Factors determining safety culture in hospitals: a scoping review
Objective To evaluate and synthesise the factors determining patient safety culture in hospitals.Methods The scoping review protocol was based on the criteria of the Joanna Briggs Institute. Eligibility criteria were as follows: (1) empirical study published in a peer-reviewed journal; (2) used meth...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2023-12-01
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| Series: | BMJ Open Quality |
| Online Access: | https://bmjopenquality.bmj.com/content/12/4/e002310.full |
| _version_ | 1797371003781775360 |
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| author | David W Bates Rhanna Emanuela Fontenele Lima de Carvalho Ania Syrowatka Natália Oliveira Italo Almeida Luana Sousa Jaira Goncalves Milena Gama Ana Paula Alencar |
| author_facet | David W Bates Rhanna Emanuela Fontenele Lima de Carvalho Ania Syrowatka Natália Oliveira Italo Almeida Luana Sousa Jaira Goncalves Milena Gama Ana Paula Alencar |
| author_sort | David W Bates |
| collection | DOAJ |
| description | Objective To evaluate and synthesise the factors determining patient safety culture in hospitals.Methods The scoping review protocol was based on the criteria of the Joanna Briggs Institute. Eligibility criteria were as follows: (1) empirical study published in a peer-reviewed journal; (2) used methods or tools to assess, study or measure safety culture or climate; (3) data collected in the hospital setting and (4) studies published in English. Relevant literature was located using PubMed, CINAHL, Web of Science and PsycINFO databases. Quantitative and qualitative analyses were performed using RStudio and the R interface for multidimensional analysis of texts and questionnaires (IRaMuTeQ).Results A total of 248 primary studies were included. The most used instruments for assessing safety culture were the Hospital Survey on Patient Safety Culture (n=104) and the Safety Attitudes Questionnaire (n=63). The Maslach Burnout Inventory (n=13) and Culture Assessment Scales based on patient perception (n=9) were used in association with cultural instruments. Sixty-six articles were included in the qualitative analysis. In word cloud and similarity analyses, the words ‘communication’ and ‘leadership’ were most prominent. Regarding the descending hierarchical classification analysis, the content was categorised into two main classes, one of which was subdivided into five subclasses: class 1a: job satisfaction and leadership (15.56%), class 1b: error response (22.22%), class 1c: psychological and empowerment nurses (20.00%), class 1d: trust culture (22.22%) and class 2: innovation worker (20.00%).Conclusion The instruments presented elements that remained indispensable for assessing the safety culture, such as leadership commitment, open communication and learning from mistakes. There was also a tendency for research to assess patient and family engagement, psychological safety, nurses’ engagement in decision-making and innovation. |
| first_indexed | 2024-03-08T18:13:37Z |
| format | Article |
| id | doaj.art-4af74fe7ff694997b58b2b378b0de6cb |
| institution | Directory Open Access Journal |
| issn | 2399-6641 |
| language | English |
| last_indexed | 2024-03-08T18:13:37Z |
| publishDate | 2023-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Quality |
| spelling | doaj.art-4af74fe7ff694997b58b2b378b0de6cb2023-12-31T20:50:07ZengBMJ Publishing GroupBMJ Open Quality2399-66412023-12-0112410.1136/bmjoq-2023-002310Factors determining safety culture in hospitals: a scoping reviewDavid W Bates0Rhanna Emanuela Fontenele Lima de Carvalho1Ania Syrowatka2Natália Oliveira3Italo Almeida4Luana Sousa5Jaira Goncalves6Milena Gama7Ana Paula Alencar8General Internal Medicine and Primary Care, Brigham and Women`s Hospital, Boston, Massachusetts, USAHealth Sciences Centre, Universidade Estadual do Ceará, Fortaleza, BrazilGeneral Internal Medicine and Primary Care, Brigham and Women`s Hospital Department of Medicine, Boston, Massachusetts, USAHealth Sciences Centre, Universidade Estadual do Ceara - Campus do Itaperi, Fortaleza, Ceará, BrazilHealth Sciences Centre, Universidade Estadual do Ceara, Fortaleza, Ceará, BrazilHealth Sciences Centre, Universidade Estadual do Ceara - Campus do Itaperi, Fortaleza, Ceará, BrazilHealth Sciences Centre, Universidade Estadual do Ceara - Campus do Itaperi, Fortaleza, Ceará, BrazilHealth Sciences Centre, Universidade Estadual do Ceara - Campus do Itaperi, Fortaleza, Ceará, BrazilHealth Sciences Centre, Universidade Estadual do Ceara - Campus do Itaperi, Fortaleza, Ceará, BrazilObjective To evaluate and synthesise the factors determining patient safety culture in hospitals.Methods The scoping review protocol was based on the criteria of the Joanna Briggs Institute. Eligibility criteria were as follows: (1) empirical study published in a peer-reviewed journal; (2) used methods or tools to assess, study or measure safety culture or climate; (3) data collected in the hospital setting and (4) studies published in English. Relevant literature was located using PubMed, CINAHL, Web of Science and PsycINFO databases. Quantitative and qualitative analyses were performed using RStudio and the R interface for multidimensional analysis of texts and questionnaires (IRaMuTeQ).Results A total of 248 primary studies were included. The most used instruments for assessing safety culture were the Hospital Survey on Patient Safety Culture (n=104) and the Safety Attitudes Questionnaire (n=63). The Maslach Burnout Inventory (n=13) and Culture Assessment Scales based on patient perception (n=9) were used in association with cultural instruments. Sixty-six articles were included in the qualitative analysis. In word cloud and similarity analyses, the words ‘communication’ and ‘leadership’ were most prominent. Regarding the descending hierarchical classification analysis, the content was categorised into two main classes, one of which was subdivided into five subclasses: class 1a: job satisfaction and leadership (15.56%), class 1b: error response (22.22%), class 1c: psychological and empowerment nurses (20.00%), class 1d: trust culture (22.22%) and class 2: innovation worker (20.00%).Conclusion The instruments presented elements that remained indispensable for assessing the safety culture, such as leadership commitment, open communication and learning from mistakes. There was also a tendency for research to assess patient and family engagement, psychological safety, nurses’ engagement in decision-making and innovation.https://bmjopenquality.bmj.com/content/12/4/e002310.full |
| spellingShingle | David W Bates Rhanna Emanuela Fontenele Lima de Carvalho Ania Syrowatka Natália Oliveira Italo Almeida Luana Sousa Jaira Goncalves Milena Gama Ana Paula Alencar Factors determining safety culture in hospitals: a scoping review BMJ Open Quality |
| title | Factors determining safety culture in hospitals: a scoping review |
| title_full | Factors determining safety culture in hospitals: a scoping review |
| title_fullStr | Factors determining safety culture in hospitals: a scoping review |
| title_full_unstemmed | Factors determining safety culture in hospitals: a scoping review |
| title_short | Factors determining safety culture in hospitals: a scoping review |
| title_sort | factors determining safety culture in hospitals a scoping review |
| url | https://bmjopenquality.bmj.com/content/12/4/e002310.full |
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