Abstract
Abstract
 Background: The Nursing service are influenced by the behavior nurses in implementation of patient safety the Contributes to adverse event or incident patient safety in accredited public hospital. This study aims to analyses most dominant determinant factors associated with patient safety implementation based on safety attitudes questionnaire (SAQ) in accredited hospital.
 Methods: This study is a cross sectional study with quantitative method conducted on nurses who work in accredited hospital. Samples of 190 nurses were included in this study by using proportional random sampling technique. The data were analyzed by using multiple logistic regression with backward LR method.
 Results: Total 190 participant were (22.1%) males and 148 (77.9%) females. Most participant had completed Diploma of vocational education 157 (82.6%). The most dominan factors associated with implementation of patient safety base on Safety Attitude Questionnaire is the work environment factor (p 0.001; OR 3.187).
 Conclusion: It is proven that a good work environment factor will improve the behavior of nurses in implementing patient safety. This research recommends to develop policy toward evaluation effort of implementation patient safety, as well as evaluation of all nursing procedures in terms of patient safety consideration to external or internal work environment.
 Key Word: Accredited Hospital; Patient Safety; Safety Attitude Questionnaire (SAQ), Work Environment
Highlights
The nursing service are influenced by the behavior nurses in implementation of patient safety the contributes to adverse event or incident patient safety in accredited public hospital
Based on the results (Table 2) showed that the most dominant factor associated with implementation of patient safety base on Safety Attitude Questionnaire (SAQ) is the work environment (p 0,001; OR 3.187) after being controlled by safety climate factor (p 0.019; OR 2.174)
3.426 0.160 1.230 2.224 0.508 1.835 3.408 0.160 2.273 0.544 1.854 3.513 0.160 1.840 1.712 3.098 0.163 2.174 3.187 0.199 p-value 0.617 0.037 0.120 0.086 0.958. Based on this multivariate analysis using backward LR method with the result of candidate selection on six variables, it is found that the most dominant variable related to the application of accredited hospital patient safety is the working environment variable
Summary
The nursing service are influenced by the behavior nurses in implementation of patient safety the contributes to adverse event or incident patient safety in accredited public hospital. This study aims to analyses most dominant determinant factors associated with patient safety implementation based on safety attitudes questionnaire (SAQ) in accredited hospital. The most dominan factors associated with implementation of patient safety base on Safety Attitude Questionnaire is the work environment factor (p 0.001; OR 3.187). Conclusion: It is proven that a good work environment factor will improve the behavior of nurses in implementing patient safety. This research recommends to develop policy toward evaluation effort of implementation patient safety, as well as evaluation of all nursing procedures in terms of patient safety consideration to external or internal work environment.
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