Safety Culture Research Articles

The influencing factors of pediatric nurses' perception of patient safety culture and partnership with patients' parents on patient safety nursing activities in South Korea: a descriptive study.

This study aimed to identify the effects of pediatric nurses' perception of patient safety culture and their partnership with patients' parents on pediatric patient safety nursing activities. This descriptive study was conducted over a two-month period, from October to November 2022, utilizing self-reported questionnaires. The study included 165 nurses, each having at least 6 months of working experience in wards where children were admitted. These nurses were selected from 13 pediatric specialty hospitals, general hospitals, and university hospitals across seven regions. The data analysis was performed using the SPSS/WIN 26.0 program (IBM Corp.) for descriptive statistics, t-test, One-way ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression analysis. The average scores for awareness of patient safety culture, partnership with patients' parents, and pediatric patient safety nursing activities were 3.37±0.41, 3.94±0.41, and 4.50±0.38, out of 5 points respectively. The factors influencing pediatric patient safety nursing activities were identified as a partnership with patients' parents (β=.41, p<.001). Among hospital-related characteristics, safety management committee (β=.16, p=.029) and safety management regulations (β=.17, p=.016) were also analyzed as factors influencing patient safety nursing activities. These factors accounted for 29.2% of the explanatory power for pediatric patient safety nursing activities. Based on the above study results, we found that to promote safe nursing activities for pediatric patients, developing and implementing training programs that enhance partnerships with patient's parents was imperative, and establishing work regulations and a safety management committee to systematically manage safety management tasks was deemed important.

Effects of Grit, Patient Safety Competence, and Patient Safety Culture on the Patient Safety Nursing Activities of Nurses in Comprehensive Nursing Service Wards

Purpose : In this study, we aimed to assess the impacts of grit, patient safety competence, and patient safety culture on the patient safety nursing activities of nurses in comprehensive nursing service wards. Methods : Here, a self-reported survey of 179 nurses from three tertiary hospitals was performed. Data from 171 valid responses were analyzed using descriptive statistics, independent &lt;i&gt;t&lt;/i&gt;-test, one-way analysis of variance, Pearson’s correlation, and stepwise multiple regression analyses.Results : The key sub-factors influencing the patient safety nursing activities were attitude (&lt;i&gt;β&lt;/i&gt;=.30, &lt;i&gt;p&lt;/i&gt; ＜.001) and skill (&lt;i&gt;β&lt;/i&gt;=.26, &lt;i&gt;p&lt;/i&gt; ＜.001) in the patient safety competence factor and safety environment (&lt;i&gt;β&lt;/i&gt;=.26, &lt;i&gt;p&lt;/i&gt; ＜.001) in the patient safety culture factor. The regression model explained 42.7% of the variance in patient safety nursing activities (F=43.29, &lt;i&gt;p&lt;/i&gt; ＜.001). Conclusion : Overall, these findings highlight the importance of improving the nurse attitude and skills related to patient safety as well as the safety environment in hospitals to enhance the patient safety nursing activities in comprehensive nursing service wards. Targeted educational and training programs should be provided along with organizational support to establish a safe and supportive nursing environment in comprehensive nursing service wards.

Occupational health and safety in the construction industry: a comprehensive review with emphasis on Nigeria

The construction industry holds remarkable benchmarks of aptitude and creativity; however, it is among the most lethal industries when it comes to occupational health and safety (OHS). This study incorporates a detailed analysis of the key OHS issues within the construction sector with a special regard for developing countries such as Nigeria. The paper discusses different physical, chemical, biological, and psychological risks within the industry and highlights the importance of compliance with OHS requirements aimed at avoiding mishaps, incidents, and even fatalities. Moreover, it discusses the issues relating to poor training, funding limitations, and project pressures while highlighting the significance of maintaining a strong safety culture, workers' awareness, and compliance in enhancing OHS results. In addition to that, the review also examines current safety measures, identifies gaps, and suggests improvements, drawing on global best practices to inform future policies and strategies. This study serves as a valuable resource for policymakers, construction stakeholders, and employers to minimize health risks and optimize construction workers’ productivity and well-being.

The Double Mediating Effect of Safety Motivation and Safety Behavior in the Relationship Between Construction Site Workers' Emotional Safety Culture Awareness and Accident Prevention

The Double Mediating Effect of Safety Motivation and Safety Behavior in the Relationship Between Construction Site Workers' Emotional Safety Culture Awareness and Accident Prevention

Relationship of the Perioperative Nurse Work Environment With a Culture of Safety and High Reliability

PurposeThe purpose of this study was to examine dimensions of the perioperative work environment and their associations with the operating room (OR) culture of safety and high-reliability characteristics. DesignA predictive correlational design using a cross-sectional survey was used. MethodsA convenience sample of perioperative nurses (N = 96) was used to evaluate strength of associations of their work environment with OR safety culture and high-reliability organizational culture. In addition, the best predictive models for OR culture of safety and high-reliability characteristics were used. FindingsFindings indicated that the five dimensions of the work environment are significant predictors of a safety culture; however, only Collegial Relationships and Nursing Foundations for Quality of Care significantly predict high reliability. ConclusionsDue to the extraordinary responsibility perioperative nurses hold to maintain safety standards for surgical patients, it is critical to fortify elements of the nurse work environment.

Patient Safety Competence Among Diploma III Nursing Student In Jakarta, Indonesia; A Cross-Sectional Survey

Nursing students frequently made errors or near-misses due to non-compliance with patient safety protocols, including authenticating medication administration rights, verifying patient identification, and reviewing allergy status. This study was conducted using cross-sectional design at nursing Academy in Jakarta. The inclusion criteria were nursing diploma student at grade 3, nursing students who had not passed any patient safety training courses, those who passed the credit of “Fundamentals of Nursing and Management Patient Safety”, and those who started learning in the clinical setting. The Health Professional Education in Patient Safety Survey (H-PEPSS) was designed by Agency for Healthcare Research and Quality to evaluate recently students' levels of clinical safety. A descriptive statistic was used to analyze data using mean, standard deviation. A simple linear regression was done to determine the relationship between gender, age, and religion with patient safety competence. About 55% student have moderate level of competence, 28% good, and 20% excellent. There was no significant difference on patient safety competence among nursing students in 8 nursing colleges in Jakarta (p&gt;0.05). Gender was associated contributed significantly to the variance in patient safety competence with R square was 28.8%. The study suggests nursing institutions should develop new approaches to improve patient safety competence and culture among students, preparing them for advanced technology education in healthcare institutions.

Risk factors threatening children’s safety in the school environment

School safety encompasses risk reduction efforts to ensure that children act in an environment that is safe and promotes the well-being of the students to achieve their full potential. Therefore, a safe and secure environment is a prerequisite for effective teaching and learning. This scoping review aims to address a range of school safety risk factors and introduce the complexity of school safety. School is believed to be a safe learning and growing environment; however, various conditions can threaten children’s safety in a school setting and lead to injuries caused by accidents, risky or/ aggressive behavior, or environmental exposure. In addition to the physical, psychological, and behavioral characteristics of children that make them particularly vulnerable to accidents, there are several unpredictable risks associated with natural or man-made conditions or disasters that can also put children at extreme risk. A balance between safety, surveillance, and emergency preparedness measures may be beneficial to create a safety culture in schools that will enable student behavioral and intervention support.

The Link between Workplace Safety Climate and Job Performance among Nursing Staff: A Correlational Study

Background: Workplace safety climate and job performance are closely related. A positive safety climate is associated with better job performance, particularly in health care settings. Objectives: The study aims to investigate the relationship of workplace safety climate and job performance among nursing staff. Methodology: Correlation study design research used in the present study among 250 nurses choosing from Imam Hussein Hospital in Karbala Governorate which is located south of Iraq, about 105 km2 away from the capital, Baghdad. The study has been carried out during the period 17th September 2023 to 16th January 2024. Using questionnaire prepared and modified by the researcher. Results: The majority of nursing staff are females between the ages of 20 and 29, married, with diploma qualification and their monthly income is barely enough to cover their expenses. They reside in urban areas. Professionally, the majority of them had experience ranging from 1 to 5 years, and most of them work in surgical departments for 6-8 hours a day and do not work overtime. Health-wise, most of nurse’s sleep for 5-7 hours daily and do not suffer from any chronic diseases. There is significant relationship between workplace safety climate and job performance among nursing staff. Conclusion: The significant relationship between the two factors and emphasizing the importance of improving safety climates for enhanced job performance and better health outcomes in healthcare settings

Leadership opportunities to mitigate challenges and barriers of precision health

Abstract Background Precision health, encompassing personalized and proactive health solutions, aims to address this gap by integrating genetic, behavioral, and environmental factors. However, challenges persist in its integration, necessitating new healthcare competencies, particularly in leadership, to expedite the transition. Our goal is to identify barriers and solutions for the implementation of precision health and build a core curriculum of leadership competencies to mitigate challenges and barriers for the implementation of precision health. Methods A systematic literature review of qualitative primary studies on barriers and facilitators to precision health implementation was conducted. Data extracted from included articles were analyzed thematically, adapting leadership competencies outlined in the CanMEDS Physician Competency Framework. This approach identified key leadership traits crucial for precision health implementation. Results 51 articles meeting inclusion criteria yielded 985 barriers and facilitators. Thematic analysis identified 9 primary leadership competencies essential for precision health implementation: application of quality improvement science (30%); fostering a culture of patient safety in data use (10%); advocacy for innovative data management (4%); resource allocation advocacy (9%); evidence-based cost management (4%); driving practice change (8%); prioritization and time management (11%); and optimization of healthcare workforce practices (14%). Discussion The synthesized leadership competencies provide a useful framework for addressing barriers and fostering precision health implementation among healthcare professionals. The high representation of competency related to quality improvement science is emblematic of how cultural elements specific to leadership and management in medicine could represent a strategic asset to foster the implementation of innovative solutions, like precision health, in healthcare. Key messages • Leadership skills are a crucial element in the curriculum of health professionals to support the implementation of precision health in clinical practice. • Incorporating elements of ‘quality improvement science’ in the healthcare professionals education emerged as essential to foster precision health implementation.

Exploring the relationship between psychological capital, emotional intelligence, psychological safety, and knowledge sharing among E-commerce practitioners.

This study explores the intricate relationships among psychological capital, emotional intelligence, psychological safety, and knowledge sharing among e-commerce practitioners. Grounded in social exchange theory, the research aims to fill a gap in the literature by focusing on the psychological and emotional factors influencing knowledge sharing in a fast-paced and highly competitive industry. This study used snowball and purposive sampling to collect 439 valid online questionnaires from e-commerce professionals in Guangdong, Zhejiang, and Jiangsu, China. The survey, conducted from October to November 2023, explored the relationships between psychological capital, emotional intelligence, psychological safety, and knowledge sharing. Data were analyzed using structural equation modeling (SEM) with AMOS 26.0. The structural path model revealed significant positive correlations between psychological capital and both emotional intelligence (β = 0.494, p < 0.001) and psychological safety (β = 0.297, p < 0.001). Emotional intelligence was significantly positively related to psychological safety (β = 0.513, p < 0.001) and knowledge sharing (β = 0.452, p < 0.001). Psychological safety was also positively correlated with knowledge sharing (β = 0.311, p < 0.001). Bootstrap analysis indicated that emotional intelligence and psychological safety significantly mediate the relationship between psychological capital and knowledge sharing (standardized indirect effect = 0.394, p < 0.01). Based on the significant findings of this study, a key recommendation is to implement targeted interventions aimed at enhancing psychological capital, emotional intelligence, and psychological safety among e-commerce practitioners. Specifically, developing training programs focused on building resilience, self-efficacy, hope, and optimism can improve employees' psychological capital. Additionally, workshops designed to enhance emotional intelligence and create a culture of psychological safety can encourage open communication and trust, thereby promoting knowledge sharing.

How does psychosocial safety climate affect safety behavior in the construction industry? A cross-level analysis.

The unsafe work of construction workers directly contributes to frequent accidents in workplaces. However, the factors influencing the safety behavior of Chinese construction workers are not yet clear. Data from 381 construction workers were analyzed to test our hypotheses.This study aimed to investigate the impact of psychosocial safety climate (PSC) on safety behavior through a cross-level model, focusing on the mediating role of psychological resilience and the moderating effect of safety-related stress. The results indicated that (1) PSC was positively associated with psychological resilience and safety behavior; (2) psychological resilience mediated the relationship between PSC and safety behavior; (3) the link between PSC and safety behavior was negatively influenced by safety-related stress; and (4) all three sub-dimensions of safety-related stress moderated the effect of PSC on safety participation. These findings elucidate the mechanisms underlying the connection between PSC, psychological resilience, safety-related stress, and safety behavior from a multi-level perspective. Additionally, strategies for enhancing the safety behavior of construction workers were discussed.

Revised Hospital Survey on Patient Safety Culture (HSOPSC 2.0): cultural adaptation, validity and reliability of the Malay version

BackgroundSurveys on Patient Safety Culture™ Hospital Survey (HSOPSC) developed by the U.S. Agency for Healthcare Research and Quality (AHRQ) has been adopted worldwide. The Hospital Survey on Patient Safety Culture (HSOPSC) version 2.0 was released in 2019, but there have been no publications to date of its translation and validation for use in Malaysia. This study aimed to translate and cross-culturally adapt the revised HSOPSC 2.0 into the Malay language and determine its psychometric properties including the content, face, and construct validity, and reliability analyses.MethodsThis study was conducted from April – June 2023 and divided into three stages: translation and cultural adaptation; content and face validation; and construct validation using confirmatory factor analysis and reliability testing among 319 healthcare personnel from a public university hospital in Malaysia.ResultsThe translated instrument demonstrated excellent content validity (I-CVI = 0.80 ~ 1.0, SCVI-average = 0.96) and face validity (I-FVI = 0.80 ~ 1.0, SFVI-average = 0.98). Reliability testing was acceptable (Cronbach’s α = 0.60 ~ 0.80) but indicated that reverse-coded items were poorly perceived. Confirmatory factor analysis showed a satisfactory model fit for the translated instrument (RMSEA = 0.08, GFI = 0.80, CFI = 0.80, and χ2/df = 2.96). Six items had very low factor loadings (< 0.40), with two constructs “Staffing and Work Pace” and “Response to Error” having AVE < 0.4, but acceptable CR ≥ 0.6. No items were removed from the questionnaire despite low factor loadings following a consensus from an expert panel.ConclusionThe Malay version of the HSOPSC 2.0 containing ten domains and 32 items demonstrated satisfactory psychometric properties following expert consensus, with acceptable reliability and construct validity for measuring patient safety culture. Given factor loadings smaller than 0.40 in six items, broader validation is suggested to support the use of the translated instrument in the Malaysian healthcare setting.

Conceptualizing the Roles of Psychological Safety, Caring Management and Inclusiveness in Safety Culture Maturity in Malaysia’s Oil and Gas Industry

Conceptualizing the Roles of Psychological Safety, Caring Management and Inclusiveness in Safety Culture Maturity in Malaysia’s Oil and Gas Industry

Enhancing Performance in Construction Project Management Teams

The seminar paper provides a pragmatic perspective of the topic of enhancing performance in construction project management teams. The paper provides a detailed collated review of several key areas pertaining to construction project management teams and their performance based on the findings of previous research. The study has focused on a range of aspects namely, leadership, competence and capabilities, effective communication, decision-making, interpersonal relationships and emotional intelligence, project management and governance approaches, trust, psychological safety, and team culture. Each sub-topic (aspect) has been structured in a manner that includes a brief introduction to the aspect, its importance for construction projects, the current state in construction projects, strategies, and approaches to eliminate the issues and contribute to increase in the team’s overall performance and finally, the novel strategies and tools pertaining to the focus area. The author anticipates that the content provided in this seminar paper shall be beneficial for effective decision making by organizational leadership and for the project leadership and the team to pay more consideration towards the strategies and approaches to enhance the elaborated aspects that are often overlooked in construction projects.

Effect of psychosocial safety climate on work-family conflict and psychological health among working couples.

The purpose of the study was to look into how work-family conflict (WFC), family-work conflict (FWC), and psychological health are affected by the psychosocial safety climate (PSC). First, the study suggested that for both husband and wife, PSC moderates the relationship between job demands and WFC. Second, the study predicted FWC mediates the relationship between WFC and depressive symptoms through the "crossover" process. The study design used a multi-source sample that involved 350 teachers and their working spouses (n = 700). The analysis of mediation and moderation among job demands, WFC, FWC, PSC, and depressive symptoms was conducted using SPSS and structural equation modeling AMOS software. For the teacher's sample, based on behavioral (β = 0.166, p < 0.05) and strain-based (β = 0.170, p < 0.05) aspects, the hierarchical regression analysis revealed that the PSC moderates the relationship between physical demand and WFC. The results also showed that the relationship between time-based WFC and emotional demand is moderated by PSC (β = 0.103, p < 0.05). Next, the analysis found that PSC moderates the association between cognitive demand and WFC of strain-based (β = 0.179, p < 0.05). For the spouse's sample, according to the analysis, PSC moderates the relationship between strain-based WFC and physical demand (β = 0.091, p < 0.05). The study also revealed that FWC serves as a mediator in the relationship between WFC and depressive symptoms in both husbands (β = 0.233, p < 0.01) and wives (β = 0.135, p < 0.001). Overall, this study contributes significant insights to the current literature by examining the impact of PSC on the psychological well-being of individuals and others through the crossover process.

Oppimisympäristön turvallisuuden osa-alueet ja tilannekuva

Dimensions of safetyt in learning environments and a timely snapshot - Managing safety in basic education based on safety notice reports Reporting safety deviations is a key indicator of safety culture in a community, and safety of learning environments is a constant concern in education. In this study safety is seen as a combination of physical, psychological, social, structural, environmental and pedagogical dimensions of safety. To advance research-based knowledge in recognizing and developing safety in learning environments we posed a research question “what is the state of safety in learning environments in basic education based on safety notice reports filed in by staff?”. The data was collected between 15 comprehensive schools (grades 1-9, students aged 7-16), and total 324 individual safety notice reports form an extensive case study. The data was analyzed according to the dimensions of safety in learning environments. The results reveal that safety notice reports concern ...

Exploring Collaboration and Social Dynamics in the Paediatric Morbidity and Mortality Meeting, A Qualitative Case Study.

To explore collaboration and social dynamics within paediatric Morbidity and Mortality meetings. Qualitative Exploratory Case Study Methodology incorporating semi-structured interviews and qualitative observations. Data were collected in a large quaternary paediatric hospital in Melbourne, Australia. Semi-structured interviews with meeting attendees were conducted after observing and documenting meeting conduct. Reflexive thematic analysis was used to interpret data and generate a thematic map of findings. Forty-four interviews and 32 meeting observations were conducted between July 2019 and January 2020. Participants valued collaboration between attendees in Morbidity and Mortality meetings, however there were barriers to this. They included differing views about roles and negative impacts of hierarchies and authority. Senior doctors dominated discussion, and participants described this occasionally signalling reverence and respect, but sometimes signified intimidation and feeling unsure about how to contribute. Because of this complexity, successfully achieving positive social dynamics in a meeting required active promotion and management. Morbidity and Mortality meetings mirror the complexity and richness of the clinical environment. Descriptions of how meeting conduct can shape positive workplace culture and address hierarchical obstructions to safe clinical care highlight their far-reaching potential. Effective collaboration is an intrinsic part of realising this value. This paper addresses a paucity in the literature in understanding how social dynamics and collaboration in Morbidity and Mortality meetings are interpreted and experienced. These findings illuminate challenges and obstacles to achieving a productive and equitable social dynamic in meetings. They also illustrate positive discrimination strategies that may improve participation and widespread engagement of nurses, junior doctors, and allied health professionals. Importantly, fostering constructive social dynamics in the Morbidity and Mortality meeting could positively impact patient safety culture and therefore patient care. No patient or public contribution.

The relationships among safety climate, occupational burnout, and psychosocial factors for hospital nurses: Using structural equation modeling

ABSTRACT It is very important to pay attention to the mental health of nurses because it affects their career performance and personal life. Our aim was to apply a theoretical model to investigate the structural relationships among safety climate, occupational burnout, and workplace psychosocial factors for nurses. The current cross-sectional study was conducted on 319 nurses in a selected hospital in Iran. Data were collected using the questionnaires of Nurses’ Safety Climate, Copenhagen Burnout Inventory, and the Copenhagen Psychosocial Questionnaire. Structural equation modeling was used to examine the relationships among the variables. The analysis was done in Amos-24 and SPSS-24 software. Structural equation modeling showed negative correlation between occupational burnout and safety climate (r = −0.41) as well as occupational burnout and workplace psychosocial factor (r = −0.85), and a positive correlation between safety climate and psychosocial factors (r = 0.50). So it could be inferred that a decrease in the level of safety climate will increase occupational burnout which will, in turn, promote the risk of psychosocial factors in the workplace. Promoting and improving nurses’ level of safety climate could reduce occupational burnout and the risk of psychosocial factors in the workplace, which will ultimately promote nurse’s mental health.

Developing an NHS patient safety culture: swings and roundabouts.

John Tingle, Associate Professor, Birmingham Law School, University of Birmingham, discusses a new report and consultation on NHS patient safety culture development.

Анализ взаимосвязи между частотой возникновения падений пациентов и уровнем культуры безопасности в медицинской организации

The problem of patient falls in healthcare organizations is a pressing concern for modern healthcare. Falls can lead to serious consequences, including significant limitations in physical activity, the development of anxiety disorders, and depression. Additionally, fall-related injuries are associated with high costs for treatment and rehabilitation. Special comprehensive programs are implemented in healthcare organizations to prevent falls, but the success of their implementation largely depends on the level of safety culture among healthcare personnel. The aim of this study is to investigate the relationship between the level of safety culture among healthcare personnel and the frequency of patient falls. Methods. The study was conducted in the multidisciplinary clinic JSC «Medicina» in Moscow from 2014 to 2020. The safety culture was assessed using the SOPS Hospital Survey 1.0 (HSPSC). The frequency of falls was evaluated based on online forms filled out by staff. Results. The study assessed the dynamics of the fall frequency per 1,000 bed-days in the hospital. Falls were categorized according to the severity of associated injuries. A correlation was found between the fall frequency and safety culture composites, such as «teamwork» –0.826 (p=0.022), «learning from errors» –0.747 (p=0.049), «executive actions in support of patient safety» –0.760 (p=0.047), «overall impression on patient safety» –0.821 (p=0.024), «frequency of reported incidents» 0.782 (p=0.038), «openness of communication» –0.846 (p=0.017), «unit collaboration» –0.867 (p=0.012), «shift handoffs and patient transfers» –0.791 (p=0.034), «non-punitive response to errors» 0.838 (p=0.019), and «average level of safety culture across all composites» –0.809 (p=0.027) (table 1). Conclusion. The study confirms the importance of assessing safety culture as part of a comprehensive approach to prevent patient falls in hospitals. The level of safety culture among healthcare personnel is inversely correlated with the frequency of patient falls. An increase in the level of safety culture is associated with a decrease in fall frequency and a reduction in the number of associated injuries. Additionally, the level of safety culture may potentially serve as an integral indicator of the effectiveness of programs aimed at preventing adverse events related to medical care. The study’s findings are relevant for a wide range of readers interested in issues related to healthcare safety.