Cerrahi Hemşirelerinin Hasta Güvenliği Kültürü ve Etkileyen Faktörler
Yıl 2024,
Cilt: 10 Sayı: 3, 408 - 415, 19.09.2024
Figen Dığın
,
Zeynep Kızılcık Özkan
,
Miraç Karabiber
,
Çağla Şişman
,
Alev Kalkan
Öz
Amaç: Hasta güvenliğinin en önemli bileşenlerinden biri güvenli cerrahi uygulamalardır. Riskli cerrahi hastalar ve birimlerin varlığı ve dünya genelinde hastalara uygulanan cerrahi girişimlerin sayısının artması hasta güvenliği kültürü açısından cerrahi hemşirelerinin sorumluluğunu artırmaktadır. Bu çalışmanın amacı, cerrahi hemşirelerinin hasta güvenliği kültürü algılarını ve bunu etkileyen faktörleri belirlemektir.
Yöntemler: Tanımlayıcı ve kesitsel tipte olan bu çalışmanın verileri, iki devlet hastanesi ve bir üniversite hastanesinin cerrahi birimlerinde çalışan hemşirelerin gönüllü katılımı ile toplanmıştır. Bu çalışma, STROBE (Gözlemsel Çalışmaların Raporlanmasını Güçlendirmek) kontrol listesiyle uyumludur.
Bulgular: Hasta güvenliği konusunda eğitim alan ve çalışma koşullarından memnun olan hemşirelerin hasta güvenliği kültürü algılarının daha olumlu olduğu görüldü. Cerrahi servislerde çalışan hemşirelerin ameliyathane hemşirelerine göre hasta güvenliğini sağlamak için daha fazla işbirliğine önem verdikleri ve politikalara uydukları belirlendi.
Sonuç: Hemşirelerin hasta güvenliği kültürüne ilişkin algıları orta düzeyde bulunmuştur. Hasta güvenliği konusunda eğitim olanaklarının ve iyi çalışma koşullarının sürdürülmesi ve yönetim desteğinin sağlanması önerilir.
Kaynakça
- 1. Peña MPA, Casalengua MLT, Cañadas GO, Busto CS, Varela AY, Fernández JAM. Are Spanish primary care professionals aware of patient safety? Eur J Public Health 2015; 25:781–87.
- 2. Mitchell PM. Defining patient safety and quality care. 2008. http://www.ncbi.nlm.nih.gov/books/NBK2681/.
- 3. Nieva VF, Sorra J. Safety culture assessment: a tool for improving patient safety in healthcare organizations. Quality Safety in Health Care 2003;12(suppl 2):ii17–ii23.
- 4. Candaş B, Gürsoy A. Patient safety in the surgery: safe surgery checklist. Erciyes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 2015; 3:40-50.
- 5. Pnoyer DA. Nurse staffing and patient outcomes in critical care: A concise review. Crit Care Med 2010; 38:1521-8.
- 6. Søreide K, Alderson D, Bergenfelz A, Beynon J, Connor S, Deckelbaum DL, Dejong CH, Earnshaw JJ, Kyamanywa P, Perez RO, Sakai Y, Winter DC, the International Research Collaboration in Surgery (IRIS) ad-hoc working group. Strategies to improve clinical research in surgery through international collaboration. Lancet 2013; 382:1140–51.
- 7. Nazik E, Var E, Yıkar SK, Nazik S, Karadag AG, Gokce R, Dede DU. Determination of patient safety culture perceptions of health professionals: The example of the maternity and children’s hospital. J Contemp Med 2018; 8:251-8.
- 8. Rızalar S, Buyuk E, Sahin R. Patient safety culture and influencing factors of nurses. E-Journal of Dokuz Eylul University Nursing Faculty 2016; 9:9-15.
- 9. Sillero-Sillero A, Zabalegui A. Safety and satisfaction of patients with nurse’s care in the perioperative. Rev Latino-Am Enfermagem 2019; 27: e3142.
- 10. Erdagı S, Ozer N. Examining practice environments, patient safety culture perceptions and burnout status of nurses working in surgical clinics. Journal of Anatolia Nursing and Health Sciences 2015; 18:94-106.
- 11. Teles M, Kaya S. Staff perceptions of patient safety culture in general surgery departments in Turkey. Afr Health Sci 2019; 19:2208-2218.
- 12. Turkmen E, Baykal U, Seren S, Altuntas S. Development of Patient Safety Culture Scale. J Anatolia Nurs Health Sci 2011; 14(4):38-46.
- 13. Arslan S, Aydıngulu N, Gulsen M, Dogan SD, Erden S. Patient safety cultures and affecting factors of nurses working in surgical clinics. J Anatolia Nurs Health Sci 2020; 23:527-33.
- 14. Bayram A, Yurttas A, Kasıkcı M. The perceptions of nurses about patient safety culture: an example province in north east of Turkey. Journal of International Health Sciences and Management 2021; 7:38-46.
- 15. Dincer M, Torun N, Aksakal H. Determining nurses’ perceptions of patient safety culture in palliative care centres. Contemp Nurse 2018; 54:246-57.
- 16. Ertürk C, Dönmez P, Özmen D. Manisa il merkezindeki hastanelerde görev yapan hemşirelerin hasta güvenliği kültürünün değerlendirilmesi. Ege Üniversitesi Hemşirelik Fakültesi Dergisi 2016; 32:19-33.
- 17. Danielsson M, Rutberg H, Årestedt K. A national study of patient safety culture in hospitals in Sweden. J Patient Saf 2019; 15:328-33.
- 18. Salih SA, Reshia FAA, Bashir WAH, Omar AM, Elwasefy SA. Patient safety attitude and associated factors among nurses at Mansoura University Hospital: A cross sectional study. Int J Afr Nurs Sci 2021; 14:100287.
- 19. Arlı SK. Evaluation of the attitudes about patient safety in perioperative care. Perioper Care Oper Room Manag 2021; 22:100145.
- 20. Acency for Healthcare Research and Quality (AHRQ). Patient safety culture. 2014. https://psnet.ahrq.gov/primers/primer/5
- 21. Noviyanti LW, Ahsan A, Sudartya TS. Exploring the relationship between nurses' communication satisfaction and patient safety culture. J Public Health Res 2021; 10:2225.
- 22. Alrabae YMA, Aboshaiqah AE, Tumala RB. The association between self-reported workload and perceptions of patient safety culture: A study of intensive care unit nurses. J Clin Nurs 2021; 30:1003-17.
- 23. Nursing Law-6283. 2007. https://www.ttb.org.tr/mevzuat/index.php?option=com_content&view=article&id=502:6283&catid=1:yasa&Itemid=28
- 24. Bahar S, Onler E. Turkish surgical nurses' attitudes related to patient safety: A questionnaire study. Niger J Clin Practice 2020; 23:470-5.
- 25. Dursun S, Bayram N, Aytac S. A survey on patient safety culture. J Soc Sci Res 2020; 8:1-14.
- 26. Etherington C, Wu M, Cheng-Boivin O, Larrigan S, Boet, S. Interprofessional communication in the operating room: a narrative review to advance research and practice. Can J Anesth 2019; 66:1251-60.
- 27. Temiz Z, Ayfer O, Cavdar I, Tutuncu SG, Ayoglu T, Akyuz N. Determining the patient safety culture of operating room nurses in Turkey. Int J Caring Sci 2020; 13:708-15.
- 28. Ozdemir FK, Sahin ZA. Perceptions of nurses regarding the patient safety culture: The Kars case. ODU Journal of Medicine 2015; 2:139-44.
- 29. Huang CH, Wu HH, Lee YC, Van Nieuwenhuyse I, Lin MC, Wu CF. Patient safety in work environments: Perceptions of pediatric healthcare providers in Taiwan. J Pediatr Nurs 2020; 53:6-13.
- 30. Asefzadeh S, Kalhor R, Tir, M. Patient safety culture and job stress among nurses in Mazandaran, Iran. Electron Physician 2017; 9:6010-6.
- 31. Kunaviktikul W, Wichaikhum O, Nantsupawat A, Nantsupawat R, Chontawan R, Klunklin A, Roongruangsri S, Nantachaipan P, Supamanee T, Chitpakdee B, Akkadechanunt T, Sirakamon S. Nurses’ extended work hours: Patient, nurse and organizational outcomes. Int Nurs Rev 2015; 62:386-93.
Patient Safety Culture of Surgical Nurses and Affecting Factors
Yıl 2024,
Cilt: 10 Sayı: 3, 408 - 415, 19.09.2024
Figen Dığın
,
Zeynep Kızılcık Özkan
,
Miraç Karabiber
,
Çağla Şişman
,
Alev Kalkan
Öz
Objective: One of the most important components of patient safety is safe surgical practices. Presence of risky surgical patients and units, and the increased number of surgical interventions applied to patients globally increase the responsibility of surgical nurses in terms of patient safety culture. The aim of this study was to determine the perception of patient safety culture of surgical nurses and the factors affecting it.
Methods: The data of this descriptive and cross-sectional study were collected with the voluntary participation of nurses who worked in the surgical units of two public hospitals and one university hospital. This study aligns with the STROBE (Strengthening the Reporting of Observational Studies) checklist.
Results: Nurses who received training on patient safety and nurses who are satisfied with their working conditions had a more positive patient safety culture perception. It was determined that the nurses working in the surgical services attach more importance to cooperation and comply with the policies to ensure patient safety compared to the operating room nurses.
Conclusions: The perception of the nurses regarding patient safety culture was found to be moderate. It is recommended to maintain training opportunities and good working conditions on patient safety and to provide management support.
Kaynakça
- 1. Peña MPA, Casalengua MLT, Cañadas GO, Busto CS, Varela AY, Fernández JAM. Are Spanish primary care professionals aware of patient safety? Eur J Public Health 2015; 25:781–87.
- 2. Mitchell PM. Defining patient safety and quality care. 2008. http://www.ncbi.nlm.nih.gov/books/NBK2681/.
- 3. Nieva VF, Sorra J. Safety culture assessment: a tool for improving patient safety in healthcare organizations. Quality Safety in Health Care 2003;12(suppl 2):ii17–ii23.
- 4. Candaş B, Gürsoy A. Patient safety in the surgery: safe surgery checklist. Erciyes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 2015; 3:40-50.
- 5. Pnoyer DA. Nurse staffing and patient outcomes in critical care: A concise review. Crit Care Med 2010; 38:1521-8.
- 6. Søreide K, Alderson D, Bergenfelz A, Beynon J, Connor S, Deckelbaum DL, Dejong CH, Earnshaw JJ, Kyamanywa P, Perez RO, Sakai Y, Winter DC, the International Research Collaboration in Surgery (IRIS) ad-hoc working group. Strategies to improve clinical research in surgery through international collaboration. Lancet 2013; 382:1140–51.
- 7. Nazik E, Var E, Yıkar SK, Nazik S, Karadag AG, Gokce R, Dede DU. Determination of patient safety culture perceptions of health professionals: The example of the maternity and children’s hospital. J Contemp Med 2018; 8:251-8.
- 8. Rızalar S, Buyuk E, Sahin R. Patient safety culture and influencing factors of nurses. E-Journal of Dokuz Eylul University Nursing Faculty 2016; 9:9-15.
- 9. Sillero-Sillero A, Zabalegui A. Safety and satisfaction of patients with nurse’s care in the perioperative. Rev Latino-Am Enfermagem 2019; 27: e3142.
- 10. Erdagı S, Ozer N. Examining practice environments, patient safety culture perceptions and burnout status of nurses working in surgical clinics. Journal of Anatolia Nursing and Health Sciences 2015; 18:94-106.
- 11. Teles M, Kaya S. Staff perceptions of patient safety culture in general surgery departments in Turkey. Afr Health Sci 2019; 19:2208-2218.
- 12. Turkmen E, Baykal U, Seren S, Altuntas S. Development of Patient Safety Culture Scale. J Anatolia Nurs Health Sci 2011; 14(4):38-46.
- 13. Arslan S, Aydıngulu N, Gulsen M, Dogan SD, Erden S. Patient safety cultures and affecting factors of nurses working in surgical clinics. J Anatolia Nurs Health Sci 2020; 23:527-33.
- 14. Bayram A, Yurttas A, Kasıkcı M. The perceptions of nurses about patient safety culture: an example province in north east of Turkey. Journal of International Health Sciences and Management 2021; 7:38-46.
- 15. Dincer M, Torun N, Aksakal H. Determining nurses’ perceptions of patient safety culture in palliative care centres. Contemp Nurse 2018; 54:246-57.
- 16. Ertürk C, Dönmez P, Özmen D. Manisa il merkezindeki hastanelerde görev yapan hemşirelerin hasta güvenliği kültürünün değerlendirilmesi. Ege Üniversitesi Hemşirelik Fakültesi Dergisi 2016; 32:19-33.
- 17. Danielsson M, Rutberg H, Årestedt K. A national study of patient safety culture in hospitals in Sweden. J Patient Saf 2019; 15:328-33.
- 18. Salih SA, Reshia FAA, Bashir WAH, Omar AM, Elwasefy SA. Patient safety attitude and associated factors among nurses at Mansoura University Hospital: A cross sectional study. Int J Afr Nurs Sci 2021; 14:100287.
- 19. Arlı SK. Evaluation of the attitudes about patient safety in perioperative care. Perioper Care Oper Room Manag 2021; 22:100145.
- 20. Acency for Healthcare Research and Quality (AHRQ). Patient safety culture. 2014. https://psnet.ahrq.gov/primers/primer/5
- 21. Noviyanti LW, Ahsan A, Sudartya TS. Exploring the relationship between nurses' communication satisfaction and patient safety culture. J Public Health Res 2021; 10:2225.
- 22. Alrabae YMA, Aboshaiqah AE, Tumala RB. The association between self-reported workload and perceptions of patient safety culture: A study of intensive care unit nurses. J Clin Nurs 2021; 30:1003-17.
- 23. Nursing Law-6283. 2007. https://www.ttb.org.tr/mevzuat/index.php?option=com_content&view=article&id=502:6283&catid=1:yasa&Itemid=28
- 24. Bahar S, Onler E. Turkish surgical nurses' attitudes related to patient safety: A questionnaire study. Niger J Clin Practice 2020; 23:470-5.
- 25. Dursun S, Bayram N, Aytac S. A survey on patient safety culture. J Soc Sci Res 2020; 8:1-14.
- 26. Etherington C, Wu M, Cheng-Boivin O, Larrigan S, Boet, S. Interprofessional communication in the operating room: a narrative review to advance research and practice. Can J Anesth 2019; 66:1251-60.
- 27. Temiz Z, Ayfer O, Cavdar I, Tutuncu SG, Ayoglu T, Akyuz N. Determining the patient safety culture of operating room nurses in Turkey. Int J Caring Sci 2020; 13:708-15.
- 28. Ozdemir FK, Sahin ZA. Perceptions of nurses regarding the patient safety culture: The Kars case. ODU Journal of Medicine 2015; 2:139-44.
- 29. Huang CH, Wu HH, Lee YC, Van Nieuwenhuyse I, Lin MC, Wu CF. Patient safety in work environments: Perceptions of pediatric healthcare providers in Taiwan. J Pediatr Nurs 2020; 53:6-13.
- 30. Asefzadeh S, Kalhor R, Tir, M. Patient safety culture and job stress among nurses in Mazandaran, Iran. Electron Physician 2017; 9:6010-6.
- 31. Kunaviktikul W, Wichaikhum O, Nantsupawat A, Nantsupawat R, Chontawan R, Klunklin A, Roongruangsri S, Nantachaipan P, Supamanee T, Chitpakdee B, Akkadechanunt T, Sirakamon S. Nurses’ extended work hours: Patient, nurse and organizational outcomes. Int Nurs Rev 2015; 62:386-93.