Dirik Hasan Fehmi, Intepeler Seyda Seren
Dokuz Eylul University, Nursing Management Department, Izmir, Turkey.
J Nurs Manag. 2017 May;25(4):256-265. doi: 10.1111/jonm.12458. Epub 2017 Mar 31.
As scant research based information is available regarding the work environment, empowerment and patient safety culture, this study from a developing country (Turkey) in which health care institutions are in a state of transition, aimed to investigate further the relationships between these three variables.
A cross-sectional descriptive design was employed. The sample comprised 274 nurse participants working in a university hospital located in Izmir (Turkey). In data evaluation, descriptive statistics and hierarchical regression analyses were applied.
The work environment and structural empowerment were related to the patient safety culture and explained 55% of the variance in patient safety culture perceptions. 'Support for optimal patient care', 'nurse/physician relationships' and 'staff involvement in organisational affairs' were the significant predictors.
An enhancement of the work environment and providing access to empowerment structures may help health care organisations improve the patient safety culture.
In light of the findings, the following actions can be recommended to inform health care leaders: providing necessary resources for nursing practise, encouraging nurses' participation in decision-making, strengthening communication within the team and giving nurses the opportunities to cope with challenging work problems to learn and grow.
由于关于工作环境、赋权与患者安全文化的基于研究的信息匮乏，本研究来自一个发展中国家（土耳其），该国的医疗机构正处于转型状态，旨在进一步调查这三个变量之间的关系。
采用横断面描述性设计。样本包括在土耳其伊兹密尔的一家大学医院工作的274名护士参与者。在数据评估中，应用了描述性统计和层次回归分析。
工作环境和结构赋权与患者安全文化相关，并解释了患者安全文化认知中55%的方差。“对最佳患者护理的支持”、“护士/医生关系”和“员工参与组织事务”是显著的预测因素。
改善工作环境并提供赋权结构可能有助于医疗保健组织改善患者安全文化。
根据研究结果，可向医疗保健领导者推荐以下行动：为护理实践提供必要资源，鼓励护士参与决策，加强团队内部沟通，并给予护士应对具有挑战性的工作问题以学习和成长的机会。
