Patient Safety Culture in Nurses in Karawang, Indonesia: A Cross-Sectional Study
Abstract
Patient safety is crucial for health care quality and is one of the major parameters monitored by all health care organizations around the world. Nurses play a critical role in improving the quality of care and patient safety because they take care of patients for the full 24 hours and engage with families and other health professionals. Thus, this study aimed to identify patient safety culture and its associated factors among nurses in Karawang, Indonesia. This study was conducted using a cross-sectional design. It was estimated that 220 participants would be needed to have confidence in the results at a medium-effect size. A convenience sampling technique was applied to select participants. This study used the Hospital Survey on Patient Safety Culture questionnaire. Linear regression analyses were used to investigate the factors associated with patient safety culture. Most of the nurses (52.79%) had a nursing diploma and 7% had been married. Approximately 70% were nurses at the level 1 to 3 range. The mean score was 3.05 (SD = 1.43). The highest domains score was teamwork (4.03, SD = 1.76), and the lowest score was reporting patients’ safety events (2.21, SD = 1.43). Gender, education level, and working unit contributed significantly to the variance in patient safety culture and the R-squared was 28.8%. This study found that patient safety culture among nurses was moderate. Therefore, in order to improve patient safety, a training program for nurses is needed alongside strategies to improve professional communication.
Keywords: patient safety, culture, nurses, Indonesia
References
[1] Ammouri AA, Rn AKT, Rnma JKM, Geethakrishnan RN, Phil MN, Rn S. Patient safety culture among nurses. International nursing review. 2015:102–10.
[2] Assiri GA, Shebl NA, Mahmoud MA, et al. What is the epidemiology of medication errors, error-related adverse events and risk factors for errors in adults managed in community care contexts? A systematic review of the international literature. BMJ open. 2018.
[3] Journal TO, Federation IH. World hospitals and health services. 2019;55(3). [4] World Health Organization. Patient safety fact file. 2019.
[5] Walsh EK, Bradley CP. Economic impact of medication error: A systematic review. Pharmacoepidemiology and drug safety. 2017; 26(5), 481-497.
[6] Rollenhagen C. Safety culture assurance and improvement methods in complex projects – Intermediate report from the NKS-R SC AIM. 2018.
[7] Polo F, Cervai S, Kantola J. Training culture: A new conceptualization to capture values and meanings of training in organizations. Journal of Workplace Learning Article information. 2018;(Feb).
[8] Lawati MH Al, Dennis S, Short SD, Abdulhadi NN. Patient safety and safety culture in primary health care: A systematic review. BMC family practice. 2018;19(1):104.
[9] Li Y, Zhao Y, Hao Y, et al. Perceptions of patient safety culture among healthcare employees in tertiary hospitals of Heilongjiang province in northern China: A crosssectional study. International Journal for Quality in Health Care. 2018;(May):1–6.
[10] Zhou P, Bai F, Tang H, Bai J, Li M, Xue D. Patient safety climate in general public hospitals in China: Differences associated with department and job type based on a cross-sectional survey. 2018:1–11.
[11] Najjar S, Baillien E, Vanhaecht K, et al. Similarities and differences in the associations between patient safety culture dimensions and self-reported outcomes in two different cultural settings: A national cross-sectional study in Palestinian and Belgian hospitals. 2018:1–11.
[12] Wu HHL, Lewis SR, Mirka C, Wacker J, Smith AF. Patient safety and the role of the Helsinki Declaration on Patient Safety in anaesthesiology: A European survey. 2019:946–54.
[13] Willmott JD. Health professionals’ perception of patient safety and quality in a Western Australian Hospital. 2018;(May).
[14] Carlesi KC, Toffoletto MC, Henriquez-roldán C, Andrea M, Juan C. Patient safety incidents and nursing workload. 2017.
[15] Tourani S, Hassani M, Ayoubian A, Habibi M, Zaboli R. Analyzing and prioritizing the dimensions of patient safety culture in emergency wards using the TOPSIS technique. 2015;7(4):143–50.
[16] Albrecht RM. Patient safety: The what, how, and when. The American Journal of Surgery. 2015.
[17] Article O, Ghahramanian A, Rezaei T, Abdullahzadeh F, Sheikhalipour Z, Dianat I. Quality of healthcare services and its relationship with patient safety culture and nurse-physician professional communication. Health promotion perspectives. 2017;7(3):168–74.
[18] Vaismoradi M. Call for role development and application of the monitoring profile in ADEs and ADRs. Pharmacy. 2018:11–3.
[19] Olsen RM, Bjerkan J. Patient safety culture in Norwegian home health nursing: A cross-sectional study of healthcare provider’s perceptions of the teamwork and safety climates. Safety in Health. 2017:1–8.
[20] Boamah SA, Laschinger HKS, Wong C, Clarke S. Effect of transformational leadership on job satisfaction and patient safety outcomes. Nursing outlook. 2017:1–10.
[21] Nezamodini ZS, Khodamoradi F, Malekzadeh M, Vaziri H. Nursing errors in intensive care unit by human error identification in systems tool: A case study. Jundishapur Journal of Health Sciences. 2016;8(3).
[22] Gaal S, Verstappen W, Wolters R, Lankveld H, van Weel C, Wensing M. Prevalence and consequences of patient safety incidents in general practice in the Netherlands: A retrospective medical record review study. Implementation Science. 2011;6(1):37.
[23] Aranaz-Andrés JM, Aibar C, Limón R, et al. A study of the prevalence of adverse events in primary healthcare in Spain. The European Journal of Public Health. 2012;22(6):921–5.
[24] Nezamodini ZS, Khodamoradi F, Malekzadeh M, Vaziri H. Nursing errors in intensive care unit by human error identification in systems tool: A case study. 2016;(March).
[25] Wang M, Tao H. How does patient safety culture in the surgical departments compare to the rest of the county hospitals in Xiaogan City of China? International journal of environmental research and public health. 2017.
[26] Galvão TF, Elizete M, Araújo DA, Silva MT. Patient safety culture in a university hospital. Revista latino-americana de enfermagem. 2018.
[27] Abdelsalam G, Eldeeb A, Abdallha A, Ghoneim M, Eldesouky EK. Perception of patient safety among nurses at teaching hospital. American Journal of Nursing Science. 2016;5(4):122–8.
[28] Tawfik DS, Thomas EJ, Vogus TJ, et al. Safety climate, safety climate strength, and length of stay in the NICU. BMC health services research. 2019;1:1–11.
[29] Schwendimann R, Blatter C, Dhaini S, Simon M, Ausserhofer D. The occurrence, types, consequences and preventability of in-hospital adverse events – A scoping review. BMC health services research. 2018:1–13.
[30] Padgett J, Gossett K. Improving patient safety through high reliability organizations improving patient safety through high reliability organizations. Qualitative Report.2017;22(2):410–25.