Perceptions of Patient Safety Culture among Triage Nurses in the Emergency Department: A Cross-Sectional Study

The patient safety culture is key to ensuring patient safety in healthcare organizations. The triage environment is inherently demanding for patient safety and is characterized by high stress, rapid decision-making, and quick action. In several countries, including Slovenia, there is a lack of studi...

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Main Authors: Zvonka Fekonja, Sergej Kmetec, Nataša Mlinar Reljić, Jožica Černe Kolarič, Majda Pajnkihar, Matej Strnad
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/11/24/3155
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author Zvonka Fekonja
Sergej Kmetec
Nataša Mlinar Reljić
Jožica Černe Kolarič
Majda Pajnkihar
Matej Strnad
author_facet Zvonka Fekonja
Sergej Kmetec
Nataša Mlinar Reljić
Jožica Černe Kolarič
Majda Pajnkihar
Matej Strnad
author_sort Zvonka Fekonja
collection DOAJ
description The patient safety culture is key to ensuring patient safety in healthcare organizations. The triage environment is inherently demanding for patient safety and is characterized by high stress, rapid decision-making, and quick action. In several countries, including Slovenia, there is a lack of studies on the patient safety culture among triage nurses. This study aimed to assess the perceptions of the patient safety culture among triage nurses. A cross-sectional survey design was used. The Emergency Medical Services-Safety Attitudes Questionnaire, distributed to triage nurses, was used to collect data. A total of 201 triage nurses participated in this study. The results revealed that the overall average perception of the patient safety culture was 57.27% (<i>SD</i> = 57.27), indicating that the perception of the patient safety culture among triage nurses in the emergency department was non-positive and requires improvement. “Job Satisfaction” received the highest score (63.18%; <i>SD</i> = 17.19), while “Working Conditions” received the lowest (49.91%; <i>SD</i> = 17.37). The perception of positive and negative safety culture responses was statistically significant for age (<i>χ</i><sup>2</sup> (3) = 17.750, <i>p</i> ≤ 0.001), education (<i>χ</i><sup>2</sup> (2) = 6.957, <i>p</i> = 0.031) and length of working experience (<i>χ</i><sup>2</sup> (3) = 8.875, <i>p</i> = 0.031). The findings emphasize the significance of improving the safety culture in relation to several areas of patient care during the triage process. This research serves as a crucial foundation for enhancing patient safety in triage, providing quality care, and reducing adverse events.
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spelling doaj.art-5236a1e2c1074874b3775e97aa20e1a22023-12-22T14:11:58ZengMDPI AGHealthcare2227-90322023-12-011124315510.3390/healthcare11243155Perceptions of Patient Safety Culture among Triage Nurses in the Emergency Department: A Cross-Sectional StudyZvonka Fekonja0Sergej Kmetec1Nataša Mlinar Reljić2Jožica Černe Kolarič3Majda Pajnkihar4Matej Strnad5Faculty of Health Sciences, University of Maribor, 2000 Maribor, SloveniaFaculty of Health Sciences, University of Maribor, 2000 Maribor, SloveniaFaculty of Health Sciences, University of Maribor, 2000 Maribor, SloveniaFaculty of Health Sciences, University of Maribor, 2000 Maribor, SloveniaFaculty of Health Sciences, University of Maribor, 2000 Maribor, SloveniaFaculty of Medicine, University of Maribor, 2000 Maribor, SloveniaThe patient safety culture is key to ensuring patient safety in healthcare organizations. The triage environment is inherently demanding for patient safety and is characterized by high stress, rapid decision-making, and quick action. In several countries, including Slovenia, there is a lack of studies on the patient safety culture among triage nurses. This study aimed to assess the perceptions of the patient safety culture among triage nurses. A cross-sectional survey design was used. The Emergency Medical Services-Safety Attitudes Questionnaire, distributed to triage nurses, was used to collect data. A total of 201 triage nurses participated in this study. The results revealed that the overall average perception of the patient safety culture was 57.27% (<i>SD</i> = 57.27), indicating that the perception of the patient safety culture among triage nurses in the emergency department was non-positive and requires improvement. “Job Satisfaction” received the highest score (63.18%; <i>SD</i> = 17.19), while “Working Conditions” received the lowest (49.91%; <i>SD</i> = 17.37). The perception of positive and negative safety culture responses was statistically significant for age (<i>χ</i><sup>2</sup> (3) = 17.750, <i>p</i> ≤ 0.001), education (<i>χ</i><sup>2</sup> (2) = 6.957, <i>p</i> = 0.031) and length of working experience (<i>χ</i><sup>2</sup> (3) = 8.875, <i>p</i> = 0.031). The findings emphasize the significance of improving the safety culture in relation to several areas of patient care during the triage process. This research serves as a crucial foundation for enhancing patient safety in triage, providing quality care, and reducing adverse events.https://www.mdpi.com/2227-9032/11/24/3155triagepatient safetyperceptionsafety managementEmergency Medical Services
spellingShingle Zvonka Fekonja
Sergej Kmetec
Nataša Mlinar Reljić
Jožica Černe Kolarič
Majda Pajnkihar
Matej Strnad
Perceptions of Patient Safety Culture among Triage Nurses in the Emergency Department: A Cross-Sectional Study
Healthcare
triage
patient safety
perception
safety management
Emergency Medical Services
title Perceptions of Patient Safety Culture among Triage Nurses in the Emergency Department: A Cross-Sectional Study
title_full Perceptions of Patient Safety Culture among Triage Nurses in the Emergency Department: A Cross-Sectional Study
title_fullStr Perceptions of Patient Safety Culture among Triage Nurses in the Emergency Department: A Cross-Sectional Study
title_full_unstemmed Perceptions of Patient Safety Culture among Triage Nurses in the Emergency Department: A Cross-Sectional Study
title_short Perceptions of Patient Safety Culture among Triage Nurses in the Emergency Department: A Cross-Sectional Study
title_sort perceptions of patient safety culture among triage nurses in the emergency department a cross sectional study
topic triage
patient safety
perception
safety management
Emergency Medical Services
url https://www.mdpi.com/2227-9032/11/24/3155
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