Department of Obstetric, Xinhua Hospital affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Department of Endocrinology, Xinhua Hospital affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Nurs Open. 2023 Feb;10(2):658-664. doi: 10.1002/nop2.1332. Epub 2022 Sep 10.
The primary objective of this study was to assess the patient safety culture in a general hospital in Shanghai, China, through a modified Manchester Patient Safety Framework (MaPSaF).
This study has a qualitative interview design. Data were collected through group interviews and analyses performed through content analysis.
The MaPSaF was translated into Chinese and used to assess the patient safety culture in a large general hospital in Shanghai, China. Group interviews using the MaPSaF were conducted with 15 nurses in the obstetric ward. Participants rated their safety practice individually on each of the nine MaPSaF safety culture dimensions. The dimensions and scores were then collectively discussed and a practice-wide consensus score for each dimension was agreed. Discussions were recorded, transcribed and analysed to assess patient safety in the obstetric ward.
It took about 2 hr to complete the discussion focusing on patients' safety employing the MaPSaF. Most participants recognized the process as acceptable and useful. The MaPSaF directed team discussion about patient safety issues and facilitated communication, prompting some practice changes. All participants responded positively to the discussion and perceived MaPSaF as a good safety culture assessment tool, with clear, comprehensive and understandable entries. The process demonstrated that the department of obstetrics in the hospital already had a positive patient safety culture, but certain areas were highlighted as still needing improvement. Based on participants' positive experience and perception of the MaPSaF, it can be concluded that there is potential benefit in its adaptation and use in obstetrics wards of Chinese hospitals. The MaPSaF has the potential to strengthen existing safety cultures and improve general safety through collaborative measures.
本研究的主要目的是通过改良的曼彻斯特患者安全框架（MaPSaF）评估中国上海一家综合医院的患者安全文化。
本研究采用定性访谈设计。通过小组访谈收集数据，并通过内容分析法进行分析。
MaPSaF 被翻译成中文，用于评估中国上海一家大型综合医院的患者安全文化。在妇产科病房，采用 MaPSaF 对 15 名护士进行了小组访谈。参与者对 MaPSaF 的九个安全文化维度中的每一个维度的安全实践进行了个人评分。然后对维度和得分进行了集体讨论，并就每个维度达成了广泛的实践共识评分。对讨论进行了记录、转录和分析，以评估妇产科的患者安全情况。
完成一次聚焦于患者安全的 MaPSaF 讨论大约需要 2 小时。大多数参与者认为这个过程是可以接受的，并且是有用的。MaPSaF 引导团队讨论患者安全问题并促进了沟通，促使一些实践发生了变化。所有参与者都对讨论做出了积极的回应，并认为 MaPSaF 是一个很好的安全文化评估工具，条目清晰、全面且易于理解。该过程表明，医院妇产科已经具有积极的患者安全文化，但某些方面仍需要改进。基于参与者对 MaPSaF 的积极体验和看法，可以得出结论，在妇产科病房中对其进行改编和使用具有潜在的益处。MaPSaF 有可能通过协作措施加强现有的安全文化并提高整体安全性。
