Yıl: 2023 Cilt: 20 Sayı: 2 Sayfa Aralığı: 127 - 132 Metin Dili: İngilizce DOI: 10.14744/jern.2021.21188 İndeks Tarihi: 08-06-2023

Patient Safety Culture Perception Among Surgical Nurses

Öz:
Background: Human and technology factors in healthcare can lead to errors that threaten human life. A strong patient safety culture in hospitals may be linked to better patient outcomes. Because of the potential for mistakes in surgical departments, surgical nurses are critical to establishing and maintaining a patient safety culture. Aim: The aim of this study was to explore the patient safety culture perceptions of surgical nurses. Methods: This descriptive study was performed with 206 nurses working in the surgical clinics and operating rooms of 1 university hospital, 2 public hospitals, and 1 private hospital. A “Questionnaire” and the “Hospital Survey on Patient Safety Culture” were used for data collection. The data were analyzed using mean, number, and percentage values, 1-way analysis of variance, Tukey Honestly Significant Difference (HSD), and chi-square tests. Results: The study revealed that surgical nurses’ patient safety culture perception was at a medium level. The highest mean rate of positive responses in The Hospital Survey on Patient Safety Culture came from “Teamwork within units” and the lowest mean rate of positive answers came from the “Non-punitive response to errors” subdimension. In addition, 85.7% of the surgical nurses did not report any errors in the previous 1 year, and nurses who had been working for ≥11 years submitted more error reports (P = .001). Conclusion: Nurses’ patient safety culture perception was at a medium level. Recommendations for improving patient safety culture should include on-the-job training programs and improvements in employees’ working conditions.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Bahadori M, Ravangard R, Aghili A, Sadeghifar J, Gharsi Manshadi MG, Smaeilnejad J. The factors affecting the refusal of reporting on medication errors from the nurses’ viewpoints: a case study in a hospital in Iran. ISRN Nurs. 2013;2013:876563.
  • 2. Mobarakabadi SS, Ebrahimipour H, Najar AV, Janghorban R, Azarkish F. Attitudes of Mashhad Public Hospital's nurses and midwives toward the causes and rates of medical errors reporting. J Clin Diagn Res. 2017;11(3):QC04- QC07.
  • 3. Poorolajal J, Rezaie S, Aghighi N. Barriers to medical error reporting. Int J Prev Med. 2015;6:97.
  • 4. Reis CT, Laguardia J, Martins M. Adaptação transcultural da versão brasileira do Hospital Survey on Patient Safety Culture: etapa inicial. Cad Saude Publica. 2012;28(11):2199-2210.
  • 5. Bodur S, Filiz E. A Survey on patient safety culture in primary healthcare services in Turkey. Int J Qual Health Care. 2009;21(5):348-355.
  • 6. Nieva VF, Sorra J. Safety culture assessment: a tool for improving patient safety in healthcare organizations. Qual Saf Health Care. 2003;12(suppl 2):17-23.
  • 7. Hughes RG, Clancy CM. Nurse’s role in patient safety. J Nurs Care Qual. 2009;24(1):1-4.
  • 8. Fan CJ, Pawlik TM, Daniels T, et al. Association of safety culture with surgical site infection outcomes. J Am Coll Surg. 2016;222(2):122-128.
  • 9. Weaver SJ, Lubomksi LH, Wilson RF, Pfoh ER, Martinez KA, Dy SM. Promoting a culture of safety as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):369-374.
  • 10. Manrique BT, Soler LM, Bonmati AN, Montesinos MJL, Roche FP. Patient safety in the operating room and documentary quality related to infection and hospitalization. Acta Paul Enferm. 2015;28(4):355-360.
  • 11. Shu Q, Cai M, Tao HB, et al. What does a hospital survey on patient safety reveal about patient safety culture of surgical units compared with that of other units? Medicine. 2015;94(27):e1074.
  • 12. Norton EK, Singer SJ, Sparks W, Ozonoff A, Baxter J, Rangel S. Operating room clinicians' attitudes and perceptions of a pediatric surgical safety checklist at 1 institution. J Patient Saf. 2016;12(1):44-50.
  • 13. Treadwell JR, Lucas S, Tsou AY. Surgical checklists: a systematic review of impacts and implementation. BMJ Qual Saf. 2014;23(4):299-318.
  • 14. Gündoğdu S, Bahçecik N. Hemşirelerde hasta güvenliği kültürü algılamasının belirlenmesi. Anadolu Hemşirelik Sağlık Bilimleri Derg. 2012;15:119-128.
  • 15. Atan ŞÜ, Dönmez S, Duran ET. Üniversite hastanesinde çalışan hemşirelerde hasta güvenliği kültürünün incelenmesi. F N Hem Derg. 2013; 21:172-180.
  • 16. Arslan S, Aydıngülü N, Gülşen M, et al. Cerrahi kliniklerde çalışan hemşirelerin hasta güvenliği kültürleri ve etkileyen faktörler. Anadolu Hemşirelik Sağlık Bilimleri Derg. 2020;23(4):527-533.
  • 17. Marinho MM, Radünz V, Barbosa SFF. Assessment of safety culture by surgical unit nursing teams. Texto contexto - enferm. 2014;23(3):581-590.
  • 18. Cauduro FLF, Sarquis LM, Sarquis LMM, et al. Safety culture among surgical center professionals. Cogitare Enferm. 2015;20(1):128-137.
  • 19. Teleş M, Kaya S. Staff perceptions of patient safety culture in general surgery departments in Turkey. Afri Health Sci. 2019;19(2):2208-2218.
  • 20. Sorra JS, Nieva VF. Hospital Survey on Patient Safety Culture [Patient Safety Group Web Site]. Available at: https ://ww w.pat ients afety group .org/ program/me dia/h ospcu lt_gu ide.p df. Accessed September 20, 2017.
  • 21. Bodur S, Filiz E. Validity and reliability of Turkish version of "Hospital Survey on Patient Safety Culture" and perception of patient safety in public hospitals in Turkey. BMC Health Serv Res. 2010;10(28):28.
  • 22. Chen IC, Li HH. Measuring patient safety culture in Taiwan using the hospital survey on patient safety culture (HSOPSC) BMC Health Serv Res. 2010;10:152.
  • 23. Nie Y, Mao X, Cui H, He S, Li J, Zhang M. Hospital survey on patient safety culture in China. BMC Health Serv Res. 2013;13:228.
  • 24. Pimentel MPT, Choi S, Fiumara K, Kachalia A, Urman RD. Safety culture in the operating room: variability among perioperative healthcare workers. J Patient Saf. 2021;17(6):412-416.
  • 25. Sorra JS, Famolaro T, Yount ND, Smith SA, Wilson S, Liu H. Hospital survey on patient safety culture 2014 user comparative database report [Agency for Healthcare Research and Quality web site]. Available at: https ://ww w.ahrq.gov /site s/def ault/ files /wysi wyg/p rofes siona ls/qu ality -pati ent-s afety /pati entsa fetyc ultur e/hos pital /2014 /hsop s14pt 1.pdf . Accessed September 20, 2017.
  • 26. Smith SA, Yount N, Sorra J. Exploring relationships between hospital patient safety culture and consumer reports safety scores. BMC Health Serv Res. 2017;17(1):143.
  • 27. Wagner C, Smits M, Sorra J, Huang CC. Assessing patient safety culture in hospitals across countries. Int J Qual Health Care. 2013;25(3):213-221.
  • 28. Famolaro T, Yount ND, Burns W, Flashner E, Liu H, Sorra J. Hospital Survey on Patient Safety Culture 2016 User Comparative Database Report [Agency for Healthcare Research and Quality Web Site]. Available at: https ://www.ahr q.gov /sites /defau lt/fil es/wy siwy g/pro fessio nals/ qual ity-pa tien t-safety/p atien tsafe tycul ture/ hospi tal/2 016/2 016_h ospit alsop s_rep ort_p t1.pd f.Accessed September 20, 2017.
  • 29. Topaloğlu S, Örtlek M, Uslu E. Hasta güvenliği açısından ilaç hatalarına ve hataların raporlanmasına yönelik sağlık çalışanlarının alışkanlıklarının tanımlanması. IV. Uluslararası Sağlıkta Performans ve Kalite Kongresi Sözel Bildiriler Kitabı, I. Ankara. 541-552.
  • 30. Karagözoğlu Ş, Otu M, Coşkun G. Bir araştırma ve uygulama hastanesinde ilaç hatalarının bildirimine yönelik hemşirelerin düşünceleri ve ilaç hatalarını raporlama alışkanlıkları. Cumhuriyet Üniv Sağ Bil Enst Derg. 2019;4(1): 26-39.
  • 31. Chiang HY, Lin SY, Hsu SC, Ma SC. Factors determining hospital nurses’ failures in reporting medication errors in Taiwan. Nurs Outlook. 2010;58(1):17-25.
  • 32. Saeed Tabatabaee S, Kalhor R, Nejatzadegan Z, et al. Barriers to medication error reporting from nurses’ perspective: a private hospital survey. Int J Hosp Res. 2014;3(2):97-102.
  • 33. Gallagher TH, Waterman AD, Garbutt JM, et al. US and Canadian physicians’ attitudes and experiences regarding disclosing errors to patients. Arch Intern Med. 2006;166(15):1605-1611.
  • 34. Kalra J, Kalra N, Baniak N. Medical error, disclosure and patient safety: a global view of quality care. Clin Biochem. 2013;46(13-14):1161-1169.
  • 35. Bari A, Khan RA, Rathore AW. Medical errors; causes, consequences, emotional response and resulting behavioral change. Pak J Med Sci. 2016;32(3): 523-528.
  • 36. Harolds JA. Quality and safety in health care, part III: to err is human. Clin Nucl Med. 2015;40(10):793-795.
APA ERTÜRK YAVUZ m, Cilingir D, BULUT E, Gürsoy A, Aydin A, CANDAS ALTINBAS B (2023). Patient Safety Culture Perception Among Surgical Nurses. , 127 - 132. 10.14744/jern.2021.21188
Chicago ERTÜRK YAVUZ melek,Cilingir Dilek,BULUT ENES,Gürsoy Ayla,Aydin Aydanur,CANDAS ALTINBAS Bahar Patient Safety Culture Perception Among Surgical Nurses. (2023): 127 - 132. 10.14744/jern.2021.21188
MLA ERTÜRK YAVUZ melek,Cilingir Dilek,BULUT ENES,Gürsoy Ayla,Aydin Aydanur,CANDAS ALTINBAS Bahar Patient Safety Culture Perception Among Surgical Nurses. , 2023, ss.127 - 132. 10.14744/jern.2021.21188
AMA ERTÜRK YAVUZ m,Cilingir D,BULUT E,Gürsoy A,Aydin A,CANDAS ALTINBAS B Patient Safety Culture Perception Among Surgical Nurses. . 2023; 127 - 132. 10.14744/jern.2021.21188
Vancouver ERTÜRK YAVUZ m,Cilingir D,BULUT E,Gürsoy A,Aydin A,CANDAS ALTINBAS B Patient Safety Culture Perception Among Surgical Nurses. . 2023; 127 - 132. 10.14744/jern.2021.21188
IEEE ERTÜRK YAVUZ m,Cilingir D,BULUT E,Gürsoy A,Aydin A,CANDAS ALTINBAS B "Patient Safety Culture Perception Among Surgical Nurses." , ss.127 - 132, 2023. 10.14744/jern.2021.21188
ISNAD ERTÜRK YAVUZ, melek vd. "Patient Safety Culture Perception Among Surgical Nurses". (2023), 127-132. https://doi.org/10.14744/jern.2021.21188
APA ERTÜRK YAVUZ m, Cilingir D, BULUT E, Gürsoy A, Aydin A, CANDAS ALTINBAS B (2023). Patient Safety Culture Perception Among Surgical Nurses. Journal of education and research in nursing (Online), 20(2), 127 - 132. 10.14744/jern.2021.21188
Chicago ERTÜRK YAVUZ melek,Cilingir Dilek,BULUT ENES,Gürsoy Ayla,Aydin Aydanur,CANDAS ALTINBAS Bahar Patient Safety Culture Perception Among Surgical Nurses. Journal of education and research in nursing (Online) 20, no.2 (2023): 127 - 132. 10.14744/jern.2021.21188
MLA ERTÜRK YAVUZ melek,Cilingir Dilek,BULUT ENES,Gürsoy Ayla,Aydin Aydanur,CANDAS ALTINBAS Bahar Patient Safety Culture Perception Among Surgical Nurses. Journal of education and research in nursing (Online), vol.20, no.2, 2023, ss.127 - 132. 10.14744/jern.2021.21188
AMA ERTÜRK YAVUZ m,Cilingir D,BULUT E,Gürsoy A,Aydin A,CANDAS ALTINBAS B Patient Safety Culture Perception Among Surgical Nurses. Journal of education and research in nursing (Online). 2023; 20(2): 127 - 132. 10.14744/jern.2021.21188
Vancouver ERTÜRK YAVUZ m,Cilingir D,BULUT E,Gürsoy A,Aydin A,CANDAS ALTINBAS B Patient Safety Culture Perception Among Surgical Nurses. Journal of education and research in nursing (Online). 2023; 20(2): 127 - 132. 10.14744/jern.2021.21188
IEEE ERTÜRK YAVUZ m,Cilingir D,BULUT E,Gürsoy A,Aydin A,CANDAS ALTINBAS B "Patient Safety Culture Perception Among Surgical Nurses." Journal of education and research in nursing (Online), 20, ss.127 - 132, 2023. 10.14744/jern.2021.21188
ISNAD ERTÜRK YAVUZ, melek vd. "Patient Safety Culture Perception Among Surgical Nurses". Journal of education and research in nursing (Online) 20/2 (2023), 127-132. https://doi.org/10.14744/jern.2021.21188