THE PERCEPTIONS OF NURSES ABOUT PATIENT SAFETY CULTURE: AN EXAMPLE PROVINCE IN NORTH EAST OF TURKEY

Abstract

Objectives The purpose of this study is to evaluate the perceptions of nurses about the patient safety culture and include five hospitals which are in a province in north east of Turkey. Methods The research universe consists of 1299 nurses working in different five hospitals. It was used for sample selection in this study. The data were collected by “Nurse Information Form” and “Patient Safety Culture Scale”. In analysis of the data were used Kolmogrov-Smirnov, Kruskal-Wallis, Mann-Whitney U, T-test and Anova Test. Results Nurses’ the main score of scale was 2.90 ± 0.379. There were significantly differences between the hospitals about the mean score of scale and subscales (p<0.05). There were significantly differences between nurses’ education levels and experience in the profession and the mean score of scale and subscales (p<0.05). A significant difference was not found between nurses’ ages, duties, departments, working procedures, working hours in a week and experience years in the institution and the mean scores of scale and sub-dimensions (p>0.05). Conclusion It was determined that there were significant differences between the institutions’ main score of PSCS and all sub-dimensions and the perception of the patient safety culture of the nurses who were working in private hospitals higher than in other hospitals.

Keywords

• patient safety
• patient safety culture
• nurse
• nursing

References

1. Iha A. ed. Summary of the evidence on patient safety: implications for research. Geneva. World Health Organization, The Research Priority Setting Working Group of the Alliance for Patient Safety. 2008.
2. International Council of Nurses (ICN). Nurses: A Force for Change, Care Effective, Cost Effective (İnternet). 2015. (cited 2020 March 10). Avaliable from: https://www.ghdonline.org/uploads/IND_2015_Eng.pdf
3. Chassin MR, Loeb JM. High‐reliability health care: Getting there from here. The Milbank Quarterly. 2013;91(3):459-90. National Patient Safety Foundation (NPSF) (İnternet). 2019. [Available from: http://www.ihi.org/Topics/PatientSafety/Pages/Overview.aspx
4. World Health Organization (WHO). 2020. [Available from: https://www.who.int/patientsafety/en/
5. James JT. A new, evidence-based estimate of patient harms associated with hospital care. Journal of patient safety. 2013;9(3):122-8.
6. Pazarcıkcı F, Efe E. Patient safety in pediatric nursing. SDU Journal of Health Science Institute. 2018;9(2):169-74.
7. Rashvand F. Designing and validation of safe nursing care assessment tool: A sequential exploratory mixed-methods design. Tehran Medical University School of Nursing and Midwifery; 2014.
8. Vaismoradi M, Salsali M, Turunen H, Bondas T. Patients' understandings and feelings of safety during hospitalization in Iran: A qualitative study. Nursing & Health sciences. 2011;13(4):404-

9. Türk G, Eşer İ. Patient safety in a hospital setting and nursing approach. J of Hospital Management. 2007;11(1-2):16-20.
10. Türkmen E, Altuntas S, Baykal Ü, Seren Ş. Development of patient safety culture scale. J of Anatolian Nursing and Health Sciences. 2011;14(4):38-46.
11. Mitchell PH. Defining patient safety and quality care. Patient safety and quality: An evidence-based handbook for nurses: Agency for Healthcare Research and Quality (US); 2008.
12. Rızalar S, Büyük ET, Şahin R, As T, Uzunkaya G. Patient safety culture and influencing factors of nurses. Electronic J of September 9th University Nursing Faculty. 2016;9(1):9-15.
13. Korkmaz O. Nurses’ perception of managers’ attitude to patient safety. J of Social Sci Inst of DEU. 2012;14(4):91-112.
14. Karaca A, Arslan H. A study for evaluation of patient safety culture in nursing services. J of Helath and Nursing Management. 2014;1(1):9-18.
15. Li AT. Teamwork climate and patient safety attitudes: associations among nurses and comparison with physicians in Taiwan. Journal of nursing care quality. 2013;28(1):60-7.
16. Nazik E, Var E, Yıkar SK, Nazik S, Karadağ AG, Gökçe R, et al. Determination of patient safety culture perceptions of health professionals: The example of the maternity and children’s hospital. J Contemp Med. 2018;8(3):251-8.
17. Özdemir FK, Şahin ZA. Perceptions of Nurses Regarding The Patient Safety Culture: The Kars Case. ODU Journal of Medicine. 2015;2(3):139-44.
18. Bahrami M, Aliakbari F, Aein F. Iranian nurses’ perception of essential competences in disaster response: A qualitative study. Journal of education and health promotion. 2014;3.
19. Acency for Healthcare Research and Quality (AHRQ) (İnternet). 2014. [Available from: https://psnet.ahrq.gov/primer/culture-safety
20. Gündoğdu SK, Bahçecik N. Determining Nurses’ Perception of Patient Safety Culture. J of Anatolian Nursing and Health Sciences. 2012;15(2):119-28.
21. Göz F, Kayahan M. Evaluation of the Patient Safety Culture: Survey of Nurses. J of Education and Reseach in Nursing. 2011;8(2):44-50.
22. Adigüzel O. Hasta güvenliği kültürünün sağlık çalışanları tarafından algılanmasına yönelik bir araştırma. Dumlupınar Üniversitesi Sosyal Bilimler Dergisi. 2010: (28).
23. Bıçakçı H, Ağırbaş İ, Bülüç F, Turgut M. Financial analysis in private hospitals. 3th International Conference on Social Sciences; 9th- 11th November; Ankara, Turkey, 2018. p. 782-7.
24. Erdagı S, Özer N. Examining practice environments, patient safety culture perceptions and burnout status of nurses working in surgical clinics. J of Anatolian Nursing and Health Sciences. 2015;18(2):94-106.
25. Saraç A. Knowledge and attidudes of healt care personel working at healt centers in center Trabzon on patient rights, patient safety and their rights. Trabzon: Karadeniz Techincal University; 2009.