The current status of the patient safety culture in intensive care unit nurses and influencing factors

Abstract

Objective To investigate the current status of cognitive level of patient safety culture in intensive care unit (ICU) nurses and analyze the influencing factors. Methods Totally 373 ICU nurses were investigated with the general information questionnaire, the Hospital Survey on Patient Safety Culture instrument (HSOPSC), the Report Barriers Questionnaire and the Condition of Work Effectiveness Questionnaire(CWEQ-II). Results The mean rate of positive response on safety culture dimensions was 68.08% in ICU nurses, Organizational learning-continuous improvement was the safety culture dimension with the highest positive response(89.95%), the lowest positive response was staffing(35.53%). Multiple regression analysis showed that the meaning of report, punitive culture,resources, opportunity, formal empowerment and ICU department were influencing factors of patient safety culture (P <0.05). Conclusions The level of patient safety culture in ICU nurses was medium, it remains a further improvement. Nursing managers should take targeted measures according to the influencing factors to enhance the cognitive level of patient safety culture in ICU nurses, strengthen the consciousness of safety culture, and improve the quality of intensive care. Key words: Nurses; Intensive care unit; Patient safety culture