نوع مقاله : مقاله پژوهشی
نویسندگان
- محمد عباسی نیا 1
- عطیه بابایی 1
- حکیمه دهقانی 2
- اشرف خرمی راد 3
- امیر محمد بختیاری 4
- آتنا حکیم زاده 5
- بهمن آقایی 5
1 گروه پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی قم، قم، ایران
2 گروه پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی قم
3 گروه پرستاری دانشگاه علوم پزشکی قم
4 گروه پرستاری، دانشکده پرستاری ومامایی، دانشگاه علوم پزشکی قم
5 گروه پرستاری، دانشکده پرستاری، دانشگاه علوم پزشکی قم
چکیده
زمینه و هدف: صلاحیت حفظ ایمنی بیمار متأثر از فرهنگ ایمنی بیمار است. این مطالعه با هدف تعیین وضعیت فرهنگ ایمنی بیمار و ارتباط آن با صلاحیت حفظ ایمنی بیمار در پرستاران انجام شد.
مواد و روشها: در یک مطالعه مقطعی، 338 پرستار شاغل در بیمارستانهای دانشگاه علوم پزشکی قم به شیوه نمونهگیری سهمیهای و در هر بیمارستان تصادفی، در سال 1402 بررسی شدند. ابزار مورداستفاده، پرسشنامههای فرهنگ ایمنی بیمار و صلاحیت ایمنی بیمار بود. دادهها در نرمافزار SPSS-21 و با استفاده از آزمونهای اماری همبستگی پیرسون و رگرسیون خطی چندمتغیره تجزیه و تحلیل شدند. سطح معناداری 05/0 درنظر گرفته شد.
یافتهها: فرهنگ ایمنی بیمار، در نمونه موردمطالعه در حد متوسط مشاهده شد. نتایج آزمون رگرسیون خطی چندمتغیره نشان داد که تناوب گزارشدهی رخدادها و ارتباطات و ارائه بازخورد در مورد خطاها با صلاحیت ایمنی بیمار، بیشترین ارتباط را داشتند(P<0.05) بهطوری که به ازای هر واحد افزایش در میانگین تناوب گزارشدهی رخدادها، صلاحیت ایمنی بیمار به میزان 19/0 و به ازای هر واحد افزایش در میانگین ارتباطات و ارائه بازخورد در مورد خطاها، صلاحیت ایمنی بیمار به میزان 22/0 افزایش مییابد.
نتیجهگیری: فرهنگ ایمنی بیمار در حد متوسط قرار دارد و با توجه به ارتباط بین فرهنگ ایمنی بیمار و صلاحیت حفظ ایمنی بیمار بر مداخلات ارتقادهنده فرهنگ ایمنی بیمار در بیمارستانها تأکید میگردد.
تازه های تحقیق
https://scholar.google.com/citations?hl=en&user=r2RDM-8AAAAJ
https://scholar.google.com/citations?hl=en&user=q2mHXLUAAAAJ
https://scholar.google.com/citations?hl=en&user=xNJ5OMQAAAAJ
https://scholar.google.com/citations?hl=en&user=cqDNEJcAAAAJ
https://scholar.google.com/citations?hl=en&user=idgUK7gAAAAJ
https://scholar.google.com/citations?hl=en&user=d97CsCUAAAAJ
https://scholar.google.com/citations?hl=en&user=Rw9Er_oAAAAJ
کلیدواژهها
موضوعات
عنوان مقاله [English]
Investigating the Patient Safety Culture and Its Relationship with Patient Safety Competency in Nurses Working in Hospitals of Qom University of Medical Sciences
نویسندگان [English]
- Mohammad Abbasinia 1
- Atye Babaii 1
- Hakimeh Dehghani 2
- ashraf khoramirad 3
- Amirmohammad Bakhtiari 4
- Atena Hakimzadeh 5
- Bahman Aghaie 5
1 School of nursing, Qom University of Medical Sciences. Qom. Iran
2 School of nursing, Qom University of Medical Sciences. Qom. Iran
3 qom university of medical sciences
4 School of nursing, Qom University of Medical Sciences. Qom. Iran
5 School of nursing, Qom University of Medical Sciences. Qom. Iran
چکیده [English]
Introduction: It appears that the ability to maintain patient safety is influenced by the culture of patient safety. This study aimed to determine the status of patient safety culture and its relationship with the competence of maintaining patient safety among nurses working in hospitals affiliated with Qom University of Medical Sciences.
Materials and Methods: In this cross-sectional study, 338 nurses employed in the hospitals of Qom University of Medical Sciences were examined using quota sampling and random methods in each hospital in 1402. The instruments utilized included patient safety culture and patient safety competency questionnaires. Data were analyzed using SPSS-21 software, applying Pearson correlation and multivariate linear regression, with a significance level set at 0.05.
Results: The patient safety culture among the studied sample was found to be at an average level. Results from the multivariate linear regression analysis indicated that the frequency of reporting events and the effectiveness of communication and feedback about errors were significantly related to patient safety competence (P < 0.05). Specifically, for each unit increase in the average frequency of reporting incidents, patient safety competence increased by 0.19; similarly, for each unit increase in average communication and feedback regarding errors, patient safety competence increased by 0.22.
Conclusion: The patient safety culture is currently at an average level. Given the established relationship between patient safety culture and the competence to maintain patient safety, there is a need for interventions aimed at enhancing patient safety culture within hospitals.
کلیدواژهها [English]
- Intermittent endurance training: ginkgo biloba supplementation: brain
- derived neurotrophic factor: Alzheimer's
- Mohiuddin AK. Patient Safety: A Deep Concern to Caregivers. Innov Pharm. 2019;10(1). 10.24926/iip.v10i1.1639
- Ozer S, Sarsilmaz H, Aktas H, Aykar FS. Attitudes toward patient safety and tendencies to medical error among Turkish cardiology and cardiovascular surgery nurses. Journal of patient safety. 2019;15(1):1-6. 10.1097/PTS.0000000000000202
- Alsulami A, A'Aqoulah A, Almutairi N. Patient safety culture awareness among healthcare providers in a tertiary hospital in Riyadh, Saudi Arabia. Front Public Health. 2022;10:953393. 10.3389/fpubh.2022.953393
- Saeidian N. The experiences of health care staff from the organizational culture of patient safety and error management in educational centers. Quarterly Journal of Nursing Management. 2018;7(2):60-7 http://ijnv.ir/article-1-556-en.html
- Simsekler MCE, Qazi A, Alalami MA, Ellahham S, Ozonoff A. Evaluation of patient safety culture using a random forest algorithm. Reliability Engineering & System Safety. 2020;204:107186. 10.1016/j.ress.2020.107186
- Lee SE, Scott LD, Dahinten VS, Vincent C, Lopez KD, Park CG. Safety culture, patient safety, and quality of care outcomes: a literature review. Western journal of nursing research. 2019;41(2):279-304. 10.1177/0193945917747416
- Mistri IU, Badge A, Shahu S. Enhancing Patient Safety Culture in Hospitals. Cureus. 2023;15(12):e51159. 10.7759/cureus.51159
- Agency for Healthcare Research and Quality R, MD. . Hospital Survey on Patient Safety Culture Content last reviewed May 2022 [Available from: https://www.ahrq.gov/sops/surveys/hospital/index.html
- Elsous A, Akbari Sari A, Rashidian A, Aljeesh Y, Radwan M, AbuZaydeh H. A cross-sectional study to assess the patient safety culture in the Palestinian hospitals: a baseline assessment for quality improvement. JRSM open. 2016;7(12):2054270416675235.
- Asghari-jafarabadi M. Patient safety culture and the factors influencing from the perspective of nurses of Medical Center of Imam Reza (AS) Tabriz. Nursing And Midwifery Journal. 2018;15(10):767-76.
- Lee SE, Lee MH, Peters AB, Gwon SH. Assessment of patient safety and cultural competencies among senior baccalaureate nursing students. International Journal of Environmental Research and Public Health. 2020;17(12):4225. 10.3390/ijerph17124225
- Lawati MHA, Dennis S, Short SD, Abdulhadi NN. Patient safety and safety culture in primary health care: a systematic review. BMC family practice. 2018;19(1):1-12. 10.1186/s12875-018-0793-7
- Kim JJ, Jung HM. Effect of patient safety culture and patient safety competence on safety nursing activity among nurses working in anesthetic and recovery rooms. Journal of Korean Clinical Nursing Research. 2020;26(2):164-74. 10.22650/JKCNR.2020.26.2.164
- Cho SM, Choi J. Patient safety culture associated with patient safety competencies among registered nurses. Journal of Nursing Scholarship. 2018;50(5):549-57. 10.1111/jnu.12413
- Han Y, Kim JS, Seo Y. Cross-Sectional Study on Patient Safety Culture, Patient Safety Competency, and Adverse Events. West J Nurs Res. 2020;42(1):32-40. 10.1177/0193945919838990
- Babaie M, Nourian M, Atashzadeh-Shoorideh F, Manoochehri H, Nasiri M. Psychometric evaluation of the Persian version of the Hospital Survey on Patient Safety Culture Questionnaire (HSOPSC) in neonatal intensive care units: a methodological study. BMC Nurs. 2023;22(1):279. 10.1186/s12912-023-01435-1
- Tai C, Chen D, Zhang Y, Teng Y, Li X, Ma C. Exploring the influencing factors of patient safety competency of clinical nurses: a cross-sectional study based on latent profile analysis. BMC Nursing. 2024;23(1):154. 10.1186/s12912-024-01817-z
- Kakemam E, Albelbeisi AH, Davoodabadi S, Ghafari M, Dehghandar Z, Raeissi P. Patient safety culture in Iranian teaching hospitals: baseline assessment, opportunities for improvement and benchmarking. BMC Health Services Research. 2022;22(1):403. 10.1186/s12913-022-07774-0
- Aljabari S, Kadhim Z. Common Barriers to Reporting Medical Errors. ScientificWorldJournal. 2021;2021:6494889. 10.1155/2021/6494889
- Chegini Z, Kakemam E, Asghari Jafarabadi M, Janati A. The impact of patient safety culture and the leader coaching behaviour of nurses on the intention to report errors: a cross-sectional survey. BMC nursing. 2020;19:1-9. 10.1186/s12912-020-00472-4
- Nurmeksela A, Mikkonen S, Kinnunen J, Kvist T. Relationships between nurse managers’ work activities, nurses’ job satisfaction, patient satisfaction, and medication errors at the unit level: a correlational study. BMC health services research. 2021;21:1-13. 10.1186/s12913-021-06288-5
- Woo MWJ, Avery MJ. Nurses’ experiences in voluntary error reporting: an integrative literature review. International journal of nursing sciences. 2021;8(4):453-69. 10.1016/j.ijnss.2021.07.004
- Afaya A, Konlan KD, Kim Do H. Improving patient safety through identifying barriers to reporting medication administration errors among nurses: an integrative review. BMC health services research. 2021;21:1-10. 10.1186/s12913-021-07187-5
)