Mental health nurses’ perceptions of patient safety culture in psychiatric settings

Hamaideh, Shaher H.

doi:10.1111/inr.12345

Cited by 32 publications

(24 citation statements)

References 30 publications

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“…The PSC dimensions "Teamwork within units," and "Supervisor/ manager expectations & actions regarding patient safety" received the highest scores in both study phases and at both hospitals. This result agrees with what has been reported in other studies (Hamaideh, 2017;Saleh, Darawad, & Al-Hussami, 2015;Vlayen et al, 2015) and indicates that managers seriously consider actions that could improve patient safety. We highlight this finding because forensic nurses have repeatedly expressed a strong desire for transparent and close interaction between managers and staff (Kuosmanen et al, 2017).…”

Section: Discussionsupporting

confidence: 92%

“…The handout was based on examples of incidents and opportunities for improvement that can also increase staff awareness of patient safety. Effective communication among healthcare professionals is a common, yet critical, method for improving patient safety, as it helps staff prevent and respond to adverse events, as well as give feedback about reported mistakes (Boussat, Bougerol, Detante, Seigneurin, & François, ; Hamaideh, ). However, this requires substantial effort, with the management´s commitment to a culture of safety providing an example for the whole organisation (El‐Jardali et al, ).…”

Section: Discussionmentioning

confidence: 99%

“…To the best of our knowledge, only a limited number of studies have examined the role of PSC in a psychiatric setting (Dewa et al, 2018;Hamaideh, 2017;Vlayen, Hellings, Claes, Abdou, & Schrooten, 2015). Previous studies on patient safety in psychiatric care have focused on, for example, incidents/errors or adverse events such as medical errors, violent patient situations, and physical restraint or seclusion (Brickell et al, 2009;Hanrahan, Kumar, & Aiken, 2010;Jeffs, Rose, Macrae, Maione, & Macmillan, 2012;True et al, 2017).…”

mentioning

confidence: 99%

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Changes in patient safety culture: A patient safety intervention for Finnish forensic psychiatric hospital staff

et al. 2019

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Aim To evaluate how a 3‐year patient safety intervention, more specifically, the implementation of a patient safety incident reporting system, influences patient safety culture. Background Positive patient safety culture improves both the quality of health care and patient safety. Nevertheless, nursing managers need tools that can help them develop and evaluate patient safety culture. Methods The Hospital Survey on Patient Safety Culture was used to evaluate patient safety culture at two Finnish forensic psychiatric hospitals (study and control) over two periods, baseline and follow‐up. Data were analysed using Z‐score and T test statistics. Results The follow‐up results from the study hospital showed that five patient safety culture dimensions exhibited a significantly (p < 0.05) positive change in positive response rates over the 3‐year period. Furthermore, nine out of twelve patient safety culture dimensions at the study hospital showed a significant improvement in mean score. At the control hospital, only the dimension of frequency of reporting events showed a significantly positive change (p < 0.05) in mean score. Conclusion This research shows that the studied patient safety intervention (implementation of the patient safety incident reporting system) significantly influences patient safety culture. Implications for Nursing Management Nursing managers should utilize a variety of patient safety interventions to improve patient safety and focus on leveraging information from patient safety incidents to advance patient safety culture.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Changes in patient safety culture: A patient safety intervention for Finnish forensic psychiatric hospital staff

et al. 2019

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“…The results of other studies are consistent with our findings [4,[29][30][31][32]. For example, the study conducted in Jordan aiming at assessing mental health nurses' perception of patient safety culture in the field of psychiatry demonstrated that two-thirds of nurses assessed patient safety as very good or excellent [29]. Also, the results of the study by Ricklin et al (2019) in Switzerland indicated that patient safety is held to be crucial in this center so that 78% of physicians and 60% of nurses assessed patient safety in the study as very good and excellent [30].…”

Section: Discussionsupporting

confidence: 94%

“…Besides, most participants assessed patient safety as acceptable before intervention whereas they assessed it as very good immediately after and 1 month after educational intervention. The results of other studies are consistent with our findings [4,[29][30][31][32]. For example, the study conducted in Jordan aiming at assessing mental health nurses' perception of patient safety culture in the field of psychiatry demonstrated that two-thirds of nurses assessed patient safety as very good or excellent [29].…”

Section: Discussionsupporting

confidence: 91%

The effect of education around ethical principles on nurses’ perception to patient safety culture in an Iranian mental health inpatient unit: a pilot study

et al. 2020

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Background & objectives: Patient safety is a crucial factor in the provision of quality healthcare and is therefore a global health concern. It is an area in which ethical concerns and high-quality clinical practice are inextricably linked. This study investigates the effect of education around ethical principles on nurses' perception of patient safety in a psychiatric unit. Materials & methods: This pre-and post-test descriptive study was conducted in a mental health inpatient unit in a hospital in Tehran, capital of Iran, in 2018. A total of 33 nurses, selected by census sampling, participated in the study. Data was collected using a demographics questionnaire and Hospital Survey on Patient Safety Culture (HSOPSC), and was analyzed with SPSS21. Results: The mean score of patient safety was 116.85 ± 9.98 before the educational intervention, 143.58 ± 7.21 immediately after intervention, and 153.12 ± 9.47 1 month after intervention. The rate of error report by most participants over the past 12 months was 3-5 and 6-10 events before intervention, and 6-10 events immediately after and 1 month after intervention. Also, 42.4% of the participants assessed patient safety after intervention as very good and 36.4% assessed it as acceptable and very good 1 month after intervention whereas most of the participants (45.5%) assessed patient safety as acceptable before intervention. Conclusion: Education on ethical principles exerts a positive effect on nurses' perception of patient safety culture. Thus, it is recommended as an effective method of promoting nurses' perception of this variable. In this way, healthcare quality and enhanced patient safety can be achieved.

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Providing a Safe Environment in a Psychiatric Ward: Nurses and Vigilance in Iran

Vahidi

Ebrahimi

Areshtanab

et al. 2018

Issues in Mental Health Nursing

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The aim of this study was to explore nurses' use of vigilance in the provision of inpatient psychiatric care. In this qualitative exploratory descriptive design study, 16 nurses working in inpatient psychiatric units were recruited through purposive sampling. Data were collected by semi-structured interviews and fieldwork observations and analysed using conventional content analysis. According to participants, nurses' vigilance is related to synthesising knowledge, experience, communication, and presence. This conclusion was derived from four main themes: understanding the context of the psychiatric ward; continuous monitoring; cognitive assessments; and involving others. The study highlights the significance of education for all mental health staff and provision of appropriate information to all patients and their companions about psychiatric disorders and the side effects of prescribed medications. Of importance is the skill of active listening to the concerns of patients and the demonstration of commitment by nurses to follow-up on reports from stakeholders. Imparting the skills and experiences of senior nurses to novice nurses and their presence alongside other nurses on work-shifts can be effective in promoting vigilance.

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Mental health nurses’ perceptions of patient safety culture in psychiatric settings

Abstract: Healthcare managers and policy-makers should encourage educational interventions and help to establish a reporting system that focus on improving systems, not on blaming individuals and encourage open communication among mental healthcare workers.

Cited by 32 publications

References 30 publications

Changes in patient safety culture: A patient safety intervention for Finnish forensic psychiatric hospital staff

Changes in patient safety culture: A patient safety intervention for Finnish forensic psychiatric hospital staff

The effect of education around ethical principles on nurses’ perception to patient safety culture in an Iranian mental health inpatient unit: a pilot study

Providing a Safe Environment in a Psychiatric Ward: Nurses and Vigilance in Iran

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