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

Abstract

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.

Social determinants of mental health of women living in slum: a systematic review

“…Health is a prerequisite for social roles; therefore, all human beings can be fully active in society if they are healthy. Health has many dimensions, one of which is mental health [ 7 ].…”

Intervenções educativas para promoção da cultura de segurança do paciente: Revisão integrativa / Educational interventions to promote a culture of patient safety: An integrative review

“…[20][21][22][23] Foram publicados dois artigos em 2013 [24][25] , 2015 [26][27] e 2020. [28][29] E, um artigo publicado em cada um dos seguintes anos: 2009 30 , 2011 31 , 2014 32 , 2018 33 e 2019. 34 Entre os países de origem das publicações, observa-se que a maior parte dos artigos foram desenvolvidos nos Estados Unidos da América (n=5) [23][24][25][30][31] , seguido da Jordânia 29,32 e Irã 28,33 (n=2, em cada localidade).…”

“…[28][29] E, um artigo publicado em cada um dos seguintes anos: 2009 30 , 2011 31 , 2014 32 , 2018 33 e 2019. 34 Entre os países de origem das publicações, observa-se que a maior parte dos artigos foram desenvolvidos nos Estados Unidos da América (n=5) [23][24][25][30][31] , seguido da Jordânia 29,32 e Irã 28,33 (n=2, em cada localidade). E, um artigo publicado em cada uma das seguintes localidades: Suécia 27 , Arábia Saudita 26 , Taiwan 22 , Alemanha 21 , China 20 e Egito.…”

“…Das 15 publicações, uma se enquadravam ao nível de evidência II 33 , oito ao nível de evidência III 20,24,[26][27][28][29]32,34 e seis ao nível de evidência VI. [21][22][23]25,[30][31] Relacionado as estratégias educativas empregadas nas intervenções, a maioria (n=12) utilizou mais de uma estratégia educativa.…”

“…[21][22][23]25,[30][31] Relacionado as estratégias educativas empregadas nas intervenções, a maioria (n=12) utilizou mais de uma estratégia educativa. [20][21][22][23]25,[27][28][30][31][32][33][34] E, três estudos utilizaram apenas uma estratégia educativa para o aprimoramento da cultura de segurança do paciente. 24,26,29 Brazilian Journal of Development, Curitiba, v.7, n.12, p.122034-122053 dec. 2021…”