scholarly journals A comparative study on patient safety culture among emergency nurses in the public and private hospitals of Tabriz, Iran

Nursing Open ◽  
2020 ◽  
Vol 7 (3) ◽  
pp. 768-775
Author(s):  
Zahra Chegini ◽  
Ali Janati ◽  
Maryam Afkhami ◽  
Maryam Behjat ◽  
Sheikh Mohammed Shariful Islam
Keyword(s):  
Patient Safety ◽  
Comparative Study ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Emergency Nurses ◽  
Private Hospitals ◽  
Public And Private ◽  
The Public ◽  
Public And Private Hospitals

scholarly journals Analysis of Affecting Factors on Patient Safety Culture in Public and Private Hospitals in Iran

2019 ◽  
Author(s):  
amir hossein khoshakhlagh ◽  
Elham Khatooni ◽  
Isa Akbarzadeh ◽  
Saeid Yazdanirad ◽  
Ali Sheidaei
Keyword(s):  
Patient Safety ◽  
Continuous Improvement ◽  
Safety Culture ◽  
Negative Impact ◽  
Patient Safety Culture ◽  
Three Dimensions ◽  
Private Hospitals ◽  
Public And Private ◽  
Work Shift ◽  
Public And Private Hospitals

Abstract Background : Patient safety culture is one of the main components of the quality of health services and is one of the main priorities of health studies. Accordingly, this study aimed to determine and compare the views of healthcare staff on the patients’ safety culture and the impact of effective factors on patient safety culture in public and private hospitals in Tehran, Iran. Methods : This cross-sectional study was carried out on a sample of 1203 health care workers employed in three public and three private hospitals in Tehran, Iran. Stratified random sampling was used in this study. Data were collected using the Maslach burnout inventory and patient safety culture questionnaire (HSOPSC). IBM SPSS v22 and Amos v23 were used to perform path analysis. Results : 867 (72.57%) females and 747 (27.43%) males with a mean age of 33.88 ± 7.66 were included. The average percentage of positive responses to the safety culture questionnaire in public and private hospitals was 65.5% and 58.3%, respectively. The strengths of patient safety culture in public hospitals were in three dimensions including non-punitive response to errors (80%), organizational learning—continuous improvement (79.77%), and overall perceptions of patient safety (75.16%), and in private hospitals, were three dimensions including non-punitive responses to errors (71.41%), organizational learning & continuous improvement (69.24%), and teamwork within units (62.35%). The type of hospital and work-shift hours influenced the burnout and patient safety questionnaire scores (P-value <0.05). The path analysis results indicate the fitness of the proposed model (RMSEA= 0.024). The results showed a negative impact of a work shift (β= -0.791), occupational burnout (β= -0.554) and hospital type (β= -0.147) on the observance of patient safety culture. Conclusion: providing feedback on errors and requirements for the frequent incident reporting, and patient information exchange seem necessary to promote the patient's safety culture. Also, considering the negative impact of the shift work and burnout on patient safety culture, by planning and managing these factors appropriately, correct actions could be designed to improve the safety culture.

scholarly journals Analysis of Affecting Factors on Patient Safety Culture in Public and Private Hospitals in Iran

2019 ◽  
Author(s):  
amir hossein khoshakhlagh ◽  
Elham Khatooni ◽  
Isa Akbarzadeh ◽  
Saeid Yazdanirad ◽  
Ali Sheidaei
Keyword(s):  
Patient Safety ◽  
Continuous Improvement ◽  
Safety Culture ◽  
Negative Impact ◽  
Patient Safety Culture ◽  
Three Dimensions ◽  
Private Hospitals ◽  
Public And Private ◽  
Work Shift ◽  
Public And Private Hospitals

Abstract Abstract Background : Patient safety culture is one of the main components of the quality of health services and is one of the main priorities of health studies. Accordingly, this study aimed to determine and compare the views of healthcare staff on the patients’ safety culture and the impact of effective factors on patient safety culture in public and private hospitals in Tehran, Iran. Methods : This cross-sectional study was carried out on a sample of 1203 health care workers employed in three public and three private hospitals in Tehran, Iran. Stratified random sampling was used in this study. Data were collected using the Maslach burnout inventory and patient safety culture questionnaire (HSOPSC). IBM SPSS v22 and Amos v23 were used to perform path analysis. Results : 867 (72.57%) females and 747 (27.43%) males with a mean age of 33.88 ± 7.66 were included. The average percentage of positive responses to the safety culture questionnaire in public and private hospitals was 65.5% and 58.3%, respectively. The strengths of patient safety culture in public hospitals were in three dimensions including non-punitive response to errors (80%), organizational learning—continuous improvement (79.77%), and overall perceptions of patient safety (75.16%), and in private hospitals, were three dimensions including non-punitive responses to errors (71.41%), organizational learning & continuous improvement (69.24%), and teamwork within units (62.35%). The type of hospital and work-shift hours influenced the burnout and patient safety questionnaire scores (P-value <0.05). The path analysis results indicate the fitness of the proposed model (RMSEA= 0.024). The results showed a negative impact of a work shift (β= -0.791), occupational burnout (β= -0.554) and hospital type (β= -0.147) on the observance of patient safety culture. Conclusion: providing feedback on errors and requirements for the frequent incident reporting, and patient information exchange seem necessary to promote the patient's safety culture. Also, considering the negative impact of the shift work and burnout on patient safety culture, by planning and managing these factors appropriately, correct actions could be designed to improve the safety culture.

scholarly journals Analysis of Affecting Factors on Patient Safety Culture in Public and Private Hospitals in Iran

2019 ◽  
Author(s):  
Amir Hossein Khoshakhlagh ◽  
Elham Khatooni ◽  
Isa Akbarzadeh ◽  
Saeid Yazdanirad ◽  
Ali Sheidaei
Keyword(s):  
Patient Safety ◽  
Continuous Improvement ◽  
Safety Culture ◽  
Negative Impact ◽  
Patient Safety Culture ◽  
Three Dimensions ◽  
Private Hospitals ◽  
Public And Private ◽  
Work Shift ◽  
Public And Private Hospitals

Abstract Background: Patient safety culture is one of the main components of the quality of health services and is one of the main priorities of health studies. Considering the importance of this issue, this study aimed to determine and compare the views of health care staff on the patients’ safety culture and impact of effective factors on patient safety culture in public and private hospitals in Tehran, Iran. Methods: This cross-sectional study was carried out on a sample of 1203 health care workers employed in three public and three private hospitals in Tehran, Iran. Stratified random sampling was used in this study. Data were collected using maslach burnout inventory and patient safety culture questionnaire (HSOPSC). IBM SPSS v22 and Amos v23 were used to perform path analysis. Results: 867 (72.57%) females and 747 (27.43%) males with a mean age of 33.88 ± 7.66 were included. The average percentage of positive responses to safety culture questionnaire in public and private hospitals was 65.5% and 58.3%, respectively. The strengths of patient safety culture in public hospitals were in three dimensions including non-punitive response to errors (80%), organizational learning—continuous improvement (79.77%), and overall perceptions of patient safety (79.77%), and in private hospitals, were three dimensions including non-punitive responses to errors (71.41%), organizational learning—continuous improvement (69.24%), and teamwork within units (62.35%). The type of hospital and work-shift hours had an effect on the burnout and patient safety questionnaire scores (P-value <0.05). The path analysis results indicate the fitness of the proposed model (RMSEA= 0.024). The results showed a negative impact of work shift (β= -0.791), occupational burnout (β= -0.554) and hospital type (β= -0.147) on the observance of patient safety culture. Conclusion: providing feedback on errors and requirements for the frequent incident reporting, and patient information exchange seem necessary to promote the patient's safety culture. Also, considering the negative impact of the shift work and burnout on patient safety culture, by planning and managing these factors appropriately, correct actions could be designed to improve the safety culture.

scholarly journals Analysis of affecting factors on patient safety culture in public and private hospitals in Iran

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Amir Hossein Khoshakhlagh ◽  
Elham Khatooni ◽  
Isa Akbarzadeh ◽  
Saeid Yazdanirad ◽  
Ali Sheidaei
Keyword(s):  
Patient Safety ◽  
Continuous Improvement ◽  
Safety Culture ◽  
Negative Impact ◽  
Patient Safety Culture ◽  
Three Dimensions ◽  
Private Hospitals ◽  
Public And Private ◽  
Work Shift ◽  
Public And Private Hospitals

Abstract Background Patient safety culture is one of the main components of the quality of health services and is one of the main priorities of health studies. Accordingly, this study aimed to determine and compare the views of healthcare staff on the patient safety culture and the impact of effective factors on patient safety culture in public and private hospitals in Tehran, Iran. Methods This cross-sectional study was carried out on a sample of 1203 health care workers employed in three public and three private hospitals in Tehran, Iran. Stratified random sampling was used in this study. Data were collected using the Maslach burnout inventory and patient safety culture questionnaire (HSOPSC). IBM SPSS v22 and Amos v23 were used to perform path analysis. Results Eight hundred sixty-seven (72.57%) females and 747 (27.43%) males with a mean age of 33.88 ± 7.66 were included. The average percentage of positive responses to the safety culture questionnaire in public and private hospitals was 65.5 and 58.3%, respectively. The strengths of patient safety culture in public hospitals were in three dimensions including non-punitive response to errors (80%), organizational learning—continuous improvement (79.77%), and overall perceptions of patient safety (75.16%), and in private hospitals, were three dimensions including non-punitive responses to errors (71.41%), organizational learning & continuous improvement (69.24%), and teamwork within units (62.35%). The type of hospital and work-shift hours influenced the burnout and patient safety questionnaire scores (P-value < 0.05). The path analysis results indicate the fitness of the proposed model (RMSEA = 0.024). The results showed a negative impact of a work shift (β = − 0.791), occupational burnout (β = − 0.554) and hospital type (β = − 0.147) on the observance of patient safety culture. Conclusion Providing feedback on errors and requirements for the frequent incident reporting, and patient information exchange seem necessary to promote the patient safety culture. Also, considering the negative impact of the shift work and burnout on patient safety culture, by planning and managing these factors appropriately, correct actions could be designed to improve the safety culture.

scholarly journals Analysis of Affecting Factors on Patient Safety Culture in Public and Private Hospitals in Iran

2019 ◽  
Author(s):  
Amir Hossein Khoshakhlagh ◽  
Elham Khatooni ◽  
Isa Akbarzadeh ◽  
Saeid Yazdanirad ◽  
Ali Sheidaei
Keyword(s):  
Patient Safety ◽  
Path Analysis ◽  
Continuous Improvement ◽  
Safety Culture ◽  
Negative Impact ◽  
Patient Safety Culture ◽  
Three Dimensions ◽  
Private Hospitals ◽  
Public And Private ◽  
Public And Private Hospitals

Abstract Background : Patient safety culture is one of the main components of the quality of health services and is one of the main priorities of health studies. Accordingly, this study aimed to determine and compare the views of healthcare staff on the patient safety culture and the impact of effective factors on patient safety culture in public and private hospitals in Tehran, Iran. Methods : This cross-sectional study was carried out on a sample of 1203 health care workers employed in three public and three private hospitals in Tehran, Iran. Stratified random sampling was used in this study. Data were collected using the Maslach burnout inventory and patient safety culture questionnaire (HSOPSC). IBM SPSS v22 and Amos v23 were used to perform path analysis. Results : 867 (72.57%) females and 747 (27.43%) males with a mean age of 33.88 ± 7.66 were included. The average percentage of positive responses to the safety culture questionnaire in public and private hospitals was 65.5% and 58.3%, respectively. The strengths of patient safety culture in public hospitals were in three dimensions including non-punitive response to errors (80%), organizational learning—continuous improvement (79.77%), and overall perceptions of patient safety (75.16%), and in private hospitals, were three dimensions including non-punitive responses to errors (71.41%), organizational learning & continuous improvement (69.24%), and teamwork within units (62.35%). The type of hospital and work-shift hours influenced the burnout and patient safety questionnaire scores (P-value <0.05). The path analysis results indicate the fitness of the proposed model (RMSEA= 0.024). The results showed a negative impact of a work shift (β= -0.791), occupational burnout (β= -0.554) and hospital type (β= -0.147) on the observance of patient safety culture. Conclusion : providing feedback on errors and requirements for the frequent incident reporting, and patient information exchange seem necessary to promote the patient safety culture. Also, considering the negative impact of the shift work and burnout on patient safety culture, by planning and managing these factors appropriately, correct actions could be designed to improve the safety culture. Keywords: Patient safety culture, shift work, job burnout, path analysis

scholarly journals Analysis of Affecting Factors on Patient Safety Culture in Public and Private Hospitals in Iran

2019 ◽  
Author(s):  
amir hossein khoshakhlagh ◽  
Elham Khatooni ◽  
Isa Akbarzadeh ◽  
Saeid Yazdanirad ◽  
Ali Sheidaei
Keyword(s):  
Patient Safety ◽  
Path Analysis ◽  
Continuous Improvement ◽  
Safety Culture ◽  
Negative Impact ◽  
Patient Safety Culture ◽  
Three Dimensions ◽  
Private Hospitals ◽  
Public And Private ◽  
Public And Private Hospitals

Abstract Background : Patient safety culture is one of the main components of the quality of health services and is one of the main priorities of health studies. Accordingly, this study aimed to determine and compare the views of healthcare staff on the patient safety culture and the impact of effective factors on patient safety culture in public and private hospitals in Tehran, Iran. Methods : This cross-sectional study was carried out on a sample of 1203 health care workers employed in three public and three private hospitals in Tehran, Iran. Stratified random sampling was used in this study. Data were collected using the Maslach burnout inventory and patient safety culture questionnaire (HSOPSC). IBM SPSS v22 and Amos v23 were used to perform path analysis. Results : 867 (72.57%) females and 747 (27.43%) males with a mean age of 33.88 ± 7.66 were included. The average percentage of positive responses to the safety culture questionnaire in public and private hospitals was 65.5% and 58.3%, respectively. The strengths of patient safety culture in public hospitals were in three dimensions including non-punitive response to errors (80%), organizational learning—continuous improvement (79.77%), and overall perceptions of patient safety (75.16%), and in private hospitals, were three dimensions including non-punitive responses to errors (71.41%), organizational learning & continuous improvement (69.24%), and teamwork within units (62.35%). The type of hospital and work-shift hours influenced the burnout and patient safety questionnaire scores (P-value <0.05). The path analysis results indicate the fitness of the proposed model (RMSEA= 0.024). The results showed a negative impact of a work shift (β= -0.791), occupational burnout (β= -0.554) and hospital type (β= -0.147) on the observance of patient safety culture. Conclusion: providing feedback on errors and requirements for the frequent incident reporting, and patient information exchange seem necessary to promote the patient safety culture. Also, considering the negative impact of the shift work and burnout on patient safety culture, by planning and managing these factors appropriately, correct actions could be designed to improve the safety culture. Keywords: Patient safety culture, shift work, job burnout, path analysis

The Influence of Nursing Work Environment on Patient Safety

2020 ◽  
Vol 68 (8) ◽  
pp. 384-390
Author(s):  
Maha Mihdawi ◽  
Rasmieh Al-Amer ◽  
Rima Darwish ◽  
Sue Randall ◽  
Tareq Afaneh
Keyword(s):  
Patient Safety ◽  
Work Environment ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Professional Communication ◽  
Communication Style ◽  
Public And Private ◽  
Nursing Work Environment ◽  
Work Index ◽  
Public And Private Hospitals

Background: Patient safety has been a concern over the past two decades. The value of nurses and their work environment in relation to patient safety has been acknowledged by studies and international organizations. This study aimed to examine the relationship between patient safety practices and the nursing work environment. Methods: In total, 570 registered nurses were invited from the inpatient units in public and private hospitals. Perceived patient safety was evaluated using the Overall Perceptions of Patient Safety subscale from the Hospital Survey of Patient Safety Culture (HSPSC). The nursing work environment was assessed using the Practice Environment Scale of the Nursing Work Index (PES-NWI). Findings: Of the 350 of 570 (64.6%) nurses surveyed, 35.2% (125) reported positive levels of perceived patient safety. Staffing and resource adequacy, professional communication style, and nurses’ participation in hospital quality improvement activities were associated with higher levels of perceived patient safety. Conclusion/Application to Practice: This study provided empirical results about perceived patient safety culture in relation to nursing work environment. It is paramount to focus on specific dimensions of the nursing work environment, such as staffing and resource adequacy, nurses’ participation and advancement, and communication style to improve the quality of care provided to patients. Hospitals are considered one of the most hazardous places compared with industries. Policy makers would help reduce injuries, save resources, and build a culture of safety when taking into consideration the importance of the nursing work environment in relation to patient safety.

Quality of Immediate Postoperative Nursing Care for Patients in Public and Private Hospitals in Erbil City, Iraq- Comparative Study

2020 ◽  
Vol 3 (2) ◽  
pp. 126-135
Author(s):  
Sideeq Ali ◽  
Keyword(s):  
Comparative Study ◽  
Nursing Care ◽  
Public Hospitals ◽  
Care Practice ◽  
Private Hospitals ◽  
Public And Private ◽  
The Public ◽  
Post Operation ◽  
Public And Private Hospitals

Background and objective: The 1 to 2 hours for the first 24 hours after surgical operation is a crucial time to perform patient care. The study aimed to assess and compare quality of immediate post operation nursing care for patients undergoing surgeries in the public and private hospitals in Erbil City. Methods: A comparative study design was conducted on non-probability and purposive sample of 106 nurses (53 nurses of public hospitals and 53 nurses from private hospitals) in the surgical unit in all public and some private hospitals in Erbil city. The data was col-lected between February and July, 2019 by direct observation and using an observational questionnaire. Results: The majority of the nurses were young adults who had graduated from a nursing institute who were of middle income and lived in an urban area. The duration of experi-ence as a nurse was between 1 to 10 years. The majority of the nurses (98.1%) in the pub-lic hospitals they practiced poor nursing care practice, while most of the nurses (69.8) in the private hospitals practiced good nursing care practices. Very high significant differ-ence found between immediate post operation nursing care in public and private hospi-tals (P <0.000). Conclusion: The study concluded that; postoperative nursing care is very important to improve health services, but the quality of the nursing care in the public hospitals as a generally was very poor when compared with the private hospitals. We recommended improving their skills by implementation job description, opening training course and monitoring of the nurses as well as awareness and follow-up.

Sign in / Sign up

Export Citation Format

Share Document