Hanoi Department of Health, No 4 Son Tay, Ba Dinh, Hanoi 100000, Viet Nam.
Hanoi University of Public Health, 1A Duc Thang road, Bac Tu Liem district, Hanoi 100000, Viet Nam.
Appl Nurs Res. 2023 Feb;69:151650. doi: 10.1016/j.apnr.2022.151650. Epub 2022 Dec 13.
This paper is aimed to assess nurses' perceptions of patient safety culture in four public general hospitals in Hanoi, Vietnam.
Patient safety culture is a vital component in ensuring high quality and safe patient care. Assessment of nurses' perceptions on existing hospital patient safety culture (PSC) is the first step to promote PSC.
The cross-sectional study surveyed 705 nurses utilizing the validated Hospital Survey on Patient Safety Culture (HSOPSC) in an online format.
The average positive response rate was high at 72.8 % and varied from 52.9 % to 93.4 %. The strongest areas are teamwork within units (93.7 %) and supervisor/manager expectations and actions promoting patient safety (85.0 %). The areas for improvement are staffing (52.9 %) and non-punitive response to error (57.6 %). The communication openness, staffing, frequency of events reported, lengths of services in hospital and unit are significant factors that predict the overall patient safety grade.
Initiatives are necessary to improve response to errors, staffing, and error reporting. Nurse managers could develop and implement interventions and program to improve patient safety, including providing education related to patient safety culture, encouraging staff to notify incidents and avoiding punitive responses.
本研究旨在评估越南河内四家公立医院护士对患者安全文化的认知。
患者安全文化是确保高质量和安全患者护理的重要组成部分。评估护士对现有医院患者安全文化（PSC）的认知是促进 PSC 的第一步。
本横断面研究以在线形式利用经过验证的患者安全文化医院调查（HSOPSC）对 705 名护士进行调查。
平均积极反应率较高，为 72.8%，范围为 52.9%至 93.4%。最强的领域是单位内的团队合作（93.7%）和主管/经理对患者安全的期望和行动（85.0%）。有待改进的领域是人员配备（52.9%）和对错误的非惩罚性反应（57.6%）。沟通开放性、人员配备、报告事件的频率、医院和单位的服务时间是预测总体患者安全等级的重要因素。
有必要改善对错误、人员配备和错误报告的反应。护士管理者可以制定和实施干预措施和计划，以提高患者安全，包括提供与患者安全文化相关的教育，鼓励员工报告事件，并避免惩罚性反应。
