1
|
Yin LP, Wang F, Li Q, Feng XN, Li YL, Li LL. A Cross-Sectional Descriptive Study on the Attitudes Towards Patient Safety and Influencing Factors of Nurses in Infectious Diseases Wards. J Multidiscip Healthc 2023; 16:731-740. [PMID: 36959864 PMCID: PMC10029366 DOI: 10.2147/jmdh.s401373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Accepted: 02/28/2023] [Indexed: 03/19/2023] Open
Abstract
Background Patient safety is an important aspect of healthcare delivery and is critical to healthcare quality. An assessment of the attitudes of nursing staff in infectious diseases wards towards patient safety may identify deficiencies and allow for the development of educational programmes to train nursing staff to participate in good patient safety practices. Objective To explore the current situation and influencing factors on nurses' attitudes towards patient safety in infectious diseases wards. Methods This cross-sectional study enrolled 446 nurses from infectious diseases wards in eight hospitals in the Hebei Province to participate in an electronic questionnaire survey from October to December 2020. The Chinese version of the safety attitude questionnaire was used to gather the opinions of these participants, and SPSS 22.0 statistical software was used to analyse the data. Results The average score of safety attitudes towards patients was 3.59 ± 0.30. The scores for each dimension, from high to low, were as follows: management perception: 3.77 ± 0.42 points, pressure perception: 3.77 ± 0.42 points, safety atmosphere: 3.57 ± 0.43 points, job satisfaction: 3.57 ± 0.43 points, teamwork: 3.55 ± 0.50 points and working conditions: 3.50 ± 0.45 points. The results of the multiple stepwise regression analysis showed that the influential factors on nurses' attitudes towards patient safety in infectious diseases wards were as follows: night shift working (β = 11.885, P = 0.000), years of nursing experience (β = 2.862, P = 0.001), education level (β = 4.462, P = 0.001) and marital status (β = 3.871, P = 1.002), which together explained 33.5% of the total variance. Conclusion Nurses' attitudes towards patient safety in infectious diseases wards were moderately high. Night shift work, years of nursing experience, education level and marital status affected nurses' attitudes towards patient safety. Managers should focus on these groups of nurses and improve their working conditions and job satisfaction to further enhance patient safety.
Collapse
Affiliation(s)
- Li-Ping Yin
- Department of Oncology, The First Hospital Xingtai, Xingtai, Hebei, 054001, People’s Republic of China
| | - Fan Wang
- Department of Tuberculosis, Affiliated Hospital of Hebei University, Baoding, Hebei, 071000, People’s Republic of China
| | - Qian Li
- Department of Tuberculosis, Affiliated Hospital of Hebei University, Baoding, Hebei, 071000, People’s Republic of China
| | - Xiao-Ning Feng
- Dosing Center, Affiliated Hospital of Hebei University, Baoding, Hebei, 071000, People’s Republic of China
| | - Yan-Ling Li
- Department of Tuberculosis, Affiliated Hospital of Hebei University, Baoding, Hebei, 071000, People’s Republic of China
| | - Ling-Ling Li
- Department of Tuberculosis, Affiliated Hospital of Hebei University, Baoding, Hebei, 071000, People’s Republic of China
- Correspondence: Ling-Ling Li, Department of Tuberculosis, Affiliated Hospital of Hebei University, No. 648 of Dongfeng East Road, Lianchi District, Baoding, Hebei, 071000, People’s Republic of China, Email
| |
Collapse
|
2
|
El-Sayed Aly RI, Ahmed Mohamed ELBahlawan G, Aly MR, Mohamed Elsayed BK. Enhancing the Occurrence Variance Reporting System Implementation at one of the Hospitals of the Egyptian Universal Health Insurance. SAGE Open Nurs 2022; 8:23779608221142157. [PMID: 36505093 PMCID: PMC9729993 DOI: 10.1177/23779608221142157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2022] [Revised: 10/27/2022] [Accepted: 11/12/2022] [Indexed: 12/12/2022] Open
Abstract
Background Identifying, reporting, measuring, and tracking events provide an opportunity to study system issues, motivate learning, measure the frequency and severity of events, and manage high-risk ones which refer to a safety culture that is focused on valuing the input of working staff and improving the quality of care. Aim Enhance the implementation of the occurrence variance reporting (OVR) system at the Obstetrics and Gynecological Hospital in Port Said Governorate, Egypt. Design A quasi-experimental research design for one group (pre-posttest) and a mixed-methods approach was conducted in this study. Method This study was carried out at an Obstetrics and Gynecological Hospital in Port Said Governorate, Egypt. Study subjects included a convenient sample of 100 doctors and nurses. The study used three tools: OVR Knowledge, Attitude, and Practice (KAP) questionnaire, the OVR trend analysis clinical audit checklist, and barriers that hinder staff to report patient safety events through two open-ended questions. Results Significant improvements were detected in the OVR system post-program implementation than pre-program implementation phase. A statistically significant increase in nurses' and doctors' total knowledge score from 0.74 to 3.39 and a statistically significant decrease in nurses' and doctors' total negative attitude score from 3.87 to 3.27. Also, a statistically significant increase in total practice score from 2.35 to 2.45. Conclusion There were significant improvements in the hospital OVR system postprogram implementation than preprogram implementation. Relevance to clinical practice To maintain performance and make sure that the original result is not lost, the health care facilities should emphasize the ongoing monthly and quarterly monitoring and analysis of data. Meetings, lectures, and training sessions are used for ongoing education.
Collapse
Affiliation(s)
- Rasha Ibrahim El-Sayed Aly
- Nursing Administration Department, Faculty of Nursing, Port Said University, Port Said, Egypt,Rasha Ibrahim El-Sayed Aly, Nursing Administration Department, Faculty of Nursing, Port Said University, Port-Said, Port-Fouad, El-Oubor. H21, Egypt.
| | | | - Maha Ramadan Aly
- Maternity and Gynecological Nursing Department, Faculty of Nursing, Port Said University, Port Said, Egypt
| | | |
Collapse
|
3
|
Kosydar-Bochenek J, Krupa S, Religa D, Friganović A, Oomen B, Brioni E, Iordanou S, Suchoparski M, Knap M, Mędrzycka-Dąbrowska W. The Perception of the Patient Safety Climate by Health Professionals during the COVID-19 Pandemic-International Research. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19159712. [PMID: 35955067 PMCID: PMC9368342 DOI: 10.3390/ijerph19159712] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Revised: 07/31/2022] [Accepted: 08/02/2022] [Indexed: 05/28/2023]
Abstract
The patient safety climate is a key element of quality in healthcare. It should be a priority in the healthcare systems of all countries in the world. The goal of patient safety programs is to prevent errors and reduce the potential harm to patients when using healthcare services. A safety climate is also necessary to ensure a safe working environment for healthcare professionals. The attitudes of healthcare workers toward patient safety in various aspects of work, organization and functioning of the ward are important elements of the organization’s safety culture. The aim of this study was to determine the perception of the patient safety climate by healthcare workers during the COVID-19 pandemic. Methods: The study was conducted in five European countries. The Safety Attitude Questionnaire (SAQ) short version was used for the study. A total of 1061 healthcare workers: physicians, nurses and paramedics, participated in this study. Results: All groups received the highest mean results on the stress recognition subscale (SR): nurses 98.77, paramedics 96.39 and physician 98.28. Nurses and physicians evaluated work conditions (WC) to be the lowest (47.19 and 44.99), while paramedics evaluated perceptions of management (PM) as the worst (46.44). Paramedics achieved statistically significantly lower scores compared to nurses and physicians in job satisfaction (JS), stress recognition (SR) and perception of management (PM) (p < 0.0001). Paramedics compared to nurses and physicians rank better in working conditions (WC) in relation to patient safety (16.21%). Most often, persons of lower seniority scored higher in all subscales (p = 0.001). In Poland, Spain, France, Turkey, and Greece, healthcare workers scored highest in stress recognition (SR). In Poland, Spain, France, and Turkey, they assessed working conditions (WC) as the worst, while in Greece, the perception of management (PM) had the lowest result. Conclusion: Participant perceptions about the patient safety climate were not at a particularly satisfactory level, and there is still a need for the development of patient safety culture in healthcare in Europe. Overall, positive working conditions, good management and effective teamwork can contribute to improving employees’ attitudes toward patient safety. This study was carried out during the COVID-19 pandemic and should be repeated after its completion, and comparative studies will allow for a more precise determination of the safety climate in the assessment of employees.
Collapse
Affiliation(s)
- Justyna Kosydar-Bochenek
- Institute of Health Sciences, Medical College, Rzeszow University, Warzywna St. 1, 35-310 Rzeszow, Poland
| | - Sabina Krupa
- Institute of Health Sciences, Medical College, Rzeszow University, Warzywna St. 1, 35-310 Rzeszow, Poland
| | - Dorota Religa
- Division for Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet, 14152 Huddinge, Sweden
| | - Adriano Friganović
- Department of Anesthesiology and Intensive Medicine, University Hospital Centre Zagreb, 10000 Zagreb, Croatia
- Department of Nursing, University of Applied Health Sciences, Mlinarska Cesta 38, 10000 Zagreb, Croatia
| | - Ber Oomen
- The European Specialist Nurses Organisation (ESNO), 6821HR Arnhem, The Netherlands
| | - Elena Brioni
- Nephrology and Dialysis Unit, San Raffaele Hospital, 20132 Milan, Italy
| | - Stelios Iordanou
- Intensive Care Unit, Limassol General Hospital, Kato Polemidia 3085, Cyprus
| | - Marcin Suchoparski
- Admission Room District Hospital in Golub Dobrzyń, 87-400 Golub Dobrzyń, Poland
| | - Małgorzata Knap
- Institute of Health Sciences, Collegium Medicum, Jan Kochanowski University of Kielce, 25-369 Kielce, Poland
| | - Wioletta Mędrzycka-Dąbrowska
- Department of Anaesthesiology Nursing & Intensive Care, Faculty of Health Sciences, Medical University of Gdansk, 80-211 Gdansk, Poland
| |
Collapse
|
4
|
AL-Mugheed K, Bayraktar N, Al-Bsheish M, AlSyouf A, Jarrar M, AlBaker W, Aldhmadi BK. Patient Safety Attitudes among Doctors and Nurses: Associations with Workload, Adverse Events, Experience. Healthcare (Basel) 2022; 10:healthcare10040631. [PMID: 35455809 PMCID: PMC9025351 DOI: 10.3390/healthcare10040631] [Citation(s) in RCA: 40] [Impact Index Per Article: 20.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2022] [Revised: 03/24/2022] [Accepted: 03/25/2022] [Indexed: 02/06/2023] Open
Abstract
Patient safety concept has achieved more attention from healthcare organizations to improve the safety culture. This study aimed to investigate patient safety attitudes among doctors and nurses and explore associations between workload, adverse events, and experience with patient safety attitudes. The study used a descriptive cross-sectional design and the Turkish version of the Safety Attitudes Questionnaire. Participants included 73 doctors and 246 nurses working in two private hospitals in Northern Cyprus. The participants had negative perceptions in all patient safety domains. The work conditions domain received the highest positive perception rate, and the safety climate domain received the lowest perception rate among the participants. Nurses showed a higher positive perception than doctors regarding job satisfaction, stress recognition, and perceptions of management domains. There were statistically significant differences between experiences, workloads, adverse events, and total mean scores of patient safety attitudes. Policymakers and directors can improve the quality of care of patients and patient safety by boosting the decision-making of health care providers on several domains of safety attitudes. Patient safety needs to be improved in hospitals through in-service education, management support, and institutional regulations.
Collapse
Affiliation(s)
- Khaild AL-Mugheed
- Surgical Nursing Department, Faculty of Nursing, Near East University, Nicosia 99138, Cyprus;
- Correspondence: ; Tel.: +90-(536)-607-34-12; Fax: +90-(392)-223-64-61
| | - Nurhan Bayraktar
- Surgical Nursing Department, Faculty of Nursing, Near East University, Nicosia 99138, Cyprus;
| | - Mohammad Al-Bsheish
- Healthcare Administration Department, Batterjee Medical College, Jeddah 21442, Saudi Arabia;
| | - Adi AlSyouf
- Department of Managing Health Services and Hospitals, Faculty of Business Rabigh, College of Business (COB), King Abdulaziz University, Jeddah 21991, Saudi Arabia;
| | - Mu’taman Jarrar
- Vice Deanship for Quality and Development, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam 34212, Saudi Arabia;
- Medical Education Department, King Fahd Hospital of the University, Al-Khobar 34445, Saudi Arabia
| | - Waleed AlBaker
- Department of Internal Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam 34212, Saudi Arabia;
| | - Badr K. Aldhmadi
- Department of Health Management, College of Public Health and Health Informatics, University of Ha’il, Ha’il 81451, Saudi Arabia;
| |
Collapse
|
5
|
Rahul G. S, Soumonetra C, Bishal P, Aishani G, Ananya R. K, Janis MA. Personality, cognitive flexibility, and motivation among medical professionals during covid-19 pandemic: a correlational study. I-MANAGER’S JOURNAL ON NURSING 2022; 12:1. [DOI: 10.26634/jnur.12.1.18435] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/19/2023]
Abstract
The recent COVID-19 pandemic has posed unprecedented challenges to healthcare professionals worldwide, by bringing changes in both their personal and professional lives. Motivation has become a driving factor along with cognitive flexibility during such demanding situations. Little importance has been given to the personality dimension while assessing these aspects, especially in the Indian context. The principal aim of this paper is to understand the relationship between personality, cognitive flexibility, and motivation among medical professionals during the COVID-19 Pandemic. A correlational research design was used to conduct the research, and a snowball sampling technique was used to collect the data from a sample size of 204 medical professionals, consisting of 101 nurses and 103 doctors, working as frontline workers. The variables were assessed using the Neo Five-Factor Inventory, the Cognitive Flexibility Inventory, the Work Extrinsic and Intrinsic Motivation Questionnaire. A nonparametric test of correlation was used. The research findings revealed that among medical professionals, certain personality factors, cognitive flexibility, and motivation share a significant relationship. Cognitive flexibility and motivation were found to be significantly correlated. There was no significant difference in cognitive flexibility and motivation among doctors and nurses. There was a significant difference in neuroticism between the groups. The findings will help in gaining a clearer insight into the needs of medical professionals in India, by facilitating the development of appropriate training interventions for medical professionals to be better equipped for similar crisis situations in the future.
Collapse
|
6
|
Exploring the Feelings of Nurses during Resuscitation—A Cross-Sectional Study. Healthcare (Basel) 2021; 10:healthcare10010005. [PMID: 35052169 PMCID: PMC8774964 DOI: 10.3390/healthcare10010005] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Revised: 12/17/2021] [Accepted: 12/18/2021] [Indexed: 11/17/2022] Open
Abstract
Cardiopulmonary resuscitation (CPR) is one of the most stressful situations in emergency medicine. Nurses involved in performing basic and advanced resuscitation procedures are therefore exposed to a certain amount of stress. The purpose of this study was to determine the stressors and the level of stress experienced by nurses during resuscitation. A cross-sectional quantitative study was done. The sample consisted of 457 nurses who worked in emergency units. First demographic data were collected, followed by a questionnaire regarding the effect of different situations that occur during and after resuscitation on nurses including Post-Code Stress Scale questionnaire. The most disturbing situations for respondents were resuscitation of young person (MV = 3.7, SD = 1.4), when they fail to establish an intravenous pathway (MV = 3.5, SD = 1.4), chaotic situation during resuscitation (MV = 3.4, SD = 1.4) and making decision about termination of resuscitation (MV = 3.1, SD = 1.5). Research has shown that nurses are exposed to a certain amount of stress during resuscitation, but most of them manage to compensate for stress effectively.
Collapse
|
7
|
[How to improve vaccination coverage in France? Qualitative study among health care workers]. ANNALES PHARMACEUTIQUES FRANÇAISES 2020; 79:77-85. [PMID: 33049251 DOI: 10.1016/j.pharma.2020.09.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2020] [Revised: 09/09/2020] [Accepted: 09/18/2020] [Indexed: 11/22/2022]
Abstract
BACKGROUND The risk benefit ratio has been clearly proven for a long time to be in favor of vaccination. However, the vaccine distrust is still increasing in the French population and vaccination coverage could be improved. There is a real need to increase confidence in vaccination. In this study, we interviewed heath care workers to collect their opinion concerning vaccination hesitancy amongst their patients. METHODS A qualitative study, using semi structured interviews, was performed. All the Pharmacists and doctors were interviewed by the same person using an interview guide prepared by a multidisciplinary team. Interviews were recorded and transcribed verbatim, then used as a basis for analysis and synthesis of the areas where improvement seems possible for the health care workers interviewed. RESULTS Data saturation was obtained after 10 interviews. Analysis of the verbatim allowed the classification of the leads proposed by health care workers in three main themes: improvement of transparency and restoration of the trust for vaccine policy, improved initial and further training of health care workers, and a better communication towards the population. CONCLUSION Results provide helpful insights into practical avenues to improve the vaccination confidence. If some of them need an in-depth reflection, others could be easily implemented in order to increase the adhesion of the population to vaccination, and consequently the vaccination coverage.
Collapse
|
8
|
Amaniyan S, Faldaas BO, Logan PA, Vaismoradi M. Learning from Patient Safety Incidents in the Emergency Department: A Systematic Review. J Emerg Med 2019; 58:234-244. [PMID: 31843322 DOI: 10.1016/j.jemermed.2019.11.015] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2019] [Revised: 11/01/2019] [Accepted: 11/10/2019] [Indexed: 12/18/2022]
Abstract
BACKGROUND Patient safety incidents are commonly observed in critical and high demanding care settings, including the emergency department. There is a need to understand what causes patient safety incidents in emergency departments and determine the implications for excellence in practice. OBJECTIVE Our aim was to systematically review the international literature on patient safety incidents in emergency departments and determine what can be learned from reported incidents to inform and improve practice. DISCUSSION Patient safety incidents in emergency departments have a number of recognized contributing factors. These can be used as groundwork for the development of effective tools to systematically identify incident risk. Participation in efforts to diminish risk and improve patient safety through appropriate incident reporting is critical for removing barriers to safe care. CONCLUSIONS This review enhances our awareness of contributing factors to patient safety incidents within emergency departments and encourages researchers from different disciplines to investigate the causes of practice errors and formulate safety improvement strategies.
Collapse
Affiliation(s)
- Sara Amaniyan
- Student Research Committe, Semnan University of Medical Sciences, Semnan, Iran
| | - Bjørn Ove Faldaas
- Faculty of Nursing and Health Sciences, Nord University, Bodø, Norway
| | - Patricia A Logan
- Faculty of Science, Charles Sturt University, Bathurst Campus, New South Wales, Australia
| | | |
Collapse
|