Patient Safety Attitudes Research Articles

Affecting Factors on Performance of Standard Precaution for Healthcare associated Infection Control and Prevention in Nursing Students: focused on Patient Safety Attitude, Empowerment, Awareness

Affecting Factors on Performance of Standard Precaution for Healthcare associated Infection Control and Prevention in Nursing Students: focused on Patient Safety Attitude, Empowerment, Awareness

Factors Influencing the Patient Safety Management Activity of Nursing Students

Purpose: This purpose of this study was to identify the level of knowledge and attitude of patient safety and patient safety management activity (PSMA) and identify influencing factors of PSMA in nursing students. Methods: The participants were 210 fourth-year nursing students in C and G city. Data were collected with structured questionnaires from October 10 to November 10, 2017. Descriptive statistics, t-test, one way ANOVA, Pearson's correlation and multiple regression with SPSS 21.0 were used. Results: As a result, the level of knowledge of patient safety was 9.05, attitude of patient safety was 4.07, and PSMA was 4.22. The factors influencing PSMA were knowledge and attitude of patient safety. The regression model explained 77% of PSMA. Conclusion: Based on the results of this study, it is suggested that a systematic education program considering factors influencing the patient safety management activities of nursing students be developed.

Psychometric properties of the Norwegian version of the hospital survey on patient safety culture in a prehospital environment

BackgroundTo develop a culture of patient safety in a regime that strongly focuses on saving patients from emergencies may seem counter-intuitive and challenging. Little research exists on patient safety culture in the context of Emergency Medical Services (EMS), and the use of survey tools represents an appropriate approach to improve patient safety. Research indicates that safety climate studies may predict safety behavior and safety-related outcomes. In this study we apply the Norwegian versions of Hospital Survey on Patient Safety Culture (HSOPSC) and assess the psychometric properties when tested on a national sample from the EMS.MethodsThis study adopted a web based survey design. The Norwegian HSOPSC has 13 dimensions, consisting of 46 items, in addition to two single-item outcome variables. SPSS (version 21) was used for descriptive data analysis, estimating internal consistency, and performing exploratory factor analysis. Confirmatory factor analysis (CFA) was applied to test the dimensional structure of the instruments using Amos (version 21).ResultsN = 1387 (27%) EMS employees participated in the survey. Overall, acceptable psychometric properties were observed, i.e. acceptable internal consistencies and construct validity. The patient safety climate dimensions with highest scores (number of positive answers) were “teamwork within units” and “manager expectations & actions promoting patient safety”. The dimension “hospital management support for patient safety” had the lowest score.ConclusionsThe results provided a validated instrument, the Prehospital Survey on Patient Safety Culture (PreHSOPSC), for measuring patient safety climate in an EMS setting. In addition, the explanatory power was strong for several of the outcome dimensions; i.e., several of the safety climate dimensions have a strong predictive effect on outcome variables related to employees’ perceptions on patient safety and safety-related attitude.

Changing medical student attitudes to patient safety: a multicentre study

BackgroundAlthough patient safety is becoming widely taught in medical schools, its effect has been less rigorously evaluated. We describe a multicentre study to evaluate student changes in patient safety attitudes using a standardised instrument, the Attitudes to Patient Safety Questionnaire3 (APSQ3).MethodsA patient safety training package designed for medical students was delivered in the first year and second year in four Australian medical schools. It comprises eight face-to-face modules, each of two hours. Seminars start with an interactive introduction using questions, video and role play, followed by small group break-outs to discuss a relevant case study. Groups are led by medical school tutors with no prior training in patient safety. Students and tutors then reassemble to give feedback and reinforce key concepts. Knowledge and attitudes to patient safety were measured using the APSQ3, delivered prior to safety teaching, at the end of the first and second years and 12 months after teaching ceased.ResultsA significant improvement in attitude over time was demonstrated for four of nine key items measured by the APSQ3: value of patient safety teaching; danger of long working hours, value of team work and the contribution patients can make in reducing error. Informal feedback from students was very positive.ConclusionWe showed persistent, positive learning from a patient safety education intervention 12 months after teaching finished. Building on the introduction of patient safety teaching into medical schools, pathways for motivated students such as appropriate electives, option terms and team-based research projects would be of value.

Analysis of Factors Related to Employee Behavior in Implementing Patient Safety Program at Insan Permata Woman and Child Hospital Tangerang

Insan Permata Woman and Child Hospital was facing Patient Safety Incidence especially for periode of mid to late 2016 there were 12 incidents and 11 phlebitis cases. This indicated a gap between the conditions in the field and the ideal situation that should be achieved. This study aimed to see how the behavior of employees in implementing patient safety program and the factors that influence it. The sample of this study were 151 respondents as sample, consist of health and non health workers. The patient safety program focused on the accuracy of patient identification, reduction of risk of infection and reduction of risk of falling patients. This research was a quantitative research followed by qualitative method. The results showed that most employees already had good patient safety behavior, age and attitude were the most affecting factors in patient safety behavior. The lack of socialization of accreditation and patient safety, poor monitoring and some incomplete facilities should became the concern for the hospital as it was considered to have great influences in the daily implementation of patient safety program.

Patient Safety Culture Associated With Patient Safety Competencies Among Registered Nurses.

To investigate the relationships between registered nurses' (RNs') perceptions of the culture of patient safety in their workplace and their patient safety competency-attitudes, skills, and knowledge. A cross-sectional study design was used. Data were collected by using a self-reported survey from 343 RNs working in a university hospital in Seoul, South Korea. Patient safety culture was measured using the Korean version of the Agency for Healthcare Research and Quality's Hospital Survey on Patient Safety Culture (Hospital SOPSTM). Patient safety competency was measured using the Patient Safety Competency Self-Evaluation tool. Multiple regression analysis was performed using Stata version 14 to examine the relationships between patient safety culture and RNs' patient safety competency, while adjusting for the RNs nested in their units. Of the 10 specific aspects of patient safety culture, only teamwork within units was significantly related to overall safety competency. In relation to each of the three patient safety competencies, teamwork within and across units and supervisor or manager expectations were significantly related to attitudes, while teamwork within units and learning were significantly related to skills. Only organizational learning was significantly related to knowledge. Although teamwork, leadership, and continuous learning in the nursing unit were major factors influencing RNs' safety competency, the relationships of these factors to patient safety attitudes, skills, and knowledge among RNs were varied. Creating a unit-specific patient safety culture that is tailored to the competencies of the unit's RNs in patient safety practice would be essential to enhance and maintain high levels of patient safety attitudes, skills, and knowledge among the unit's RNs, which would ultimately affect patient safety.

Analisis Persiapan Pelaksanaan Patient Safety di Ruang Rawat Inap (Studi Kasus di RSUD Kabupaten Bima)

The era of globalization brings the very rapid effects in the development of cutting-edge medical technology. These conditions have an impact on medical services is very complex and very potentially cause errors, so that the necessary improvement of the quality of health services. Patient safety is one important component in the quality of health services. Improving patient safety measures needed to prevent and minimize unexpected events (KTD). Nurses are one of the health workers who are at the front of health services have a very important role in improving patient safety. The aim of this research to assess patient safety analysis on the Attitudes of ward nurses in public district general hospital Bima and in particular to know the components of patient safety climate Attitudes include teamwork, job conditions, employment decisions, factors that support and hinder patient safety Attitudes. The study was descriptive qualitative. Subjects were nurses of three subjects and patients with interviews. Data collection techniques in this study are the tape recorder. Qualitative data analysis technique that was using descriptive analysis techniques to describe the data in the field were analyzed and concluded. Attitudes of patient safety component of work climate Attitudes patient safety team showed low, job satisfaction shows high patient safety Attitudes at the components of job satisfaction, working conditions showed low Attitudes patient safety, because of logistical and laboratory support is still lacking. Components of patient safety high Attitudes namely job satisfaction component of patient safety is low Attitudes climate of teamwork and conditions of employment because of logistical and laboratory support is still lacking.

Defining the patient safety attitudes and influencing factors of health professionals working at maternity hospitals.

To determine patient safety attitudes of midwives, nurses and physicians and to examine the difference or correlation in patient safety attitudes of midwives, nurses and physicians working in maternity hospitals. It has been suggested that it is necessary to define the factors affecting patient safety attitudes of health professionals working in maternity hospitals. A descriptive and correlational design was employed.The sample comprised 58 midwives, 134 nurses and 63 physicians (255) in two maternity hospitals in Istanbul, Turkey. The data were collected using an 'information form' and a 'Patient Safety Attitude Questionnaire'. The safety attitudes of participants were generally found to be negative. However, midwives had more positive patient safety attitudes and the age, unit, adequacy of patient safety training and the importance of patient safety were the most effective variables. As health professionals working in maternity hospitals generally have negative patient safety attitudes and because patient safety training provided better attitudes among the participants, these training programmes should be developed and implemented considering the differences among age groups and units. Health professionals have different views on the patient safety culture; therefore, training needs to involve everyone to create a shared vision for patient safety.

Exploration of the Association Between Workplace Bullying and Attitudes Toward Patient Safety in Female Nurses

Workplace bullying is known to have a significant and detrimental effect on the physical and psychological outcomes of its victims. The reactions of victims to bullying may decrease clinical care outcomes and patient safety. To explore the relationship between workplace bullying and the attitudes of female nurses toward the safety of their patients. This cross-sectional survey study used convenience sampling. Participants included female nurses from a regional teaching hospital. The research tool was a three-part, structured questionnaire that included a basic personal information datasheet, negative behavior scale, and patient safety attitude scale. The researcher distributed 420 questionnaires and collected 329 valid samples (valid return rate: 78.3%). Data were analyzed using SPSS software version 22.0. The analysis found that 29.8% of the participants had suffered from various degrees of workplace bullying. The mean score for patient safety attitudes was 3.58 (standard deviation = 0.55). Workplace bullying and patient safety attitudes were negatively correlated (p < .1), and being a recipient of workplace bullying was identified as a significant predictor of attitudes toward patient safety. Based on the results, we suggest that supervisors should take the initiative to care for their nursing staffs and to provide them with training in conflict-oriented skills. Organization managers should set up relevant committee-notification mechanisms that construct the safe working environment necessary to reduce workplace bullying and to enhance the patient safety attitudes of nurses, which will indirectly improve the quality of patient care.

Convergence Factors Affecting Critical Thinking Disposition, Clinical Decision Making Ability, Patient Safety Knowledge and Attitude to Perform Safety Nursing Activities in Clinical Practice on Nursing Students

Convergence Factors Affecting Critical Thinking Disposition, Clinical Decision Making Ability, Patient Safety Knowledge and Attitude to Perform Safety Nursing Activities in Clinical Practice on Nursing Students

Relationships among Attitude of Patient Safety, Critical Thinking Disposition and Safety Nursing Activities in Nursing Students

Relationships among Attitude of Patient Safety, Critical Thinking Disposition and Safety Nursing Activities in Nursing Students

The attitudes of emergency department nurses towards patient safety

This research was planned to identify the attitudes of emergency department nurses towards patient safety.The study was performed as descriptive. The universe of the research the universe comprised hospitals defined as 3rd level according to Turkish health care classification, which provides service to all health disciplines in Istanbul. The sample consisted of emergency department (ED) nurses who work in those hospitals. The data was collected by using tools such as the “Information Questionnaire” and the “Patient Safety Attitudes Scale”.In this study, the attitudes of ED nurses towards patient safety were found to be average and was not related to age, gender, education level, nursing experience, ED experience, ED certification, patient safety training, nurse’s self sufficiency perception of patient safety, hospital’s quality certification or ED quality certification.The attitudes of nurses towards patient safety were compared by age, gender, marital status, education level, ED experience and there was no meaningful difference. However, a meaningful difference was found between the age groups and the “defining stress” sub-dimension of the Patient Safety Attitudes Scale. ED nurses’ status of certification for emergency care, patient safety training, training of quality, hospitals’ or ED’s quality certification status had no significant statistical difference.

Patient Safety Culture in a Tunisian Teaching Tertiary Care Hospital

Objectives: Our study aimed to investigate patient safety attitudes and perceptions amongst health care providers in Tunisian tertiary care hospitals.

Using Active Learning to Foster Patient Safety Knowledge, Perceived Skills, and Attitudes in Baccalaureate Nursing Students.

The purposes of this study were to evaluate safety active learning approaches with baccalaureate nursing students and to examine differences between students with and without nursing assistant experience. The approaches evaluated were patient safety modules, making a safety poster, and planning/attending a safety conference. Using a pretest/posttest design, students' patient safety knowledge, perceived safety skills, and attitudes were evaluated with the Healthcare Professional Patient Safety Assessment Curriculum Survey (HPPSACS). Findings suggested that employment as a nurse assistant had a significant effect on posttest HPPSACS scores.

Patient safety attitudes of pharmacy students in an Ethiopian university: a cross-sectional study.

IntroductionPatient safety is a major health care concern and is being included in an undergraduate curriculum as it plays a major role in lessening harm. Therefore, we aim to assess the attitude of pharmacy students toward patient safety.MethodsA cross-sectional study using a self-administered questionnaire containing 21 items was conducted at the University of Gondar among fourth and fifth year students. Data analysis was performed to calculate mean, standard deviation, percentages, and logistic regressions using SPSS software version 22 (IBM Corporation, Armonk, NY, USA). Statistical significance was set at P<0.05.ResultsA total of 83 pharmacy students (fourth year groups=50, fifth year groups=33) participated in the study with response rate of 92%. Majority of the students 70/83 (84.33%) had the overall positive attitude of patient safety. Most of the respondents (80.7%) agree or strongly agree that after an error occurs, an effective strategy is to work hard to be more careful. Most of them (79.6%) believe that pharmacists should routinely spend part of their professional time working to improve patient care. About half (48.2%) of pharmacy students disagree or strongly disagree that pharmacists should discuss and report errors to an affected patient and their family even if the patient is not harmed. No significant association between the attitude of pharmacy students toward patient safety and their age, sex and year of study was found.ConclusionPharmacy students have the overall good attitude to patient safety. However, they claimed the culture and attitude within the pharmacy workplace lacked for patient safety. Moreover, standardized patient safety course should be considered in the curriculum for junior pharmacy students to improve their attitude toward patient safety.

Medical students\u2019 situational motivation to participate in simulation based team training is predicted by attitudes to patient safety

BackgroundPatient safety education, as well as the safety climate at clinical rotations, has an impact on students’ attitudes. We explored medical students’ self-reported motivation to participate in simulation-based teamwork training (SBTT), with the hypothesis that high scores in patient safety attitudes would promote motivation to SBTT and that intrinsic motivation would increase after training.MethodsIn a prospective cohort study we explored Swedish medical students’ attitudes to patient safety, their motivation to participate in SBTT and how motivation was affected by the training. The setting was an integrated SBTT course during the surgical semester that focused on non-technical skills and safe treatment of surgical emergencies. Data was collected using the Situational Motivation Scale (SIMS) and the Attitudes to Patient Safety Questionnaire (APSQ).ResultsWe found a positive correlation between students’ individual patient safety attitudes and self-reported motivation (identified regulation) to participate in SBTT. We also found that intrinsic motivation increased after training. Female students in our study scored higher than males regarding some of the APSQ sub-scores and the entire group scored higher or on par with comparable international samples.ConclusionIn order to enable safe practice and professionalism in healthcare, students’ engagement in patient safety education is important. Our finding that students’ patient safety attitudes show a positive correlation to motivation and that intrinsic motivation increases after training underpins patient safety climate and integrated teaching of patient safety issues at medical schools in order to help students develop the knowledge, skills and attitudes required for safe practice.

Designing in situ simulation in the emergency department: evaluating safety attitudes amongst physicians and nurses

BackgroundThis intervention study aimed to enhance patient safety attitudes through the design of an in situ simulation program based on a needs analysis involving thematic analysis of patient safety data and short-term ethnography. The study took place at an Emergency Department (ED) in the Central Region of Denmark. Research suggests that poor handover communication can increase the likelihood of critical incidents and adverse events in the ED. Furthermore, simulation is an effective strategy for training handover communication skills. Research is lacking, however, on how to use patient safety data and a needs analysis to the design of in situ simulation communication training.MethodsThis is a prospective pre-post study investigating the interventional effects of in situ simulation. It used a three-pronged strategy: (1) thematic analysis of patient safety data consisting of reported critical incidents and adverse events, (2) a needs analysis based on short-term ethnography in the ED, and (3) pre-post evaluation using the validated Safety Attitudes Questionnaire (SAQ) and the Trainee Reactions Score.ResultsSixteen different healthcare teams participated composed by 9 physicians and 30 nurses. In the SAQ, participating staff scored their safety attitudes in six categories (n = 39). Two measures where significantly higher for the post-SAQ than those for the pre-SAQ: teamwork climate (p < 0.001) and safety climate (p < 0.05). The Trainee Reactions Score showed that the training was positively evaluated.ConclusionsThis study designed a feasible strategy for implementing in situ simulation based on a needs analysis of critical incidents and adverse events and short-term ethnography.

Evaluating the Effectiveness of an Educational Intervention to Improve the Patient Safety Attitudes of Intern Pharmacists

Objective. To evaluate the effectiveness of a face-to-face educational intervention in improving the patient safety attitudes of intern pharmacists. Methods. A patient safety education program was delivered to intern pharmacists undertaking The University of Sydney Intern Training Program in 2014. Their patient safety attitudes were evaluated immediately prior to, immediately after, and three-months post-intervention. Underlying attitudinal factors were identified using exploratory factor analysis. Changes in factor scores were examined using analysis of variance. Results. Of the 120 interns enrolled, 95 (78.7%) completed all three surveys. Four underlying attitudinal factors were identified: attitudes towards addressing errors, questioning behaviors, blaming individuals, and reporting errors. Improvements in all attitudinal factors were evident immediately after the intervention. However, only improvements in attitudes towards blaming individuals involved in errors were sustained at three months post-intervention. Conclusion. The educational intervention was associated with short-term improvements in pharmacist interns' patient safety attitudes. However, other factors likely influenced their attitudes in the longer term.

Assessment of Patient Safety Culture among Egyptian Healthcare Employees

A limited amount of data exists from developing and underdeveloped nations related to patient safety culture among diverse healthcare employees. This study aimed to identify baseline perceptions and attitudes towards patient safety across healthcare disciplines at two Egyptian hospitals using a validated survey tool to allow for comparison with international benchmarks. We conducted a cross- sectional study of 250 employees, who voluntarily completed the survey over a 14-day period. Results revealed that job satisfaction scored highest among the safety domains assessed and was significantly greater than the international benchmark. Job satisfaction was followed by teamwork climate, working conditions, safety climate, and perceptions of unit management and hospital management. All mean scores for these domains were significantly greater than the international benchmarks. In contrast, the mean score of stress recognition was significantly less than the international benchmark. Respondent demographics did not influence overall safety perception measured by the six domains; however, resident physicians perceived greater collaboration and communication among team members than other position types reported. Egyptian healthcare providers reported an overall positive perception of the culture of safety. However, recognition of the negative implications of stress on patient safety among Egyptians was lower than the international benchmark. Clinical Relevance: Our study provides insight into patient safety perceptions among diverse healthcare employees in a developing nation, establishes baseline data on safety culture at two hospitals, and offers a comparison between Egyptian healthcare workers’ patient safety attitudes and international benchmarks.

Convergence Effects of Nursing Professionalism and Critical Thinking Disposition on Patient Safety Attitude in Nursing Students

Convergence Effects of Nursing Professionalism and Critical Thinking Disposition on Patient Safety Attitude in Nursing Students