Department of Medical Surgical Nursing, Faculty of Nursing, King Abdulaziz University, Jeddah, Saudi Arabia.
Faculty of Nursing, Fakeeh College for Medical Sciences, Jeddah, Saudi Arabia.
J Clin Nurs. 2024 Feb;33(2):606-616. doi: 10.1111/jocn.16881. Epub 2023 Sep 11.
To examine the predictors and outcomes of patient safety culture (PSC) among oncology nurses working in public Saudi hospitals according to participant characteristics and evaluate the relationship between PSC domains.
PSC is crucial in healthcare systems, particularly in oncology and chemotherapy units, and its assessment can enhance the standard service provided and cancer care quality. There is currently limited research on the status, predictors and outcomes of PSC in cancer care settings in developing countries, including Saudi Arabia.
A cross-sectional correlational study.
A convenience sample of 101 oncology nurses working in two large Saudi tertiary care hospitals participated in this study. The Hospital Survey on Patient Safety Culture validated instrument and demographic and work surveys were completed by the participants. The study methods were compliant with the STROBE checklist. Descriptive statistics and multiple linear regressions were used to analyse the data.
The areas of PSC strength were related to organizational learning-constant improvement, feedback and communication about errors, and transitions and handoffs. Manager/supervisor actions and expectations, hospital management support, communication openness, experience in the current unit and oncology unit/area were the predictors of PSC. In terms of PSC outcomes, the oncology nurses reported either no or one to two adverse events and a substantially good patient safety rating.
The level of PSC was lower than expected. Communication openness, experience in the current unit and oncology unit/area were the strongest predictors of PSC. Investing in oncology nursing practice that addresses these concerns and prioritizes patient safety is critical in Saudi cancer care settings to increase patient safety.
The findings contribute to a better understanding of the predictors and outcomes of PSC, which should be considered when establishing effective nursing interventions or strategies for PSC in cancer care settings.
No patient or public contribution.
根据参与者的特征，调查在沙特公立医院工作的肿瘤护士的患者安全文化（PSC）的预测因素和结果，并评估 PSC 各领域之间的关系。
PSC 在医疗保健系统中至关重要，特别是在肿瘤学和化疗单位，评估其可提高提供的标准服务和癌症护理质量。目前，关于发展中国家（包括沙特阿拉伯）癌症护理环境中 PSC 的现状、预测因素和结果的研究有限。
横断面相关性研究。
本研究便利抽取了两家沙特大型三级保健医院的 101 名肿瘤护士。参与者完成了医院患者安全文化调查验证工具以及人口统计学和工作调查。研究方法符合 STROBE 清单。使用描述性统计和多元线性回归分析数据。
PSC 优势领域与组织学习-持续改进、关于错误的反馈和沟通以及交接有关。管理者/主管的行动和期望、医院管理支持、沟通开放性、当前科室和肿瘤科室/区域的经验是 PSC 的预测因素。就 PSC 结果而言，肿瘤护士报告要么没有发生不良事件，要么发生了一到两次不良事件，但患者安全评级很好。
PSC 水平低于预期。沟通开放性、当前科室和肿瘤科室/区域的经验是 PSC 的最强预测因素。在沙特癌症护理环境中，投资于解决这些问题并优先考虑患者安全的肿瘤护理实践，对于提高患者安全至关重要。
研究结果有助于更好地理解 PSC 的预测因素和结果，在癌症护理环境中制定有效的护理干预措施或 PSC 策略时应考虑这些因素。
无患者或公众贡献。
