Indarwati Retno, Efendi Ferry, Fauziningtyas Rista, Fauziah Anis, Sudarsiwi Neisya Pratiwindya
Faculty of Nursing, Universitas Airlangga, Campus C Mulyorejo, Surabaya, East Java, 60115, Indonesia.
Risk Manag Healthc Policy. 2023 Mar 11;16:393-400. doi: 10.2147/RMHP.S399826. eCollection 2023.
The attention to building a safety culture in nursing homes is relatively less when compared to hospitals. Good patient safety will improve the quality of health services and minimize incidents related to patient safety. This study aims to look at efforts that can be made to improve safety culture in nursing homes.
The research design uses phenomenological qualitative with in-depth interviews. Purposive sampling was used with interpretive phenomenological analysis. Participants were 29 staff from four government and private institutions in East Java, Indonesia.
The sub-themes resulting from the research efforts to improve the safety culture of the elderly in nursing homes are the provision of new staff orientation, training, improvement of infrastructure, and procurement of security staff.
The analysis shows that efforts to improve safety culture can be carried out with various strategies by paying attention to risk assessment steps, patient risk identification, and management, incident reporting, and analysis, the ability to learn from incidents and their follow-up, as well as implementing solutions to minimize risks and prevent them from occurring injury. Safety culture plays an essential role in improving the quality of care.
与医院相比，养老院对建立安全文化的关注相对较少。良好的患者安全将提高医疗服务质量，并最大限度地减少与患者安全相关的事件。本研究旨在探讨为改善养老院安全文化可做出的努力。
研究设计采用现象学质性研究方法并进行深入访谈。采用目的抽样法并进行解释性现象学分析。参与者为印度尼西亚东爪哇四个政府和私立机构的29名工作人员。
改善养老院老年人安全文化的研究努力产生的子主题包括为新员工提供入职培训、培训、改善基础设施以及招聘安保人员。
分析表明，通过关注风险评估步骤、患者风险识别与管理、事件报告与分析、从事件中学习的能力及其后续跟进，以及实施解决方案以最小化风险并防止伤害发生，可以通过各种策略来改善安全文化。安全文化在提高护理质量方面起着至关重要的作用。
