From the Faculty of Medicine and Life Sciences, Hasselt University, Hasselt.
Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
J Patient Saf. 2021 Dec 1;17(8):e1209-e1215. doi: 10.1097/PTS.0000000000000476.
The primary aim was to measure resident safety culture in six nursing homes in northern Belgium (Flanders). In addition, differences in safety culture perceptions between professions were also examined. Finally, results of the present study were compared with the Nursing Home Comparative Database from the Agency for Healthcare Research and Quality (USA).
A cross-sectional study was conducted by administering the Nursing Home Survey on Patient Safety Culture in six nursing homes in Belgium (Flanders). Each nursing home has 92 to 170 licensed nursing home beds. Data collection occurred between December 2016 and January 2017.
Highest mean scores were found for "feedback and communication about incidents" (mean [SD] = 4.20 [0.58]), "overall perceptions of resident safety" (mean [SD] = 4.07 [0.52]), and "supervisor expectations and actions promoting resident safety" (mean [SD] = 4.04 [0.70]). The lowest mean score was found for "staffing" (mean [SD] = 2.99 [0.61]). In addition, managers/supervisors scored significantly higher on all resident safety dimensions, with the exception of the dimensions "teamwork" and "supervisor expectations and actions promoting resident safety." Finally, the present study scored higher on the dimensions "teamwork," "nonpunitive response to mistakes," "handoffs," "feedback and communication about incidents," and "communication openness" than the benchmarking data from the Nursing Home Comparative Database.
More work is necessary to improve the safety of resident care in nursing homes, especially regarding staffing issues and turnover rates. The present research findings serve to shine a light on an often-overlooked patient population and emphasize the need to develop improvement strategies for preventing resident safety incidents in nursing homes.
本研究的主要目的是测量比利时（佛兰德斯）北部 6 家养老院的居民安全文化。此外，还研究了不同职业对安全文化的认知差异。最后，将本研究的结果与美国医疗保健研究与质量局（Agency for Healthcare Research and Quality）的养老院比较数据库（Nursing Home Comparative Database）进行比较。
本研究采用横断面研究设计，在比利时（佛兰德斯）的 6 家养老院中开展了患者安全文化的养老院调查。每家养老院有 92 至 170 张注册护理床。数据收集于 2016 年 12 月至 2017 年 1 月进行。
在“关于事件的反馈和沟通”（均数 [标准差] = 4.20 [0.58]）、“对居民安全的总体认知”（均数 [标准差] = 4.07 [0.52]）和“主管对促进居民安全的期望和行为”（均数 [标准差] = 4.04 [0.70]）这 3 个维度的平均得分最高。得分最低的维度是“人员配备”（均数 [标准差] = 2.99 [0.61]）。此外，管理人员/主管在所有居民安全维度上的得分都显著更高，除了“团队合作”和“主管对促进居民安全的期望和行为”这两个维度。最后，与养老院比较数据库的基准数据相比，本研究在“团队合作”、“对错误的非惩罚性反应”、“交接”、“关于事件的反馈和沟通”以及“沟通开放性”等维度上的得分更高。
需要进一步努力改善养老院居民护理的安全性，特别是在人员配备问题和人员流动率方面。本研究的研究结果突显了一个经常被忽视的患者群体，并强调需要制定改善策略，以预防养老院居民安全事件。
