Nurses’ perceptions of patient safety culture: a mixed-methods study

Abstract Background There are relatively few qualitative studies concerning patient safety culture. Methods We aimed to explore patient safety culture as perceived by the nursing staff in two public hospitals in Catalonia, Spain. A mixed-methods design was employed using a questionnaire, in-depth in...

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Main Authors: Nina Granel, Josep Maria Manresa-Domínguez, Carolina Eva Watson, Rebeca Gómez-Ibáñez, Maria Dolors Bernabeu-Tamayo
Format: Article
Language:English
Published: BMC 2020-06-01
Series:BMC Health Services Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12913-020-05441-w
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author Nina Granel
Josep Maria Manresa-Domínguez
Carolina Eva Watson
Rebeca Gómez-Ibáñez
Maria Dolors Bernabeu-Tamayo
author_facet Nina Granel
Josep Maria Manresa-Domínguez
Carolina Eva Watson
Rebeca Gómez-Ibáñez
Maria Dolors Bernabeu-Tamayo
author_sort Nina Granel
collection DOAJ
description Abstract Background There are relatively few qualitative studies concerning patient safety culture. Methods We aimed to explore patient safety culture as perceived by the nursing staff in two public hospitals in Catalonia, Spain. A mixed-methods design was employed using a questionnaire, in-depth interviews, and non-participant observations. Results Sixty-two percent of the nursing staff rated patient safety as “Acceptable” but was not higher because of work pressure and lack of resources as perceived by staff. “Teamwork within units” had the highest rate of positive responses, and “Staffing” had the lowest rate. Emergency units showed more negative results than the other two units. Conclusions Safety incidents are not always reported due to fear of punishment, reflecting a lack of positive safety culture. It is necessary to design and implement strategies that promote a positive culture to avoid punitive responses and apply and evaluate these changes.
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spelling doaj.art-9643dae85dcd4fbd90e8d363e3a0920f2022-12-21T21:47:01ZengBMCBMC Health Services Research1472-69632020-06-012011910.1186/s12913-020-05441-wNurses’ perceptions of patient safety culture: a mixed-methods studyNina Granel0Josep Maria Manresa-Domínguez1Carolina Eva Watson2Rebeca Gómez-Ibáñez3Maria Dolors Bernabeu-Tamayo4Nursing Department, Medicine Faculty, Universitat Autònoma de BarcelonaNursing Department, Medicine Faculty, Universitat Autònoma de BarcelonaNursing Department, Medicine Faculty, Universitat Autònoma de BarcelonaNursing Department, Medicine Faculty, Universitat Autònoma de BarcelonaNursing Department, Medicine Faculty, Universitat Autònoma de BarcelonaAbstract Background There are relatively few qualitative studies concerning patient safety culture. Methods We aimed to explore patient safety culture as perceived by the nursing staff in two public hospitals in Catalonia, Spain. A mixed-methods design was employed using a questionnaire, in-depth interviews, and non-participant observations. Results Sixty-two percent of the nursing staff rated patient safety as “Acceptable” but was not higher because of work pressure and lack of resources as perceived by staff. “Teamwork within units” had the highest rate of positive responses, and “Staffing” had the lowest rate. Emergency units showed more negative results than the other two units. Conclusions Safety incidents are not always reported due to fear of punishment, reflecting a lack of positive safety culture. It is necessary to design and implement strategies that promote a positive culture to avoid punitive responses and apply and evaluate these changes.http://link.springer.com/article/10.1186/s12913-020-05441-wNursing care managementOrganizational culturePatient safetySafety management
spellingShingle Nina Granel
Josep Maria Manresa-Domínguez
Carolina Eva Watson
Rebeca Gómez-Ibáñez
Maria Dolors Bernabeu-Tamayo
Nurses’ perceptions of patient safety culture: a mixed-methods study
BMC Health Services Research
Nursing care management
Organizational culture
Patient safety
Safety management
title Nurses’ perceptions of patient safety culture: a mixed-methods study
title_full Nurses’ perceptions of patient safety culture: a mixed-methods study
title_fullStr Nurses’ perceptions of patient safety culture: a mixed-methods study
title_full_unstemmed Nurses’ perceptions of patient safety culture: a mixed-methods study
title_short Nurses’ perceptions of patient safety culture: a mixed-methods study
title_sort nurses perceptions of patient safety culture a mixed methods study
topic Nursing care management
Organizational culture
Patient safety
Safety management
url http://link.springer.com/article/10.1186/s12913-020-05441-w
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AT rebecagomezibanez nursesperceptionsofpatientsafetycultureamixedmethodsstudy
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