Patient safety culture among nurses working in Palestinian governmental hospital: a pathway to a new policy
Abstract Background Providing safe care helps to reduce mortality, morbidity, length of hospital stay and cost. Patient safety is highly linked to attitudes of health care providers, where those with more positive attitudes achieve higher degrees of patient safety. This study aimed to assess attitud...
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| Format: | Article |
| Language: | English |
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BMC
2019-08-01
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| Series: | BMC Health Services Research |
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| Online Access: | http://link.springer.com/article/10.1186/s12913-019-4374-9 |
| _version_ | 1828498465079951360 |
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| author | Nasser Ibrahim Abu-El-Noor Mysoon Khalil Abu-El-Noor Yousef Zuheir Abuowda Maha Alfaqawi Bettina Böttcher |
| author_facet | Nasser Ibrahim Abu-El-Noor Mysoon Khalil Abu-El-Noor Yousef Zuheir Abuowda Maha Alfaqawi Bettina Böttcher |
| author_sort | Nasser Ibrahim Abu-El-Noor |
| collection | DOAJ |
| description | Abstract Background Providing safe care helps to reduce mortality, morbidity, length of hospital stay and cost. Patient safety is highly linked to attitudes of health care providers, where those with more positive attitudes achieve higher degrees of patient safety. This study aimed to assess attitudes of nurses working in governmental hospitals in the Gaza-Strip toward patient safety and to examine factors impacting their attitudes. Methods This is a cross-sectional, descriptive study with a convenient sample of 424 nurses, working in four governmental hospitals. The Attitudes to Patient Safety Questionnaire III, a validated tool consisting of 29 items that assesses patient safety attitudes across nine main domains, was used. Results Nurses working in governmental hospitals showed overall only slightly positive attitudes toward patient safety with a total score of 3.68 on a 5-point Likert scale, although only 41.9% reported receiving patient safety training previously. The most positive attitudes to patient safety were found in the domains of ‘working hours as a cause of error’ and ‘team functioning’ with scores of 3.94 and 3.93 respectively, whereas the most negative attitudes were found in ‘importance of patient safety in the curriculum’ with a score of 2.92. Most of the study variables, such as age and years of experience, did not impact on nurses’ attitudes. On the other hand, some variables, such as the specialty and the hospital, were found to significantly influence reported patient safety attitudes with nurses working in surgical specialties, showing more positive attitudes. Conclusion Despite the insufficient patient safety training received by the participants in this study, they showed slightly positive attitudes toward patient safety with some variations among different hospitals and departments. A special challenge will be for nursing educators to integrate patient safety in the curriculum, as a large proportion of the participants did not find inclusion of patient safety in the curriculum useful. Therefore, this part of the curriculum in nurses’ training should be targeted and developed to be related to clinical practice. Moreover, hospital management has to develop non-punitive reporting systems for adverse events and use them as an opportunity to learn from them. |
| first_indexed | 2024-12-11T13:07:39Z |
| format | Article |
| id | doaj.art-9d0150841e5a4d91843c77a8a2c17759 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-11T13:07:39Z |
| publishDate | 2019-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-9d0150841e5a4d91843c77a8a2c177592022-12-22T01:06:17ZengBMCBMC Health Services Research1472-69632019-08-0119111110.1186/s12913-019-4374-9Patient safety culture among nurses working in Palestinian governmental hospital: a pathway to a new policyNasser Ibrahim Abu-El-Noor0Mysoon Khalil Abu-El-Noor1Yousef Zuheir Abuowda2Maha Alfaqawi3Bettina Böttcher4Faculty of Nursing, Islamic University of GazaFaculty of Nursing, Islamic University of GazaFaculty of Nursing, Islamic University of GazaPalestinian Ministry of HealthFaculty of Nursing, Islamic University of GazaAbstract Background Providing safe care helps to reduce mortality, morbidity, length of hospital stay and cost. Patient safety is highly linked to attitudes of health care providers, where those with more positive attitudes achieve higher degrees of patient safety. This study aimed to assess attitudes of nurses working in governmental hospitals in the Gaza-Strip toward patient safety and to examine factors impacting their attitudes. Methods This is a cross-sectional, descriptive study with a convenient sample of 424 nurses, working in four governmental hospitals. The Attitudes to Patient Safety Questionnaire III, a validated tool consisting of 29 items that assesses patient safety attitudes across nine main domains, was used. Results Nurses working in governmental hospitals showed overall only slightly positive attitudes toward patient safety with a total score of 3.68 on a 5-point Likert scale, although only 41.9% reported receiving patient safety training previously. The most positive attitudes to patient safety were found in the domains of ‘working hours as a cause of error’ and ‘team functioning’ with scores of 3.94 and 3.93 respectively, whereas the most negative attitudes were found in ‘importance of patient safety in the curriculum’ with a score of 2.92. Most of the study variables, such as age and years of experience, did not impact on nurses’ attitudes. On the other hand, some variables, such as the specialty and the hospital, were found to significantly influence reported patient safety attitudes with nurses working in surgical specialties, showing more positive attitudes. Conclusion Despite the insufficient patient safety training received by the participants in this study, they showed slightly positive attitudes toward patient safety with some variations among different hospitals and departments. A special challenge will be for nursing educators to integrate patient safety in the curriculum, as a large proportion of the participants did not find inclusion of patient safety in the curriculum useful. Therefore, this part of the curriculum in nurses’ training should be targeted and developed to be related to clinical practice. Moreover, hospital management has to develop non-punitive reporting systems for adverse events and use them as an opportunity to learn from them.http://link.springer.com/article/10.1186/s12913-019-4374-9Patient safetySafety cultureAdverse eventsNurses’ attitudeMedical errors Gaza stripPalestine |
| spellingShingle | Nasser Ibrahim Abu-El-Noor Mysoon Khalil Abu-El-Noor Yousef Zuheir Abuowda Maha Alfaqawi Bettina Böttcher Patient safety culture among nurses working in Palestinian governmental hospital: a pathway to a new policy BMC Health Services Research Patient safety Safety culture Adverse events Nurses’ attitude Medical errors Gaza strip Palestine |
| title | Patient safety culture among nurses working in Palestinian governmental hospital: a pathway to a new policy |
| title_full | Patient safety culture among nurses working in Palestinian governmental hospital: a pathway to a new policy |
| title_fullStr | Patient safety culture among nurses working in Palestinian governmental hospital: a pathway to a new policy |
| title_full_unstemmed | Patient safety culture among nurses working in Palestinian governmental hospital: a pathway to a new policy |
| title_short | Patient safety culture among nurses working in Palestinian governmental hospital: a pathway to a new policy |
| title_sort | patient safety culture among nurses working in palestinian governmental hospital a pathway to a new policy |
| topic | Patient safety Safety culture Adverse events Nurses’ attitude Medical errors Gaza strip Palestine |
| url | http://link.springer.com/article/10.1186/s12913-019-4374-9 |
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