Investigation of nurses' perceptions of patient safety culture (PSC) might be beneficial in identifying safety areas that need improvement, especially during the COVID-19 pandemic. The study reports on the PSC in primary care from the nurses' perspective during the pandemic. Nurses (n = 117) evaluated teamwork (87.3%) and staff training (80.9%) positively but work pressure and pace (26.1%) and patient care tracking (45.3%) concerning PSC dimensions negatively. Limited care coordination and continuity lead to patient hospitalizations and care fragmentation. However, regular assessment of PSC can lead to adopting the necessary strategies to reinforce weaknesses and thus improve patient safety in primary care.
Introduction: Safety climate consists of individual dimensions that might be assessed using specific instruments, e.g., the Hospital Survey on Patient Safety Culture (HSOPS). Establishing the safety climate in healthcare facilities leads to improvements in patient safety.Aim: To assess the safety climate at university hospitals in the Slovak Republic from the nurses’ perspective and to determine the relationship between organisational variables and the particular components of the safety climate.Methods: The study has a cross-sectional design. Data were collected using the HSOPS between December 2017 and July 2018. Two university hospitals participated in the study and overall 280 respondents were included. Respondents were recruited through the purposive sampling method. Data were analysed by descriptive and inductive statistics in the statistical programme SPSS 25.0.Results: Results indicate that in the university hospitals there is a low-level of safety climate. The significant relationship was proved between organisational variables such as the experience in the current position, leaving intention, overtime, perception of staff adequacy, unit type, nurse-patient ratio, and the particular components of the safety climate.Conclusion: Our findings may help hospital management to raise the awareness of the safety climate and to gain a sophisticated overview of the particular components of the safety climate. Adding new organisational variables may help to assess the safety climate from multiple perspectives and, thus, identify areas contributing to patient safety.
Aim: To identify instruments measuring patient safety culture from the perspective of nursing students and to assess the content and reported psychometric properties of these instruments. Design: A narrative literature review. Methods: The search was carried out (according to institutional availability) in three scientific databases: ProQuest, PubMed, and Scopus. The search produced a total of 645 studies published up to May 2021. For data analysis, a summative content method was used. Results: We identified 12 instruments for measuring patient safety culture from the perspective of nursing students. Four instruments were designed to assess the perception of patient safety culture in the workplace, and eight instruments were designed for assessing nursing students' competencies in patient safety culture. Conclusion: The instruments share a core set of domains. However, details on conceptualisation, and methodological rigor differed substantially. Moreover, data on psychometric properties have not been published for most instruments. The absence of well-established instruments calls for further research.
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