Assessment of patient safety climate by nurses in Slovak Public and private hospitals

Gurková, Elena; Kalánková, Dominika; Kurucová, Radka; Žiaková, Katarína

doi:10.1111/jonm.13120

Cited by 18 publications

(15 citation statements)

References 36 publications

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“…Several contextual factors should be taken into account while translating nurses’ ideal roles in PC into clinical practice. Important prerequisites which were also already discussed in the literature were: sufficient education [ 32 , 33 ], knowledge (more pharmacology and pharmacotherapeutics) [ 34 , 35 ], an interprofessional collaborative approach [ 1 , 36 ], confidence in nurses [ 37 , 38 ], an open blame-free culture with clarity of team composition and roles [ 39 , 40 ], equality between professionals [ 41 ], adjusted legislation [ 42 ], readiness of professionals and patients to allow nurses to have responsibilities in PC [ 43 ], and a manageable workload leaving “time to care” [ 44 , 45 ]. Lack of time, shortage of nurses, absent legal frameworks and limited education and knowledge were described as main threats.…”

Section: Discussionmentioning

confidence: 99%

Perspectives of nurses’ role in interprofessional pharmaceutical care across 14 European countries: A qualitative study in pharmacists, physicians and nurses

et al. 2021

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Objectives To understand healthcare professionals’ experiences and perceptions of nurses’ potential or ideal roles in pharmaceutical care (PC). Design Qualitative study conducted through semi-structured in-depth interviews. Setting Between December 2018 and October 2019, interviews were conducted with healthcare professionals of 14 European countries in four healthcare settings: hospitals, community care, mental health and long-term residential care. Participants In each country, pharmacists, physicians and nurses in each of the four settings were interviewed. Participants were selected on the basis that they were key informants with broad knowledge and experience of PC. Data collection and analysis All interviews were conducted face to face. Each country conducted an initial thematic analysis. Consensus was reached through a face-to-face discussion of all 14 national leads. Results 340 interviews were completed. Several tasks were described within four potential nursing responsibilities, that came up as the analysis themes, being: 1) monitoring therapeutic/adverse effects of medicines, 2) monitoring medicines adherence, 3) decision making on medicines, including prescribing 4) providing patient education/information. Nurses’ autonomy varied across Europe, from none to limited to a few tasks and emergencies to a broad range of tasks and responsibilities. Intended level of autonomy depended on medicine types and level of education. Some changes are needed before nursing roles can be optimised and implemented in practice. Lack of time, shortage of nurses, absence of legal frameworks and limited education and knowledge are main threats to European nurses actualising their ideal role in PC. Conclusions European nurses have an active role in PC. Respondents reported positive impacts on care quality and patient outcomes when nurses assumed PC responsibilities. Healthcare professionals expect nurses to report observations and assessments. This key patient information should be shared and addressed by the interprofessional team. The study evidences the need of a unique and consensus-based PC framework across Europe.

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Section: Discussionmentioning

confidence: 99%

Perspectives of nurses’ role in interprofessional pharmaceutical care across 14 European countries: A qualitative study in pharmacists, physicians and nurses

et al. 2021

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“…In contrast, studies in other Latin American countries (Arrieta et al , 2018) and Europe (Gurková et al , 2020) have found stronger perceptions of patient safety culture perceived in private institutions than in public institutions. This suggests that perceptions of patient safety conditions are not determined solely by a country's cultural or political history or level of economic development.…”

Section: Discussionmentioning

confidence: 80%

Evaluation of patient safety culture in a private general hospital: a case study in Brazil

Prates

Caregnato

Magalhães

et al. 2021

IJHCQA

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PurposeThe purpose is to assess the patient safety culture perceived by healthcare and administrative staff in a Brazilian hospital and examine whether education and experience are related to positive perceptions.Design/methodology/approachA descriptive–analytical case study was carried out at Ernesto Dornelles Hospital, a private Brazilian institution. The Brazilian version of the Hospital Survey on Patient Safety Culture was used to assess the perceptions of 618 participants, of whom 315 worked in healthcare assistance and 303 in administrative services. The main outcome was the percentage of positive responses, and the independent variables included the type of work, schooling and length of experience.FindingsNone of the twelve dimensions was strengthened. The percentage of positive responses was the highest for “Hospital management support for patient safety” (67.5%), and the lowest was for “Nonpunitive response to error” (29%). The healthcare staff had a slightly higher average than the administrative staff. The percentage of positive responses from professionals with undergraduate or graduate degrees was higher for the eight dimensions of safety culture. The length of hospital experience was not associated with any dimensions.Originality/valueThis study explored the influence of education and professional experience on the perception of patient safety in healthcare and administrative staff from a private institution. These approaches allow to know with greater depth and clarity factors that are related to the patient safety culture and, thus, have more consistent evidence to support interventions in specific needs.

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“…Regarding the use of these instruments in the Czech Republic and Slovakia, only the HSOPS has been tested on a sample of registered nurses in the Czech and Slovak hospital environment (e.g. [32][33][34][35]. However, HSOPS questionnaire was validated for the conditions of the Czech nursing practice revealing the same factor structure as original version (32).…”

Section: Discussionmentioning

confidence: 99%

“…However, HSOPS questionnaire was validated for the conditions of the Czech nursing practice revealing the same factor structure as original version (32). Recently, the validation study of the HSOPS was also conducted within the Slovak nursing practice; nevertheless indicating the eight factor structure (33). To the authorsḱ nowled ge, other instrument measuring patient safety culture has not been used within these two countries.…”

Section: Discussionmentioning

confidence: 99%

How to Measure Patient Safety Culture? a Literature Review of Instruments

Bartoníčková

Kalánková

Žiaková

2021

Acta Medica Martiniana

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Introduction: Patient safety culture is described as employees’ shared values, attitudes, and behaviours in a healthcare organization. Its main goal is to improve patient safety. Assessment of patient safety culture in the hospital environment is most often carried out using self-assessment tools. Although several of these tools have been developed, their comprehensive overview is lacking in literature. Aim: To provide an overview of instruments measuring patient safety culture in a hospital setting. Methods: The study has a character of a narrative literature review. The search was performed in the scientific databases Scopus, ProQuest, and PubMed in January 2021. The search produced a total of 1,767 studies and was limited to language (English). The search and the retrieval process reflected PRISMA’s recommendations. The content analysis method was used in the data synthesis. Results: We identified 24 tools for assessing the patient safety culture in a hospital setting, of which seven were developed for specific workplaces; others are considered general. Eighteen tools might be utilized by all healthcare professionals within the hospital setting and only three were designated explicitly for nurses. The most commonly used instruments were the Hospital Survey on Patient Culture and the Safety Attitudes Questionnaire. Conclusion: Assessing a patient safety culture is considered one of the strategies for improving patient safety while increasing care quality. An appropriate tool’s choice depends on the target population, the instrument’s validity and reliability, and other aspects. Awareness of the various assessment tools can help hospitals choose the one that best suits their circumstances.

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Assessment of patient safety climate by nurses in Slovak Public and private hospitals

Abstract: Brborović, Brumen, & Mustajbegović, 2014). Patient safety is considered an international priority area with a focus on prevention strategies aimed at reducing the risk of adverse events or near misses.

Cited by 18 publications

References 36 publications

Perspectives of nurses’ role in interprofessional pharmaceutical care across 14 European countries: A qualitative study in pharmacists, physicians and nurses

Perspectives of nurses’ role in interprofessional pharmaceutical care across 14 European countries: A qualitative study in pharmacists, physicians and nurses

Evaluation of patient safety culture in a private general hospital: a case study in Brazil

How to Measure Patient Safety Culture? a Literature Review of Instruments

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