Assessment of patient safety culture perception among healthcare workers in intensive care units of Alexandria Main University Hospital, Egypt

Foda, Eman Samy Ibrahim; Ibrahim, Afaf Gaber; Ali, Aida Mohey Mohamed; Elmenshawy, Ahmed; Elweshahi, Heba

doi:10.1080/20905068.2020.1832648

Cited by 6 publications

(5 citation statements)

References 28 publications

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“…Only 40 (4.5%) included studies reported the use of incentives for participation, such as the distribution of ballots for gift certificates,35 raffles for various prizes33 or compensation checks after questionnaire completion 36. Staff time constraints was a common reason provided for low response 36 37. Poor timing was particularly identified as an issue during the COVID-19 pandemic, with increased hospital staff workloads and additional ethical constraints in data collection at this time 38–40…”

Section: Resultsmentioning

confidence: 99%

Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis

et al. 2022

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Objectives Safety culture questionnaires are widely used in healthcare to understand how staff feel at work, their attitudes and views, and the influence this has on safe and high-quality patient care. A known challenge of safety culture questionnaires is achieving high response rates to enhance reliability and validity. This review examines predictors of response rates, explores reasons provided for low response rates and identifies strategies to improve those rates. Methods Four bibliometric databases were searched for studies assessing safety culture in hospitals from January 2008 to May 2022. Data were extracted from 893 studies that included a safety culture questionnaire conducted in the hospital setting. Regression was used to predict response rate based on recruitment and data collection methods (incentives, reminders, method of survey administration) and country income classification. Reasons for low response were thematically analysed and used to identify strategies to improve response rates. Results Of the 893 studies that used a questionnaire to assess safety culture in hospitals, 75.6% reported a response rate. Response rates varied from 4.2% to 100%, with a mean response rate of 66.5% (SD=21.0). Regression analyses showed that safety culture questionnaires conducted in low-income and middle-income countries were significantly more likely to yield a higher response rate compared with high-income countries. Mode of administration, questionnaire length and timing of administration were identified as key factors. Remote methods of questionnaire data collection (electronic and by post) were significantly less likely to result in a higher response rate. Reasons provided for low response included: survey fatigue, time constraints, and lack of resources. Conclusion This review presents strategies for researchers and hospital staff to implement when conducting safety culture questionnaires: principally, distribute questionnaires in-person, during meetings or team training sessions; use a local champion; and consider the appropriate time of distribution to manage survey fatigue.

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Section: Resultsmentioning

confidence: 99%

Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis

et al. 2022

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“…This negative attitude was highlighted in studies conducted in the study settings [ 49 – 51 ]. Poor prevailing patient safety culture is a another concern explaining missed perioperative nursing care since previous works in the study settings found poor perception of healthcare providers for patient safety culture [ 52 – 54 ]. Poor staff compliance with patient safety guidelines as well as lack of awareness about risk mitigation are also critical factors explaining the missed care items in our study.…”

Section: Discussionmentioning

confidence: 99%

Job embeddedness and missed nursing care at the operating theatres: the mediating role of polychronicity

El-Sayed,

Asal,

Shaheen

et al. 2023

BMC Nurs

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Background Perioperative missed nursing care is a serious issue that can compromise patient safety and quality of care. However, little is known about the factors that influence perioperative missed nursing care. Aim This study aimed to examine the effects of job embeddedness and polychronicity on perioperative missed nursing care as well as to test the mediating role of polychronicity on the relationship between job embeddeness and perioperative missed nursing care. Method This was a cross-sectional correlational study that used a convenience sample of 210 operating room nurses from nine hospitals in Egypt. Data were collected using self-administered questionnaires that measured job embeddedness, polychronicity, and perioperative missed nursing care. Structural equation modeling was used to test the hypothesized relationships among the variables. Results The findings demonstrated a significant negative and moderate association between missed perioperative care and both nurses’ job embeddedness and polychronicity. Moreover, there was a moderately positive and significant correlation between polychronicity and job embeddedness. Path analysis revealed a significant positive causal effect between job embeddedness and polychronicity. The results of mediation revealed that the indirect effect of job embeddedness on missed care through polychronicity was statistically significant; suggesting that polychronicity partially mediated this relationship. Conclusion This study sheds light on the intricate relationship between nurses’ job embeddedness, missed care, and polychronicity in the operating theater context. By enhancing job embeddedness and fostering polychronicity among nurses, healthcare organizations can reduce perioperative missed care and ultimately improve patient care outcomes in this critical healthcare setting.

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“…37 Similarly, in a third study conducted among physicians and nurses in the intensive care units in Alexandria University Hospital in August 2018-January 2019, the dimension ''non-punitive response to errors" had the lowest scores, compared to other safety culture dimensions by respondents. 38 The minimal influence of fear on reporting behaviors could be explained by the anonymous and confidential nature of the Egyptian reporting system. Additionally, in this study, the reporting was limited to the clinical pharmacists, who are mostly not involved in the error.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, attitudes and practices of clinical pharmacists to medication error reporting in ministry of health and population hospitals in Egypt

Elshoura

Mosallam

2022

Journal of Patient Safety and Risk Management

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Objective This study aimed to assess the knowledge, attitudes and practices toward medication errors (MEs) reporting among pharmacists working in Ministry of Health and Population (MOHP) hospitals in Alexandria. Methods A cross-sectional study was conducted among all pharmacists who are responsible for reporting medication errors in the Egyptian online reporting system (NO HARMe). Results The majority of pharmacists received training on MEs reporting using the Egyptian online reporting system. Around half of the pharmacists knew the correct definition for medication errors. All respondents were aware of the presence of a MEs reporting system in Egypt. Clinical pharmacists’ attitudes towards MEs reporting was favorable with an overall mean score of 4.20 ± 0.73 in a score ranging from 1 (most unfavorable attitudes score) to 5 (most favorable score). Only 60.7% of the surveyed pharmacists used the system to report MEs. Antibiotics were the most frequent drug category reported and the prescribing stage was the stage in which pharmacists perceived the greatest volume of reports were made (89.3% and 71.4%, respectively). Lack of time was the most frequently identified barrier to reporting, followed by lack of feedback to the report submitted (73.2%, 54.5%, respectively). Inconsistent with the results of other studies, fear from legal consequences and being recognized as an incompetent provider was reported by only 12.5% and 11.6% of pharmacists, respectively. Conclusion The majority of pharmacists have good knowledge and favorable attitudes towards medication error reporting, however around two fifths do not report medication errors.

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Assessment of patient safety culture perception among healthcare workers in intensive care units of Alexandria Main University Hospital, Egypt

Cited by 6 publications

References 28 publications

Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis

Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis

Job embeddedness and missed nursing care at the operating theatres: the mediating role of polychronicity

Knowledge, attitudes and practices of clinical pharmacists to medication error reporting in ministry of health and population hospitals in Egypt

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