Patient safety culture among nurses working in Palestinian governmental hospital: a pathway to a new policy

Abstract

Background Providing safe care helps to reduce mortality, morbidity, length of hospital stay and cost. Patient safety is highly linked to attitudes of health care providers, where those with more positive attitudes achieve higher degrees of patient safety. This study aimed to assess attitudes of nurses working in governmental hospitals in the Gaza-Strip toward patient safety and to examine factors impacting their attitudes. Methods This is a cross-sectional, descriptive study with a convenient sample of 424 nurses, working in four governmental hospitals. The Attitudes to Patient Safety Questionnaire III, a validated tool consisting of 29 items that assesses patient safety attitudes across nine main domains, was used. Results Nurses working in governmental hospitals showed overall only slightly positive attitudes toward patient safety with a total score of 3.68 on a 5-point Likert scale, although only 41.9% reported receiving patient safety training previously. The most positive attitudes to patient safety were found in the domains of ‘working hours as a cause of error’ and ‘team functioning’ with scores of 3.94 and 3.93 respectively, whereas the most negative attitudes were found in ‘importance of patient safety in the curriculum’ with a score of 2.92. Most of the study variables, such as age and years of experience, did not impact on nurses’ attitudes. On the other hand, some variables, such as the specialty and the hospital, were found to significantly influence reported patient safety attitudes with nurses working in surgical specialties, showing more positive attitudes. Conclusion Despite the insufficient patient safety training received by the participants in this study, they showed slightly positive attitudes toward patient safety with some variations among different hospitals and departments. A special challenge will be for nursing educators to integrate patient safety in the curriculum, as a large proportion of the participants did not find inclusion of patient safety in the curriculum useful. Therefore, this part of the curriculum in nurses’ training should be targeted and developed to be related to clinical practice. Moreover, hospital management has to develop non-punitive reporting systems for adverse events and use them as an opportunity to learn from them.

Patient safety culture in Palestine: university hospital nurses’ perspectives

“…Nurses account for about 50% of global healthcare personnel [7]. In Palestine, they are the majority and the backbone of the health care system [8]. Nurses spend most of their time with their patients, and they are essential in any healthcare organization to ensure patient safety [9].…”

Correlación del grado de percepción y cultura de seguridad del paciente en una Institución de tercer nivel 2015-2019

“…Cabe recalcar que a diferencia de otros países la mayoría de hospitales participantes estuvieron acreditados 12 . Durante todos estos años, millones de dólares se han invertido para continuar la investigación en la evidencia científica de las prácticas seguras, educación alrededor del tema, buscando disminuir cada vez más la posibilidad de tener eventos adversos prevenibles durante la atención "Un patrón integrado de comportamiento individual y organizacional, basado en creencias y valores compartidos que continuamente busca minimizar el daño al paciente, que puede resultar de los procesos de atención" 6 médica, sin embargo, la alta prevalencia de reportes de eventos adversos a nivel mundial, la seguridad del paciente sigue siendo una prioridad global [13][14][15] .…”

Núcleos de Segurança do Paciente no Brasil: Um estudo transversal

“…Corroborando a estas informações, um estudo realizado em hospitais sentinela de São Paulo também mostrou como a integração dos diferentes processos de gestão de risco desenvolvidos no serviço é desafiador, apenas um hospital afirmou conseguir realizar de forma total, sendo que a grande maioria o faz de forma parcial (Macedo & Boliomol, 2019). Porém, é imprescindível que o NSP contenha representantes e profissionais das diferentes áreas dentro da instituição, sendo que o trabalho em equipe reflete grande impacto na segurança do paciente, sendo considerado um fator determinante para a prevenção de falhas e eventos adversos (Brasil, 2013c,Andrade, et al, 2018,Abu-El-Noor, et al, 2019.…”