Investigation of nurses' perception of patient safety culture and relevant factors in 3A-grade general hospitals

Abstract

Objective To investigate nurses' perception of patient safety culture and relevant factors in 3A-grade general hospitals,so as to provide an empirical evidence for the developmental measures to improve patient safety culture.Methods Clinical Nurses Questionnaire about Patient Safety Culture Assessment Scale was used to survey 1 866 nurses in six 3A-grade general hospitals.Results Nurses' perception score of patient safety culture was (3.57 ± 0.42).Five factors in descending order according to the questionnaire score were teamwork climate(4.20 ± 0.61),safety climate (3.72 ± 0.50),job satisfaction (3.61 ± 0.83),perception of management(3.44 ±0.89) and stress perception(2.31 ±0.69).No significant difference was found in score of the safety climate among nurses with different education background and titles (P ＞ 0.05).Different ages nurses had significantly different scores of safety climate,job satisfaction,perception of management,and stress perception (F =3.964,4.808,2.831,5.652,respectively ;P ＜ 0.05).And significant difference was found in the stress perception score among nurses with different education background(F =11.341,P ＜ 0.01).So,there were statistically significant difference in nurses' perception of patient safety culture among different age,education background,technical title,position,service years and department (P ＜ 0.05).Multiple linear regression analysis with nurses' perceptions of patient safety culture showed that technical title and position entered into the regression equation.Conclusions Technical title and position are the influence factors of nurses' perception of patient safety culture.It is necessary to consider the perception of different technical title and position of nurses into the targeted training and management,when nursing administrators improving their patient safety culture in hospital. Key words: Nurses; Safety culture; Patient safety; Factors affecting