Assistant Professor and Vice Dean for Academic Affairs, College of Applied Medical Sciences, Shaqra University, Al Dawadmi, Saudi Arabia.
Lecturer, Nursing Department, College of Applied Medical Sciences, Shaqra University, Al Dawadmi, Saudi Arabia and Visiting Professor, Graduate School, Union Christian College, San Fernando, La Union, Philippines.
J Nurs Scholarsh. 2018 Jul;50(4):422-431. doi: 10.1111/jnu.12394. Epub 2018 May 14.
To assess the present patient safety culture of three general hospitals in Saudi Arabia, as perceived by nurses.
This study utilized a descriptive, cross-sectional design.
A convenience sample of 351 nurses working in three general hospitals in the central region of Saudi Arabia was surveyed in this study using the Hospital Survey of Patients' Safety Culture (HSOPSC) from October 2016 to April 2017.
From the 12 composites of the HSOPSC, the nurses perceived only the following two patient safety areas as strengths: teamwork within units and organizational learning-continuous improvement. Six areas of patient safety were identified as weaknesses, namely overall perception of patient safety, handoffs and transitions, communication openness, staffing, frequency of events reported, and nonpunitive response to errors. Nationality, educational attainment, hospital, length of service in the hospital, work area or unit, length of service in the current work area or unit, current position, and direct patient contact or interaction were significant predictors of the nurses' perceived patient safety culture.
The findings in this study clarify the current status of patient safety culture in three hospitals in the Kingdom of Saudi Arabia.
The present findings should be considered by policymakers, hospital leaders, and nurse executives in creating interventions aimed at improving the patient safety culture in hospitals. A multidimensional network intervention targeting the different dimensions of patient safety culture and involving different organizational levels should be implemented to improve patient safety.
评估沙特阿拉伯三家综合医院的护士对当前患者安全文化的认知。
本研究采用描述性、横断面设计。
本研究于 2016 年 10 月至 2017 年 4 月期间，便利抽取了沙特阿拉伯中部地区三家综合医院的 351 名护士，使用医院患者安全文化调查（HSOPSC）对其进行调查。
在 HSOPSC 的 12 个综合指标中，护士仅将以下两个患者安全领域视为优势：单位内部的团队合作和组织学习-持续改进。有六个患者安全领域被确定为薄弱环节，分别是患者安全的整体认知、交接班和转科、沟通开放性、人员配备、报告事件的频率以及对错误的非惩罚性反应。护士对患者安全文化的认知存在显著预测因素，包括国籍、教育程度、医院、在医院的服务年限、工作领域或单位、在当前工作领域或单位的服务年限、当前职位以及直接与患者接触或互动。
本研究的结果阐明了沙特阿拉伯三家医院当前的患者安全文化状况。
本研究的发现应得到政策制定者、医院领导和护理管理人员的重视，为改善医院患者安全文化制定干预措施。应实施多维网络干预，针对患者安全文化的不同维度并涉及不同的组织层次，以提高患者安全。
