Patient Safety Attitudes Research Articles

Effectiveness of Educational Program for Nurses about Patient Safety Values, Attitudes and Competency

Effectiveness of Educational Program for Nurses about Patient Safety Values, Attitudes and Competency

Examination of the relationship between nurses' adherence to medication administration principles and their attitudes toward patient safety.

Preventing errors associated with medication administration is achievable through nurses' adherence to correct principles. This study aims to investigate the relationship between nurses' adherence to medication administration principles and their attitudes toward patient safety. This study adopts a descriptive and relationship-seeking research design. A total of 310 nurses who met the inclusion criteria participated in the study. Data collection tools included the "Nurse Information Form," "Medication Administration Principles Adherence Form," and "Patient Safety Attitude Scale". Among the participating nurses, 32.9% (n = 102) reported experiencing a medication administration error, and 77.7% (n = 241) witnessed such an error. The study revealed a statistically significant positive relationship between nurses' adherence to medication administration principles and their attitudes toward patient safety (p < 0.001). This study underscores the importance of nurses' adherence to medication administration principles in ensuring patient safety.

Effectiveness of Educational Interventions to Develop Patient Safety Competencies in Undergraduate Nursing Students: A Systematic Review.

Nursing professionals are key to providing safe care that improves patient outcomes. Hence, it is essential to focus on developing nurses' patient safety competencies and principles. This review examined the effectiveness of educational interventions in developing patient safety knowledge, skills, behaviors, and attitudes in undergraduate nursing students. The search strategy aimed to identify published and unpublished studies in databases and grey literature. Studies were assessed using the Joanna Briggs Institute critical appraisal tools. A total of 36 studies met the inclusion criteria. The teaching methods employed single or combined interventions and the educational interventions suggested either improvements in outcomes or no impact. The effectiveness of educational interventions to develop patient safety competencies in undergraduate nursing students, either as a single or combined strategy, was mixed. Further research is needed to provide more robust evidence on which teaching method for patient safety is most effective.

Effectiveness of the Huddles in Improving the Patient Safety Attitudes Among Clinical Team Members.

Huddles among members of interdisciplinary medical teams involve short stand-up sessions and allow team members to focus on existing or emerging patient safety issues, thereby facilitating team communication. Hospital managers are able to recognize the current situation of the organization through patient safety attitudes, strengthen team members' awareness of patient safety, and improve the quality of health care. The purpose of this study was to determine the effects of huddles on improving team members' attitudes toward patient safety. We used a quasi-experimental design and selected 2 adult wards with similar properties as the experimental and comparison groups by convenience sampling. Data collection was from December 1, 2021, to June 30, 2022, at a teaching hospital in central Taiwan. Team members of the ward performing huddles formed the experimental group, and they participated 2 times per week in 15-minute huddles from 8:15 to 8:30 am for a total of 4 weeks. The comparison group adopted the routine team care process. Both groups completed the Safety Attitudes Questionnaire during the pre- and post-tests of the study. The experimental group scored significantly higher in the post-test than in the pre-test in all aspects of safety attitudes, with the exception of stress recognition. These improved aspects were teamwork climate (76.47 ± 15.90 vs 83.29 ± 13.52, P < .001), safety climate (75.94 ± 16.14 vs 82.81 ± 13.74, P < .001), job satisfaction (74.34 ± 20.22 vs 84.40 ± 17.22, P <.001), perceptions of management (78.02 ± 19.99 vs 85.51 ± 15.97, P < .001), and working conditions (78.85 ± 17.87 vs 86.81 ± 14.74, P < .001). Through the huddles, clinical team members improved their understanding of different aspects of safety attitudes. Such a study provided ward units with real-time improvement and adjustment in terms of patient safety during their medical work processes with better patient safety.

The effects of nursing students' patient safety management knowledge, attitude, and confidence in performance on standard precaution performance

The effects of nursing students' patient safety management knowledge, attitude, and confidence in performance on standard precaution performance

Influence of patient safety perception and attitude on inpatients' willingness to participate in patient safety: An observation study.

Patient safety (PS) in clinical settings focuses primarily on ensuring active patient participation. However, there is limited understanding of patients' willingness to participate. This study aimed to investigate the association between PS perception, attitude, and inpatients' willingness to participate in PS. This cross-sectional study was conducted with 295 inpatients admitted to a tertiary hospital in South Korea between May and July 2023. Structured questionnaires were used to collect the data. The collected data were subjected to various analytical techniques including descriptive statistics, t tests, Pearson correlation analysis, and multiple regression analysis. Willingness to participate in PS of inpatients showed a statistically significant difference in PS education experience (t = -2.69, P = .008). There was a significant positive correlation between PS perception and attitude (r = .54, P < .001). Additionally, willingness to participate in PS had significant positive correlations with PS perception (r = .62, P < .001) and PS attitude (r = .48, P < .001). The factors influencing willingness to participate in PS were PS perception (β = .51, P < .001) and attitude (β = .20, P < .001). Based on these research findings, it is important to provide inpatients with education and campaigns to improve their perceptions and attitudes toward PS. In addition, it is essential to develop programs that encourage and support patient engagement in PS in hospitals. These efforts will promote active implementation of PS activities by inpatients in clinical settings.

New nurses’ practice environment, job stress, and patient safety attitudes: a cross-sectional study based on the job demands-resources model

BackgroundPatient safety is paramount for all healthcare agencies. Health professionals' lack of patient safety competencies threaten patients’ lives, and increase patients, families, hospitals, and social burdens. The new nurse-related patient safety issues have particularly attracted much attention. The aim of this study was to examine the impacts of practice environment and job stress on new nurses' patient safety attitudes by employing the job demands–resources model.MethodsThe study used a cross-sectional structural equation modeling (SEM). A convenience sample of 370 new nurses was recruited from seven tertiary hospitals in Anhui province, China, from April 2022 to August 2022. Data were collected using self-report questionnaires including the Chinese version of the Nurse Job Stressors Scale, the Practice Environment Scale, and the Safety Attitudes Questionnaire.ResultsNew nurses' patient safety attitudes scores were moderate (126.99 ± 14.39). Practice environment had a significant direct effect on job stress (β = -0.337, t = 6.120), patient safety attitudes (β = 0.604, t = 13.766), practice environment had an indirect effect on patient safety attitudes through job stress (β = 0.066, t = 3.690), and the indirect effect accounted for 9.9% of the total effect. This model was able to explain 48.3% of patient safety attitudes with moderate prediction accuracy.ConclusionsThis study emphasizes the importance of improving new nurses' attitudes toward patient safety. Hospital administrators should develop policies and strategies to address job characteristics, and establish a favorable work environment to reduce new nurses' job stress as well as to improve patient safety.

Development and Validation of the Korean Patient Safety Culture Survey Instrument for Hospitals

Purpose: This study aimed to develop a survey instrument to assess the Patient Safety Culture in Korean hospitals and evaluate its validity and reliability.Methods: A preliminary instrument was developed through a literature review, focus group interviews, content validity testing, and pretesting for face validity. A total of 467 hospital employees participated in the psychometric testing. Validity and reliability assessments included content validity, construct validity, criterion-related validity, and internal consistency.Results: The Korean Patient Safety Culture Survey Instrument comprised 35 items across seven factors: leadership, patient safety policy and procedure, patient safety improvement system, teamwork, non-punitive environment, patient safety knowledge and attitudes, and patient safety priority. These seven factors contributed 60.98% of the variance of the total scale. Cronbach’s alpha for internal consistency was .93; the seven factors ranged from .66 to .91.Conclusion: The results of this study showed that the Korean Patient Safety Culture Survey Instrument is reliable, valid, and suitable for measuring patient safety culture in Korean hospitals.

Turkish validity and reliability of the Self-Report Instrument to Measure Patient Safety Attitudes, Skills, and Knowledge

AimsThe present study was carried out methodologically to provide the Turkish equivalence of the Self-Report Instrument to Measure Patient Safety Attitudes, Skills, and Knowledge and to determine its reliability and validity.MethodsThis methodological study included 317 nurses. The back-translation method was used to test the linguistic equivalence of the methodological scale. Experts’ opinions were asked to test its content validity. Time invariance (test-retest reliability) and internal consistency were tested to test its reliability. A group of 100 nurses participated in the test-retest. The content validity index and confirmatory factor analysis were used to test its validity.ResultsThe scale was highly reliable, with a content validity index value of 0.965 and an overall internal consistency coefficient of 0.875. Confirmatory Factor Anaysis (CFA) showed that the goodness-of-fit indices were good and that the model was suitable for this situation.ConclusionsThe Turkish version of this scale is reliable and valid for evaluating nurses’ knowledge and attitudes about patient safety and their perceptions of patient safety culture. Therefore, it is possible to apply this approach in studies carried out in Türkiye.

Factors associated with self-reported medical errors among undergraduate health science students in southern Ethiopia

IntroductionMedical errors are not uncommon, but they are seldom reported. Patient safety practices are among the key areas for service improvement. This study aimed to assess factors associated with self-reported medical errors among undergraduate health science students in southern Ethiopia.MethodsA facility-based cross-sectional study was conducted among health science students of Arba Minch University in 2018. The sample size was calculated using a single population proportion formula. A total of 287 medical students in their fourth year and above, nursing and midwifery students in their second year and above, and other health science students in their third year and above were included.ResultsThe majority (82.1, 95%CI: 77.63–86.67) of the study participants had a ‘good’ knowledge score on patient safety. Approximately 62.5% (95%CI: 56.8–68.2) of the participants had a ‘favorable’ patient safety attitude. Only 38.6% (95%CI: 32.8–44.3) of the study participants had ‘good’ patient safety practices. At adjusted analysis, the practical attachment unit, having ever managed a patient independently, having ever witnessed harm to patients by colleagues or other healthcare workers, and having ever witnessed harm to a close friend or family member were statistically significantly associated with self-reported medical errors. Participants who were doing their practical clinical attachment in the surgical and obstetric units were three times more likely to self-report medical errors as compared to those practicing in the pediatrics, internal medicine, and other units (AOR = 2.72, 95%CI: 1.16–6.39.97). Students who had never managed a patient independently were less likely to self-report medical error (AOR = 0.24, 95%CI: 0.08–0.72). The odds of self-reporting medical errors were less among among participants who had not ever witnessed harm to patients by colleagues or other healthcare workers (AOR = 0.12, 95%CI: 0.05–0.29) and participants who had not ever witnessed harm to a close friend or family member (AOR = 0.36, 95%CI: 0.16–0.80).ConclusionOne in five of the participants reported having harmed patients while practicing. Most of the students had good patient safety knowledge, while approximately two-thirds of the participants had a favorable attitude toward patient safety. Only 38.6% of the study participants had good patient safety practices. Having worked in surgical and obstetrics units, having managed a patient independently, and having witnessed harm to a patient were associated with self-reporting of medical errors.

Effects of Nursing Students' Patient Safety Attitudes, Safety Motivation and Nursing Professionalism on Confidence in Performance of Patient Safety

Effects of Nursing Students' Patient Safety Attitudes, Safety Motivation and Nursing Professionalism on Confidence in Performance of Patient Safety

Rapid Root Cause Analysis: Improving OBGYN Resident Exposure to Quality Improvement and Patient Safety Curricula.

Introduction Each year, millions of patients in the United States experience harm as a result of the healthcare they receive. One mechanism used by health systems to learn how and why errors occur is root cause analysis (RCA). RCA teams develop action plans to create and implement systemic changes in healthcare delivery in order to prevent future harm. The American Council on Graduate Medical Education (ACGME) recognizes the importance of analyzing adverse events, and it requires that all residents participate in real or simulated patient safety activities, such as RCAs.Often, institutional RCAs necessitate the assimilation of participants on short notice and demand considerable time investment, limiting the feasible participation of graduate medical education (GME) trainees. This presents a gap between ACGME expectations and the reality of resident involvement in patient safety activities. We present the first iteration of a quality improvement project encompassing a three-hour resident physician training course with simulated RCA-experiential learning. The purpose of this project was to produce a condensed, educational RCA experience that adequately trains allGME learners to serve as informed healthcare safety advocates while also satisfying ACGME requirements. Methods The course ("rapid RCA") was conducted during protected weekly academic training. All residents of the San Antonio Uniformed Services Health Education Consortium (SAUSHEC) Obstetrics and Gynecology (OBGYN) residency program who had not previously participated in a real or simulated RCA were required to take the "rapid RCA." Pre- and post-course surveys were completed anonymously to assess baseline knowledge, new knowledge gained from the course, and attitudes toward the course and its importance to resident training. Results Fourteen OBGYN residents attended the "rapid RCA," indicating that 64% (14 out of 22) of the program had no previous experience or opportunity to participate in a real or simulated RCA. Participation in the course demonstrated a significant gain of new knowledge with an increase from 0/14 to 10/14 (71%) residents correctly answering all pre- and post-course questions, respectively (p < 0.001). Additionally, on a Likert scale from 1 to 5, with 5 indicating "expert level," residents indicated they felt more comfortable on patient safety topics after taking the course (mean pre-course score 1.85 to post-course score 3.64,p < 0.001). All participants indicated they would prefer to take the "rapid RCA" as opposed to the only available local alternative option for a simulated RCA, currently offered as a full-day intensive course. Conclusion A meaningful increase in patient safety knowledge and attitudes toward topics covered in an RCA was demonstrated through the implementation of a "rapid RCA" in OBGYN residents. We plan to incorporate this into our annual curriculum to satisfy ACMGE requirements. This format could be adapted for other specialties as applicable.

Predictors of Nursing Performance for Patient Safety among Nurses in Regional Hospitals: A Cross-sectional Study

Nursing performance for patient safety is crucial for improving patient safety outcomes and quality of care. This cross-sectional study aimed to explore nursing performance for patient safety and identify the predictability of patient safety knowledge, patient safety attitude, nurse practice environment, patient-to-nurse ratio, and nursing hours per patient day on nursing performance for patient safety. The participants included 234 nurses randomly selected from six regional hospitals across Thailand. The research instruments included a demographic data form, the Practice Environment Scale of the Nursing Work Index, the Patient Safety Principles and Knowledge Questionnaire, the Safety Attitudes Questionnaire, and the Nursing Performance for Patient Safety Scale, which yielded scale-level content validity indices ranging from .85 to .88. The Cronbach’s alpha coefficients ranged from .81 to .98. Descriptive statistics and stepwise multiple regression were utilized for the data analysis.The results revealed that the nurses perceived overall nursing performance for patient safety at a high level. Patient-to-nurse ratio was the strongest predictor of nursing performance for patient safety, followed by patient safety knowledge, patient safety attitude, nurse practice environment, and nursing hours per patient day. All predictors could predict nursing performance for patient safety, accounting for 56.00% of the variance. Nurse administrators and policymakers can use the results of this study to develop strategies for improving nursing performance for patient safety. We recommend longitudinal studies using different samples of Thailand nurses in diverse settings to confirm results across the country.

Investigation of Patient Safety Attitudes of Operating Room Staff

Operating rooms are one of the most chaotic work environments in a hospital. Patient-safety measures must be followed to obtain standardization in health care in the operating rooms. This study was conducted to investigate the patient safety attitudes of the staff working in operating rooms.&#x0D; The study was conducted using a descriptive and cross-sectional design with staff working in central operating rooms between February 2017 and October 2017 in Balcali Hospital of the Medical Faculty of Cukurova University, and in Adana Numune Training and Research Hospital. The population of the study consisted of healthcare staff working in the operating room units. Rather than selecting a sample from the population, reaching the whole population was aimed. 254 people who accepted to participate in the study, and who met the inclusion criteria, were included in the study. Staff information forms for collecting demographic data of the staff, and the Safety Attitudes Questionnaire (SAQ) for assessing patient safety attitudes of the staff, were used to collect the data. SPSS version 20 software was used to analyze the data. The results were interpreted using a 95 % confidence interval and a p &lt; 0.05 significance level.&#x0D; The mean scores of the SAQ were as follows; the mean total SAQ scores were 49,58 ± 12,67, the scores for the teamwork climate dimension were 58,52±13,63, the scores for the job satisfaction dimension were 59,82±22,41, the scores for perceptions of management dimension were 44,35±22,99, the scores for safety climate dimension were 50,97±15,21, the scores for working conditions dimension were 51,35±25,01, and finally, the scores for stress recognition dimension were 36,83±16,14. &#x0D; The results suggest that the patient safety attitudes of the staff working in the operating rooms were at an intermediate level. Providing necessary education and raising awareness are suggested to improve patient safety attitudes

INTISARI ANALISIS PERSIAPAN PELAKSANAAN PATIENT SAFETY DI RUANG RAWAT INAP (STUDY KASUS DI RSUD KABUPATEN BIMA)

The era of globalization impact very rapidly, in the development of advanced medical technology. These conditions have an impact on medical services is very complex and it is potentially causing the error, so that the necessary improvement of health care quality. Patient safety is one important component in the quality of health care. Improved patient safety is a necessary step to prevent and minimize unwanted incident (KTD). Nurses are one of the health workers who are at the forefront of health care and have a very important role in improving patient safety. To determine attitudes on the analysis of patient safety in the inpatient unit nurse Bima district hospital and in particular to identify the components of patient safety attitudes include climate of team work, working conditions, employment decisions, and some factors that support and hinder patient safety attitudes. The research is descriptive qualitative. Subjects were 3 nurses and 3 patients with interview techniques. Data collection techniques in this study used the analysis of qualitative data. A qualitative data analysis technique is using descriptive analysis techniques to describe the data in the field which were analyzed and concluded. Components of the patient safety attitudes is climate of teamwork that showed lower patient safety attitudes, job satisfaction showed high patient safety attitudes, working conditions showed lower patient safety attitudes, for logistical support in the form of medical equipment are laboratory equipments that still lacking. Components of the patient safety attitudes were high that consist job satisfaction, and the low patient safety attitudes components were the teamwork climate and conditions of employment, because they needed additional medical equipment such as laboratory equipments.

Patient and family engagement interventions for hospitalized patient safety: A scoping review.

To summarize existing studies that focused on improving hospitalized patient safety through patient and family engagement interventions to identify priorities and gaps. A scoping review. Eight databases and citations of important reviews were searched on 30 September 2022. Two researchers independently screened the records. Then, two researchers extracted the data and cross-checked. The results were synthesized narratively, and a comparison was performed for studies from China and those from other countries. Ninety-eight studies were included. The results indicated that patient and family engagement interventions were applied to decrease the incidence of patient safety incidents, and to improve the healthcare providers' and patients' knowledge, attitude or practice of patient safety. Most studies only engaged patients and families at the direct care level, and the engagement strategies at the organization and health system levels were insufficient. For stakeholders, many studies failed to consider patients' perspectives in intervention design and report taking staff training as a supportive strategy. Healthcare providers, especially nurses, were the main implementers of current interventions. Certain differences were observed between studies from China and those from other countries in the above aspects. International interest in engaging patient and family for patient safety is growing. Future studies should enhance the patient and family engagement as a partner in various patient safety at the direct care level, and further explore the engagement at the organization and health system levels. Nurses, as the main formal caregivers for patients, should promote patient and family engagement in patient safety, especially at direct care level. Nurse should also incorporate the perspectives of patients in the design and implementation of interventions. PRISMA-ScR Checklist.

Analysis of Nurse Role Determinants in Patient Safety Implementation at Royal Prima Marelan Hospital Inpatients

Patient safety incidents are still a significant problem at Royal Prima Medan Hospital, where various types of services have risks that threaten patient safety. This study aims to analyze the determinants of nurses' role in implementing patient safety in the Royal Prima Marelan Hospital Inpatient in 2023. This cross-sectional study examines the relationship between independent variables (risk factors) and dependent variables (effects) concerning nurses' roles in patient safety in home inpatient settings. This study included 51 Royal Prima Marelan Inpatient Hospital nurses who were Saturated Sampling. Research variables include the nurse's function, knowledge, attitudes, facilities, and work experience. Univariate, bivariate, and multivariate analyses are used in this research as statistics in determining the frequency distribution or proportion of independent and dependent variables. In implementing patient safety, nurses' roles are primarily good (64.7%), their knowledge is high (60.8%), their attitudes are positive (51.0%), their facilities are reasonable (60, 8%), and their work experience is mostly &gt; three years (64.7%). Based on the analysis of patient safety implementation, knowledge, attitudes, facilities, and work experience all significantly impacted nurses' roles (p=0.008, 0.000, and 0.002, respectively). Hospital nurses have a good attitude toward implementing patient safety, especially if they get good training. Nurse length of service affects patient safety training frequency. More frequent training and better patient safety implementation are associated with longer nursing careers.

간호대학생의 환자안전역량과 전문직 간 태도

This is a descriptive research study that attempted to identify patient safety competencies and interprofessional attitudes among nursing students and provide basic data for improving the quality of patient safety education and developing various clinical practice education programs. Data were collected through self-report questionnaires from August 29, 2023 to October 23, 2023, targeting 142 3rd and 4th year nursing students in K City. The PSCSE tool was used for patient safety competency, and the IPAS-K tool was used for interprofessional attitudes. The collected data were analyzed using descriptive statistics, paired t-test, Pearson's correlation coefficients, and multiple regression analysis using the SPSS 25.0 program.The subjects' patient safety competency scored an average of 4.04±0.53 out of 5, and interprofessional attitudes scored an average of 4.32±0.61 out of 5. There was a significant difference in interprofessional attitudes according to patient safety education experience(t=3.509, p=.001). Interprofessional Attitudes showed a positive correlation with patient safety competency(r= .716, p&lt;.001). Factors affecting interprofessional attitudes were attitude of patient safety(β=.424 p&lt;.001), skill of patient safety(β=.377 p&lt;.001) and explained 56% of interprofessional attitudes. Based on the research results, it is believed that it can be used as basic data for patient safety education programs and interprofessional collaboration programs that can improve nursing students' patient safety capabilities and interprofessional attitudes.

Transition shock among nursing interns and its relationship with patient safety attitudes, professional identity and climate of caring: a cross-sectional study

BackgroundNursing interns often experience lots of challenges during their clinical nursing internships, which can adversely affect career decisions and result in a squandering of nursing education resources. Patient safety attitudes, professional identity and climate of caring may affect nursing interns’ clinical experience. However, more evidence is requested to validate these relationships for nursing educators to develop effective education programs and facilitate interns’ successful transition.MethodsThis was a cross-sectional study, which used a convenience sampling method to recruit 387 nursing interns during December 2022 to April 2023 in university affiliated hospital in Hunan province, China. Data were collected using standardized scales. Spearman correlation and multiple regression analysis were employed to examine the relationship between transition shock, patient safety attitudes, professional identity, and climate of caring.ResultsNursing interns experienced transition shock at a moderate level and the highest levels of transition shock in response to overwhelming practicum workloads, with the second being related to the conflict between theory and practice. Transition shock was negatively correlated with patient safety attitudes, professional identity and climate of caring among nursing interns.ConclusionsNursing managers and educators need to value the transition shock experienced by nursing interns. Our study suggests that developing a strong sense of professional identity and a positive attitude toward patient safety can be effective in reducing the level of transition shock among nursing interns. In addition, a caring climate within the nursing unit can significantly enhance the overall experience of nursing interns. This can be achieved by enhancing the support of clinical mentors, providing patient safety-focused education, and facilitating team communication among nurses.

Impact of Emergency Department and Intensive Care Nurses' Working Environments on Patient Safety Attitude

Impact of Emergency Department and Intensive Care Nurses' Working Environments on Patient Safety Attitude