Alanazi Naif H, Falqi Tariq Ahmed
Department of Public Health, College of Health Science, Saudi Electronic University, Riyadh, Saudi Arabia.
Family Medicine Department, Aseer Central Hospital, Abha, Saudi Arabia.
Glob J Qual Saf Healthc. 2023 Feb 23;6(1):6-14. doi: 10.36401/JQSH-22-13. eCollection 2023 Feb.
This paper takes a detailed look at safety culture, different roles, and powers shared by managers, lessons from which can be applied in any form of management. It also focuses on the job of managers in enhancing safety standards in a health institution. The objective of this paper was to examine the managers' perception of patient safety culture.
This study followed a quantitative cross-sectional design. The research procedure involved all middle-level managers in Aseer Central Hospital in Abha, Saudi Arabia ( = 52). To assess the status of patient safety culture and the role of healthcare managers in the field study, the researchers constructed a study questionnaire; it included questions adapted and modified from the Safety Attitudes Questionnaire, the Hospital Survey on Patient Safety Culture questionnaire, the 10 Mintzberg managerial roles and the six types of power for healthcare managers.
Most participants were Saudi nationals (73.1%) aged 31 to 40 years (44.2%). The managerial role practiced frequently was leadership (85%), but the least managerial role was the figurehead (23%). Mangers held positive attitudes toward patient safety culture with 100% positive replies. No significant association was found between sex, nationality, years of experience, and professions concerning patient safety. Additionally, the results indicated that most managers were willing to uphold a safe environment for their patients and ready to involve employees in decision-making strategies to motivate them.
The managerial choices in Aseer Central Hospital are based on the culture and tradition of the community, which might negatively undermine the capability of other individuals handling the same office based on their educational backgrounds and competency. Such situations also may demoralize the employees, leading to poor employee performance Suboptimal achievement was exhibited primarily by middle-level healthcare managers of all six power types: resource allocator, negotiator, liaison, spokesperson, figurehead, and entrepreneur. Therefore, there is a pressing need to improve managers' attitudes toward patient safety and activate managerial roles to ensure patients' safety is practiced unequivocally.
本文详细探讨了安全文化、管理者所扮演的不同角色及其共享的权力，从中汲取的经验教训可应用于任何管理形式。本文还着重关注管理者在提升医疗机构安全标准方面的工作。本文的目的是考察管理者对患者安全文化的认知。
本研究采用定量横断面设计。研究程序涉及沙特阿拉伯阿卜哈市阿西尔中心医院的所有中层管理人员（n = 52）。为评估患者安全文化的现状以及医疗管理者在实地研究中的作用，研究人员编制了一份研究问卷；问卷中的问题改编自《安全态度问卷》《患者安全文化医院调查》问卷、明茨伯格的10种管理角色以及医疗管理者的六种权力类型。
大多数参与者为沙特国民（73.1%），年龄在31至40岁之间（44.2%）。最常履行的管理角色是领导（85%），但最少履行的管理角色是挂名首脑（23%）。管理者对患者安全文化持积极态度，肯定回答率为100%。在性别、国籍、工作年限和职业与患者安全方面未发现显著关联。此外，结果表明，大多数管理者愿意为患者维护安全的环境，并愿意让员工参与决策策略以激励他们。
阿西尔中心医院的管理选择基于社区的文化和传统，这可能会基于其他担任相同职务人员的教育背景和能力而对其能力产生负面影响。这种情况也可能使员工士气低落，导致员工绩效不佳。所有六种权力类型的中层医疗管理者，即资源分配者、谈判者、联络者、发言人、挂名首脑和企业家，主要表现出未达最佳水平的成果。因此，迫切需要改善管理者对患者安全的态度，并激活管理角色，以确保切实保障患者安全。
