Assessing patient safety culture in obstetrics ward: A pilot study using a modified Manchester Patient Safety Framework in China

Abstract Aim The primary objective of this study was to assess the patient safety culture in a general hospital in Shanghai, China, through a modified Manchester Patient Safety Framework (MaPSaF). Design This study has a qualitative interview design. Data were collected through group interviews and...

Full description

Bibliographic Details
Main Authors: Li‐juan Wang, XiaoLing Wang, Min Zou, Li‐ping Jiang, Hui‐rong Ding
Format: Article
Language:English
Published: Wiley 2023-02-01
Series:Nursing Open
Subjects:
Online Access:https://doi.org/10.1002/nop2.1332
_version_ 1797955477783445504
author Li‐juan Wang
XiaoLing Wang
Min Zou
Li‐ping Jiang
Hui‐rong Ding
author_facet Li‐juan Wang
XiaoLing Wang
Min Zou
Li‐ping Jiang
Hui‐rong Ding
author_sort Li‐juan Wang
collection DOAJ
description Abstract Aim The primary objective of this study was to assess the patient safety culture in a general hospital in Shanghai, China, through a modified Manchester Patient Safety Framework (MaPSaF). Design This study has a qualitative interview design. Data were collected through group interviews and analyses performed through content analysis. Methods The MaPSaF was translated into Chinese and used to assess the patient safety culture in a large general hospital in Shanghai, China. Group interviews using the MaPSaF were conducted with 15 nurses in the obstetric ward. Participants rated their safety practice individually on each of the nine MaPSaF safety culture dimensions. The dimensions and scores were then collectively discussed and a practice‐wide consensus score for each dimension was agreed. Discussions were recorded, transcribed and analysed to assess patient safety in the obstetric ward. Results It took about 2 hr to complete the discussion focusing on patients' safety employing the MaPSaF. Most participants recognized the process as acceptable and useful. The MaPSaF directed team discussion about patient safety issues and facilitated communication, prompting some practice changes. All participants responded positively to the discussion and perceived MaPSaF as a good safety culture assessment tool, with clear, comprehensive and understandable entries. The process demonstrated that the department of obstetrics in the hospital already had a positive patient safety culture, but certain areas were highlighted as still needing improvement. Based on participants' positive experience and perception of the MaPSaF, it can be concluded that there is potential benefit in its adaptation and use in obstetrics wards of Chinese hospitals. The MaPSaF has the potential to strengthen existing safety cultures and improve general safety through collaborative measures.
first_indexed 2024-04-10T23:33:46Z
format Article
id doaj.art-3a6d69207d594c79b9fa18b3c3bdfa2b
institution Directory Open Access Journal
issn 2054-1058
language English
last_indexed 2024-04-10T23:33:46Z
publishDate 2023-02-01
publisher Wiley
record_format Article
series Nursing Open
spelling doaj.art-3a6d69207d594c79b9fa18b3c3bdfa2b2023-01-12T04:15:29ZengWileyNursing Open2054-10582023-02-0110265866410.1002/nop2.1332Assessing patient safety culture in obstetrics ward: A pilot study using a modified Manchester Patient Safety Framework in ChinaLi‐juan Wang0XiaoLing Wang1Min Zou2Li‐ping Jiang3Hui‐rong Ding4Department of Obstetric Xinhua Hospital affiliated to Shanghai Jiaotong University School of Medicine Shanghai ChinaDepartment of Endocrinology Xinhua Hospital affiliated to Shanghai Jiaotong University School of Medicine Shanghai ChinaDepartment of Emergency Xinhua Hospital affiliated to Shanghai Jiaotong University School of Medicine Shanghai ChinaDepartment of Nursing Xinhua Hospital affiliated to Shanghai Jiaotong University School of Medicine Shanghai ChinaDepartment of Nursing Xinhua Hospital affiliated to Shanghai Jiaotong University School of Medicine Shanghai ChinaAbstract Aim The primary objective of this study was to assess the patient safety culture in a general hospital in Shanghai, China, through a modified Manchester Patient Safety Framework (MaPSaF). Design This study has a qualitative interview design. Data were collected through group interviews and analyses performed through content analysis. Methods The MaPSaF was translated into Chinese and used to assess the patient safety culture in a large general hospital in Shanghai, China. Group interviews using the MaPSaF were conducted with 15 nurses in the obstetric ward. Participants rated their safety practice individually on each of the nine MaPSaF safety culture dimensions. The dimensions and scores were then collectively discussed and a practice‐wide consensus score for each dimension was agreed. Discussions were recorded, transcribed and analysed to assess patient safety in the obstetric ward. Results It took about 2 hr to complete the discussion focusing on patients' safety employing the MaPSaF. Most participants recognized the process as acceptable and useful. The MaPSaF directed team discussion about patient safety issues and facilitated communication, prompting some practice changes. All participants responded positively to the discussion and perceived MaPSaF as a good safety culture assessment tool, with clear, comprehensive and understandable entries. The process demonstrated that the department of obstetrics in the hospital already had a positive patient safety culture, but certain areas were highlighted as still needing improvement. Based on participants' positive experience and perception of the MaPSaF, it can be concluded that there is potential benefit in its adaptation and use in obstetrics wards of Chinese hospitals. The MaPSaF has the potential to strengthen existing safety cultures and improve general safety through collaborative measures.https://doi.org/10.1002/nop2.1332MaPSaFobstetrics nursingpatient safety culturepilot study
spellingShingle Li‐juan Wang
XiaoLing Wang
Min Zou
Li‐ping Jiang
Hui‐rong Ding
Assessing patient safety culture in obstetrics ward: A pilot study using a modified Manchester Patient Safety Framework in China
Nursing Open
MaPSaF
obstetrics nursing
patient safety culture
pilot study
title Assessing patient safety culture in obstetrics ward: A pilot study using a modified Manchester Patient Safety Framework in China
title_full Assessing patient safety culture in obstetrics ward: A pilot study using a modified Manchester Patient Safety Framework in China
title_fullStr Assessing patient safety culture in obstetrics ward: A pilot study using a modified Manchester Patient Safety Framework in China
title_full_unstemmed Assessing patient safety culture in obstetrics ward: A pilot study using a modified Manchester Patient Safety Framework in China
title_short Assessing patient safety culture in obstetrics ward: A pilot study using a modified Manchester Patient Safety Framework in China
title_sort assessing patient safety culture in obstetrics ward a pilot study using a modified manchester patient safety framework in china
topic MaPSaF
obstetrics nursing
patient safety culture
pilot study
url https://doi.org/10.1002/nop2.1332
work_keys_str_mv AT lijuanwang assessingpatientsafetycultureinobstetricswardapilotstudyusingamodifiedmanchesterpatientsafetyframeworkinchina
AT xiaolingwang assessingpatientsafetycultureinobstetricswardapilotstudyusingamodifiedmanchesterpatientsafetyframeworkinchina
AT minzou assessingpatientsafetycultureinobstetricswardapilotstudyusingamodifiedmanchesterpatientsafetyframeworkinchina
AT lipingjiang assessingpatientsafetycultureinobstetricswardapilotstudyusingamodifiedmanchesterpatientsafetyframeworkinchina
AT huirongding assessingpatientsafetycultureinobstetricswardapilotstudyusingamodifiedmanchesterpatientsafetyframeworkinchina