospitals in Afyonkarahisar and to examine of relationship between PSCP and sociodemographic characteristics. Total of 121 nurses working in the surgery units of the hospitals in Afyonkarahisar participated in this survey. This study, may be defined as a descriptive study by revealing the current status about patient safety culture. “Hospital Survey on Patient Safety Culture” questionnaire is used to collect data. In the study, frequency, percentage mean, standard deviation, independent samples t test and one way ANOVA were used for data analysis. It was found that the general perception of the nurses on all the subscales of the Patient Safety Culture (PSC) was at medium level. However in all other subscales, nurses in government hospitals and University graduated nurses have more negative perception than nurses working in private hospitals and high school graduated nurses accordingly. It was defined that the understanding and perception of the nurses for reporting, communication and your work area/unit who are 20 years old or younger was relatively higher than the others. In conclusion, the PSCP levels of surgery nurses were at medium levels according to this study.

Keywords

Patient safety, patient safety culture, surgery nurse

References

• apps.who.int [Internet]: World Health Organization (WHO) World Alliance for Patient Safety Who Guidelines for Safe Surgery 2009, WHO; 2009 [Updated: 2009; Cited: 2014 November 10]. Available from: http://apps.who.int/iris/bitstream/10665/44185/1/9789241598552_eng.pdf
• Gündoğdu S, Bahçecik N. Determining nurses’ perception of patient safety culture. Journal of Anatolia Nursing and Health Sciences. 2012; 15(2): 119-28.
• Hergül FK, Özbayır T, Gök F. Patient safety in the operating room: A systematic review. Pamukkale Medical Journal. 2016; 9(1): 87-98.
• Berke D, Aslan FE. A risk of surgical patients: falling, reasons and preventions. Journal of Anatolia Nursing and Health Sciences. 2010; 13(4): 72-7.
• Intepeler ŞS, Dursun M. Medication error and medication error reporting systems. Journal of Anatolia Nursing and Health Sciences. 2012; 15(2): 129-35.
• aone.org [Internet]. American Organization of Nurse Executives (AONE) guiding principles. For future patient care delivery 2010, AONE; 2010 [Updated: 2012 February 12; Cited: 2014 November 15]. Available from: http://www.aone.org/resources/futurepatient-care.pdf.
• Dang D, Johantgen ME, Pronovost PJ, Jenckes MW, Bass EB. Postoperative complications: does intensive care unit staff nursing make a difference. Hearth Lung. 2002; 31(3): 219-28.
• ahrq.gov [Internet]. Hospital survey on patient safety culture. Agency for Healthcare Research and Quality Advancing Excellence in Health Care, AHRQ Publication; 2004 [Cited: 2015 January 15]. Available from: http://www.ahrq.gov/professionals/qualitypatient-safety/patientsafetyculture/index.html.
• Bodur S, Filiz E. A survey on patient safety culture in primary healthcare services in Turkey. Intern J Qual H Care. 2009; 21(5): 348-55.
• Atan ŞÜ, Dönmez S, Duran ET. Investigation of patient safety culture of nurses working in the university hospital. Florance N J Nurs. 2013; 21(3): 172-80.
• Bahrami MA, Montazeralfaraj R, Chalak M, Tafti AD, Tehrani GA, Ardakan SA. Patient safety culture challenges: survey results of Iranian educational hospitals. Middle-East J Scientific Res. 2013; 14(5):641-9.
• Çırpı F, Merih YD, Kocabey MY. Nursing practices that are aims to patient safe and determining the nurses point view of this topic. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi. 2009; 2(3): 26-34.
• Dursun S, Bayram N, Aytaç S. A Survey on Patient Safety Culture. The Journal of Social Sciences. 2010; 8(1): 1-14.
• Rockville W, Sorra J, Famolaro T, Dyer N, Nelson D, Smith SA. Hospital survey on patient safety culture: 2012 user comparative database report. Rockville: Agency for Healthcare Research and Quality (AHRQ) Publication No. 12-0017; 2012.
• Kalra J. Medical errors: an introduction to concepts. Clinic Biochem. 2004; 37(12): 1043-51.
• Andsoy II, Kar G, Öztürk Ö. A study on trends to medical error for nurses. J Health Sci Profession. 2014; 1(1): 17-27.
• Hwang JI, Ahn J. Teamwork and clinical error reporting among nurses in Korean Hospitals. Asian Nurs Res. 2015; 9(1): 14-20.
• Singer SJ, Gaba DM, Geppert JJ, Sinaiko AD, Howard SK, Park KC. The Culture of Safety: Results of an Organization-Wide Survey in 15 California Hospitals. Qual Saf Health Car. 2003; 12(2): 112-8.
• Rockville W, Sorra J, Famolaro T, Yount DD, Smith SA, Wilson S, et al. Hospital survey on patient safety culture: 2014 user comparative database report. Rockville: Agency For Healthcare Research And Quality (AHRQ) Publication No. 14-0019-Ef; 2014.
• Khater WA, Akhu-Zaheya LM, Al-Mahasneh SI, Khater R. Nurses’ perceptions of patient safety culture in Jordanian hospitals. Inter Nurs Review. 2015; 62(1): 82-91.
• Adıgüzel O. Hasta Güvenliği Kültürünün Sağlık Çalışanları Tarafından Algılanmasına Yönelik Bir Araştırma. Dumlupınar Üniversitesi Sosyal Bilimler Dergisi. 2010;28:159-70.
• Ammouri AA, Tailakh AK, Muliira JK, Geethakrishnan R, Al Kindi SN. Patient safety culture among nurses. Inter Nurs Review. 2015; 62(1): 102-10.
• Karaca A, Arslan H. A Study for Evaluation of Patient Safety Culture in Nursing Services. J Health Nurs Manag. 2014; 1(1): 9-18.
• Korkmaz, F. Profesionalizm and nursing in Turkey. Hacettepe University Faculty of Health Sciences Nursing Journal. 2011; 18(2): 59-67.
• Gökdoğan F, Yorgun S. Patient safety and nurses in health services. Journal of Anatolia Nursing and Health Sciences. 2010; 13(2): 53-9.