Aims and objectives
To assess the perceptions of clinical practitioners regarding the different dimensions of patient safety culture in their hospital and examine the work‐related predictors of patient safety culture perceptions.
Background
Patient safety is seen as a progressively critical focus in healthcare areas worldwide. Saudi Arabia aims to improve healthcare quality by providing access to healthcare for its increasing population. Hence, constantly assessing the patient safety culture of healthcare facilities in the country is imperative.
Design
One‐sample correlational survey design.
Methods
The Hospital Survey of Patients' Safety Culture was used to survey the total population sample of 181 healthcare practitioners in a Saudi hospital from December 2018–January 2019. Strengths and weaknesses on PS culture were identified as perceived by the clinical practitioners. Regression analysis was performed to identify the work‐related predictors of patient safety culture perceptions. The study followed the STROBE guideline.
Results
Nine of the 12 dimensions measured were identified as patient safety culture weaknesses, including ‘management support for patient safety’ (49.2%), ‘teamwork across unit’ (44.2%), ‘frequency of events reporting’ (43.1%), ‘communication openness’ (41.3%), ‘overall perception of patient safety’ (38.7%), ‘supervisor/manager expectations and actions promoting patient safety’ (32.9%), ‘staffing’ (23.7%), ‘hospital handoffs and transitions’ (19.6%) and ‘non‐punitive response to errors’ (15.8%). None of the dimensions were identified as strengths by the respondents. Working hours per week and staff position were identified as significant predictors.
Conclusions
The study underscores the urgent need to improve the patient safety culture of the hospital.
Relevance to clinical practice
Hospital administrators should highlight initiatives on positive patient safety impact plan for clinical practitioners and patients, such as monitoring, reporting and strictly adhering to hospital activities that reduce the risks associated with exposure to medical care.
Previous studies showed that student nurses faced difficulties in clinical practice; thus, this study examined the clinical challenges encountered by Saudi nationals and the implications to learning outcomes using the descriptive cross-sectional approach. The study was conducted in nursing college in a university in Riyadh, Saudi Arabia. The survey questionnaires were completed by 220 conveniently selected student nurses who were enrolled in Bachelor’s Degree in Nursing from the academic level 5 to 8. Data analysis was done through the Statistical Package for the Social Sciences version 23. Clinical evaluation was perceived as the most common challenge, whereas competency development as the least. Significant associations were found between age and evaluation, academic level and competency development, and grade point average and learning outcomes. Nursing competency development significantly varied with civil status and stream of study. Students in the Regular Nursing Program faced more challenges in achieving learning outcomes then their counterparts. Overall, the challenges were perceived as occasional. Resolving clinical obstacles is crucial in helping student nurses achieve positive learning outcomes.
Competency is the basic standard for all healthcare professionals when providing care to recipients. The practice of good nursing begins primarily in the study of the nursing program and in the preparation of a nurse with high efficiency in nursing skills. This paper presents the concept of nursing competencies for Saudi nursing and its importance in implementing the national transition program 20/30, and the nursing competencies framework related to the graduate of the Bachelor of Nursing and the methods used in response to the needs of the academic and educational environment, and the stages to develop a competency-based approach.
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