Almutairi Adel F, Gardner Glenn, McCarthy Alexandra
School of Nursing, Queensland University of Technology, Brisbane, Australia.
Collegian. 2013;20(3):187-94. doi: 10.1016/j.colegn.2012.08.002.
The purpose of this study is to explore the safety climate perceptions of the multicultural nursing workforce, and to investigate the influence of diversity of the multicultural nursing workforce on clinical safety in a large tertiary hospital in Saudi Arabia.
Working in a multicultural environment is challenging. Each culture has its own unique characteristics and dimensions that shape the language, lifestyle, beliefs, values, customs, traditions, and patterns of behaviour, which expatriate nurses must come to terms with. However, cultural diversity in the health care environment can potentially affect the quality of care and patient safety.
A mixed-method case study (survey, interview and document analysis) was employed. A primary study phase entailed the administration of the Safety Climate Survey (SCS). A population sampling strategy was used and 319 nurses participated, yielding a 76.8% response rate. Descriptive and inferential statistics (Kruskal-Wallis test) were used to analyse survey data.
The data revealed the nurses' perceptions of the clinical safety climate in this multicultural environment was unsafe, with a mean score of 3.9 out of 5. No significant difference was found between the age groups, years of nursing experience and their perceptions of the safety climate in this context. A significant difference was observed between the national background categories of nurses and perceptions of safety climate.
Cultural diversity within the nursing workforce could have a significant influence on perceptions of clinical safety. These findings have the potential to inform policy and practice related to cultural diversity in Saudi Arabia.
本研究旨在探索多元文化护理人员对安全氛围的认知，并调查沙特阿拉伯一家大型三级医院中多元文化护理人员的多样性对临床安全的影响。
在多元文化环境中工作具有挑战性。每种文化都有其独特的特征和维度，塑造了语言、生活方式、信仰、价值观、习俗、传统和行为模式，外籍护士必须适应这些。然而，医疗环境中的文化多样性可能会潜在地影响护理质量和患者安全。
采用了混合方法的案例研究（调查、访谈和文件分析）。主要研究阶段包括进行安全氛围调查（SCS）。使用了总体抽样策略，319名护士参与，回复率为76.8%。描述性和推断性统计（Kruskal-Wallis检验）用于分析调查数据。
数据显示，护士们认为在这种多元文化环境中的临床安全氛围不安全，平均得分为3.9（满分5分）。在年龄组、护理经验年限与他们对这种情况下安全氛围的认知之间未发现显著差异。在护士的国籍背景类别与安全氛围认知之间观察到显著差异。
护理人员内部的文化多样性可能会对临床安全认知产生重大影响。这些发现有可能为沙特阿拉伯与文化多样性相关的政策和实践提供参考。
