Determination of Patient Safety Culture Perception in Internal Medicine Clinic Nurses

Abstract

Objectives: This study was conducted to determine patient safety cultural perception and the factors affecting this perception among internal medicine clinic nurses. Methods: It was conducted descriptively with 90 nurses working in Internal Clinics between January and March 2019. In the study, “Introductory Information Form” and ‘‘the Hospital Survey on Patient Safety Culture’’ were used for data collection. In the analysis of the data, t test, Mann Whitney U test, Kruskal Wallis H test, and Tamhane's Post Hoc test were used. Results: Mean overall scores of patients from Patient Safety Culture Survey were found to be (3.12±0.30). The highest mean score was found in “Teamwork in Units” sub-dimension (3.96±0.18), while the lowest mean score was found in “Hospital Interventions and Change” sub-dimension (2.20±0.32). Conclusions: It was found that nurses had moderate level of patient safety culture perceptions. With training programs on patient safety, nurses’ awareness can be increased and the perception of patient safety culture can be increased to high levels.

Keywords

• Patient safety
• patient safety culture
• nurse

Dahili Klinik Hemşirelerinde Hasta Güvenliği Kültürü Algısının Belirlenmesi

Abstract

Amaç: Bu araştırma dahili klinik hemşirelerinde hasta güvenliği kültürü algısını ve etkileyen faktörleri belirlemek amacıyla yapılmıştır. Yöntemler: Tanımlayıcı olarak Ocak- Mart 2019 tarihleri arasında Dahili Kliniklerinde çalışmakta olan 90 hemşire ile yapılmıştır. Araştırmada veri toplama aracı olarak, “Tanıtıcı Bilgi Formu” ve ‘‘Hasta Güvenliği Kültürü Hastane Anketi’’ (Hospital Survey on Patient Safety Culture) kullanılmıştır. Verilerin analizinde t testi, Mann Whitney U testi, Kruskal Wallis H testi, Tamhane’s Post Hoc testi kullanılmıştır. Bulgular: Hemşirelerin hasta güvenliği kültürü boyutlarına ilişkin algılarının genel puan ortalaması 3.12 ±0.30 olarak bulunmuştur. Alt boyutlardan en yüksek puan ortalamasının; “Üniteler İçinde Ekip Çalışması”na (3.96±0.18) ait olduğu, en düşük puan ortalamasının; “Hastane Müdaheleleri ve Değişim” (2.20±0.32) alt boyutuna ait olduğu bulunmuştur. Sonuç: Hemşirelerin hasta güvenliği kültürü algılarının orta düzeyde olduğu saptanmıştır. Hasta güvenliğine ilişkin eğitim programlarıyla hemşirelerin farkındalıklarının arttırılması ve hasta güvenliği kültürü algısının geliştirilerek orta düzeyde olan hasta güvenliği kültürü algısının yüksek düzeylere çıkarılması sağlanabilir.

Keywords

• Hasta güvenliği
• hasta güvenliği kültürü
• hemşire

References

1. Akman, A.B. (2010). A study on patient safety culture and on the evaluation of factors that affect the perceptions of nurses working in a university hospital related with patient safety culture (Thesis Number: 2501917774) (Master's thesis, T.C. İstanbul University, Institute of Social Sciences).
2. Aspden, P., Corrigan, J. M., Wolcott, J., & Erickson, S. M. (Eds.). (2004). Patient safety: Achieving a new standard for care. National Academies Press, Washington, DC (eBook). doi: 10.17226/10863.
3. Atan, Ş. Ü., Dönmez, S., & Duran, E. T. (2012). Analysis of patient safety culture in nurses working in a university hospital. Florence Nightingale Journal of Nursing, 21(3), 172-180.
4. Azyabi, A., Karwowski, W., Davahli, MR. (2021). Assessing patient safety culture in hospital settings. Int J Environ Res Public Health, 3;18(5):2466. doi: 10.3390/ijerph18052466. PMID: 33802265; PMCID: PMC7967599.
5. Bodur, S., & Filiz, E. (2009). A survey on patient safety culture in primary healthcare services in Turkey. International Journal for Quality in Health Care, 21(5), 348-355.
6. Çakır, A. (2008). Analysis of the relationship between patient safety culture and quality management system (Doctoral dissertation, Dokuz Eylül University, Institute of Social Sciences).
7. Çakır, A., & Tütüncü, Ö. (2009). Patient safety perception in hospitals of İzmir province. International Quality and Performance in Healthcare Congress, Antalya, TR, Ministry of Health Directorate of Performance Management and Quality Development, Ankara. Çırpı, F., Doğan Merih, Y., & Yaşar Kocabey, M. (2009). Determination of nursing practices for patient safety and views of nurses on the issue. Maltepe University Journal of Nursing Science and Art, 2(3), 27-34. Çiftlik, E.E., Kesmezacar, Ö., Kurt, M., Kesgin, V., Özkan, S., Çoban, D., & Abalı, Y.(2010). Perception of the patient safety culture in training and research hospitals and state hospitals. II. International Congress on Performance and Quality in Health, 28 April-01 May 2010, Antalya. Congress Proceedings Book, Vol,1, 3-11.
8. Davins, J., Oliva, G., Álava, F., Navarro, L., & Vallès, R. (2014). Vision and evolution of patient safety in Catalonia. Med Clin, 143(1),1–2. doi: 10.1016/j.medcli.2014.07.004.

9. Deilkas, E. T., & Hofoss, D. (2008). Psyhometric properties of the Norwegian version of the safety attitudes questionnaire, generic version. BMC Health Serv Res, 22(8), 191.
10. Dönmez, B. (2017). Evaluation of patient safety culture perceptions in physicians and nurses: Sivas numune hospital (Master’s thesis,Cumhuriyet University,Health Sciences University).
11. El-Jardali, F., Dimassi, H., Jamal, D., Jaafar, M., & Hemadeh, N. (2011). Predictors and outcomes of patient safety culture in hospitals. BMC Health Serv Res, 24(11), 45 doi: 10.1186/1472-6963-11-45.
12. Göz, F., & Kayahan, M. (2011). Evaluation of the patient safety culture: survey of nurses/. Journal of Education and Research in Nursing, 8(2), 44-51.
13. Güleç, H. D. (2014). Medical error tendencies and the factors affecting these tendencies in nurses. Ege University Journal of Nursing Faculty, 30(1), 1-18.
14. Güler, S. (2014). Evaluation of patient safety culture perceptions of healthcare professionals working in a private hospital (Master's thesis, İstanbul Science University, Institute of Medicine Sciences).
15. Gündoğdu, S. K., & Bahçecik, N. (2012). Determination of perceptions of patient safety culture in nurses. Anatolian Nursing and Health Sciences Journal, 15(2), 119-128.
16. Hughes, R. G., & Clancy, C. M. (2009). Complexity, bullying, and stress: Analyzing and mitigating a challenging work environment for nurses. Journal of Nursing Care Quality, 24(3), 180-183. DOI: 10.1097/NCQ.0b013e3181a6350a
17. International Council of Nurses. (2006, May). Safe staffıng saves lıves: Information and action tool kit. Geneva.https://silo.tips/download/safe-staffing-saves-lives#
18. İkier, F., ve Sayan, İ. (2023). Sağlık kuruluşlarında hemşirelerin hasta güvenliği ikliminin değerlendirilmesi. SBÜ Hemşirelik Dergisi, 5(3), 197-204. doi: 10.48071/ sbuhemsirelik.1240576
19. Korkmazer, F., Yildiz, A., & Ekingen, E. (2016). A study conducted to evaluate the patient safety culture perceptions of healthcare professionals. Muş Alparslan University Journal of Social Sciences, 4(2), 141-154. DOI:10.18506/anemon.04546
20. Korkmaz, A. Ç. (2018). Patient safety from the past to the present. İnönü University Journal of Healthcare Services Vocational High School, 6(1), 10-19.
21. Mir-Abellán, R., Falcó-Pegueroles, A., & Puente-Martorell, M. L. (2016). Attitudes towards patient safety culture in a hospital setting and related variables. Gac Sanit, 31(2), 145–149.
22. Muftawu, M. (2017). Determination of patient safety culture: A training hospital in Ghana. (Master’s thesis, Ankara University, Institute of Health Sciences).
23. Nieva, V. F., & Sorra, J. (2003). Safety culture assessment: a tool for improving patient safety in healthcare organizations. BMJ Quality & Safety, 12(2), 117-123. doi: 10.1136/qhc.12.suppl_2.ii17
24. Oksay, A., Kılınç, M., & Sayhan, M. (2019). A study on the evaluation of patient safety culture perception in healthcare professionals. Bolu Abant İzzet Baysal University, Journal of Social Sciances Institute, 19(2), 455-475.
25. Ovalı, F. (2010). Patient safety approaches. Journal of Performance and Quality In Healthcare, 1(1), 33-43.
26. Özer Ö., Şantaş, F., Gün, Ç., ve Şentürk, S. (2019) Hemşirelerin hasta güvenliği tutumlarına ilişkin algılarının değerlendirilmesi. ACU Sağlık Bil Dergisi, 10(2), 161-168.
27. Pronovost, P.J., Weast, B., Bishop, K., Paine, L., Griffith, R., Rosenstein, B. J., Kidwell, R. P., Haller, K. B., & Davis, R. (2008). Senior executive adopt-a-work unit: A model for safety improvement. Jt Comm J Qual Saf, 30(2), 59–68.
28. Rızalar, S., Büyük, E. T., Şahin, R., Tülin, A. S., & Uzunkaya, G. (2016). Patient safety culture and the factors affecting patient safety culture in nurses. Dokuz Eylül Üniversitesi Faculty of Nursing Electronic Journal, 9(1), 9-15.
29. Sarıtaş, F., Sarıtaş, G., Özer, Ö., & Say Şahin, D. (2018). Sağlık çalışanlarının güvenlik iklimi algılarının belirlenmesine ilişkin bir kamu hastanesinde araştırma. Pamukkale University Journal of Social Sciences Institute, 30, 297-307. doi: 10.5505/pausbed.2018.78557
30. Sayek, F. (2011). Patient safety: Turkey and the world. Füsun Sayek Ttb Reports/Books-2010 First Edition, Ankara Türk Tabips Union.
31. Singer, S. J., Gaba, D. M., Geppert, J. J., Sinaiko, A. D., Howard, S. K. S., & Park, K. C. (2003). The culture of safety: results of an organization-wide survey in 15 California hospitals. BMJ Quality & Safety, 12(2), 112-118. DOI: 10.1136/qhc.12.2.112 Somyürek, N., & Uğur, E. (2016). Creating patient safety culture in intensive care units: Medical errors in nurses’ point of view. Journal of Health and Nursing Management, 3(1), 1-7. doi:10.5222/SHYD.2016.001
32. Nordin, A., Nordström, G., Wilde-Larsson, B., Hallberg, A., & Theander, K. (2020) Patient Safety Culture Change over Time-Health Care Staffs’ Perceptions. Open Journal of Nursing, 10, 320-339. https://doi.org/10.4236/ojn.2020.103022
33. Teleş, M., & Kaya, S. (2019). Staff perceptions of patient safety culture in general surgery departments in Turkey, African Health Sciences, 19(2), 2208-2218
34. The Ministry of Health of Türkiye, author. Strategic Plan. 2012–2013. Ankara: 2012.
35. The Ministry of Health of Türkiye, author. 2022. Available from: https://hgbs.saglik.gov.tr/ 2022.
36. Tunçel, K., & Sökmen, S. (2021). Nurses' Perception of Patient Safety Culture and Adverse Event Reporting Tendency. YOBU Faculty of Health Sciences Journal, 2 (2), 70-77.
37. Vural, F., Çiftçi, S., Şükran, F. İ. L., Aydin, A., & Vural, B. (2014). Healthcare professionals’ patient safety climate perceptions and reporting medical errors. Acıbadem University Journal of Health Sciences, 2(2), 152-157.
38. Wagner, C., Smits, M., Sorra, J., & Huang, C. C. (2013). Assessing patient safety culture in hospitals across countries. International Journal for Quality in Health Care, 25(3), 213-221. DOI: 10.1093/intqhc/mzt024