Abstract
Operating room nurses play a critical role in patient safety. The evaluation of safety attitudes of operating room nurses reflects their awareness and belief of patient safety. Currently, however, the research on the safety attitudes of operating room nurses is hard to track in the existing literature in China. Therefore, this paper was conducted to explore the factors influencing the safety attitudes of operating room nurses and their cognition and attitudes toward adverse event reporting. A total of 711 operating room nurses from 16 tertiary hospitals in Sichuan Province from March 1, 2018, to 2019 were selected. The general information of operating room nurses, such as age, gender, and years of service in the operating room, was obtained through the basic information questionnaire. The Chinese version of the Safety Attitudes Questionnaire (C-SAQ) was used to evaluate the safety attitude of operating room nurses, and the cognition and attitude of the subjects to adverse event reports were assessed through the questionnaire of cognition and attitude toward adverse event reporting. The average score of safety attitudes of operating room nurses was 4.20 ± 0.49. The two dimensions with a lower positive reaction rate of the safety attitudes of operating room nurses were stress recognition and working conditions. The main factors affecting the safety attitude of operating room nurses were night shifts, as well as cognition and attitudes toward adverse event reporting. There was a positive correlation between the total score of C-SAQ and the total score of cognition and attitudes toward adverse event reporting (P < 0.01, r = 0.445). The safety attitude of operating room nurses is at the upper-middle level, but the stress recognition and working conditions need to be improved. Through the allocation of nursing human resources, the strengthening of hospital logistics support, and the establishment of nonpunitive nursing adverse event reporting system, the operating room safety can be significantly enhanced.
Highlights
According to the report Patient Safety 2030 published by the National Institute for Health Research, the failure to ensure patient safety is a major problem while providing health services [1]. e WHO reports that approximately 134 million adverse events and 2.6 million associated deaths occur each year in low-income and middle-income countries due to unsafe medical environments provided by hospitals [2]
In 2019, a pregnant woman in Panzhihua City, Sichuan Province, died Journal of Healthcare Engineering of three gauze pieces left in her abdomen after a cesarean section, which caused nurses in the operating room to reflect on patient safety. erefore, it is of great practical significance to study the influencing factors of operating room safety accidents and analyze the attitude of operating room nurses for preventing errors and improving patient safety
Operating room nurses have frequent contact with patients, which is the first defense line to ensure patient safety. erefore, to construct a safe operating room organizational culture, it is necessary to understand the status quo of operating room nurses’ safety attitudes as well as their cognition and attitudes toward adverse event reporting, so as to make targeted improvements to improve their behavior with the safety culture
Summary
Erefore, to construct a safe operating room organizational culture, it is necessary to understand the status quo of operating room nurses’ safety attitudes as well as their cognition and attitudes toward adverse event reporting, so as to make targeted improvements to improve their behavior with the safety culture. E assessment of operating room nurses’ safety attitudes and their cognition and attitudes toward adverse event reporting can reflect their perception of patient safety and faith. Erefore, the present study aimed to investigate the safety attitude of operating room nurses from 16 tertiary hospitals in Sichuan Province, China, and explore whether the social demographic factors and operating room nurses’ cognition and attitudes toward adverse event reporting have an impact on patient safety Only a few studies have addressed the safety culture of operating room nurses in China. erefore, the present study aimed to investigate the safety attitude of operating room nurses from 16 tertiary hospitals in Sichuan Province, China, and explore whether the social demographic factors and operating room nurses’ cognition and attitudes toward adverse event reporting have an impact on patient safety
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