Tocco Tussardi Ilaria, Tardivo Stefano, Mazzi Maria Angela, Rimondini Michela, Visentin Donatella, Busch Isolde Martina, Torri Emanuele, Moretti Francesca
Department of Diagnostics and Public Health, Section of Hygiene, University of Verona, 37134 Verona, Italy.
Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, 37134 Verona, Italy.
Healthcare (Basel). 2024 Jul 19;12(14):1440. doi: 10.3390/healthcare12141440.
Nursing homes (NHs) are crucial for de-hospitalization and addressing the needs of non-self-sufficient individuals with complex health issues. This study investigates the patient safety culture (PSC) in NHs within a northern Italian region, focusing on factor influencing overall safety perceptions and their contributions to subjective judgements of safety. A cross-sectional study was conducted on 25 NHs in the Autonomous Province of Trento. The Nursing Home Survey on Patient Safety Culture (NHSPSC) was utilized to assess PSC among NH staff. Multilevel linear regression and post hoc dominance analyses were conducted to investigate variabilities in PSC among staff and NHs and to assess the extent to which PSC dimensions explain overall perceptions of PS. Analysis of 1080 questionnaires (44% response rate) revealed heterogeneity in PSC across dimensions and NHs, with management support, organizational learning, and supervisor expectations significantly influencing overall safety perceptions. Despite some areas of concern, overall safety perceptions were satisfactory. However, the correlation between individual dimensions and overall ratings of safety was moderate, suggesting the need to enhance the maturity level of PSCs. Promoting a shift in PSC could enhance transparency, prioritize resident safety, empower nursing staff, and increase family satisfaction with care provided in NHs. The support provided by management to PSC appears essential to influence NH staff perceptions of PS.
养老院对于患者出院后的护理以及满足那些无法自理且患有复杂健康问题的个人的需求至关重要。本研究调查了意大利北部一个地区养老院的患者安全文化（PSC），重点关注影响整体安全认知的因素及其对安全主观判断的贡献。对特伦托自治省的25家养老院进行了一项横断面研究。使用养老院患者安全文化调查（NHSPSC）来评估养老院工作人员中的患者安全文化。进行了多层次线性回归和事后优势分析，以调查工作人员和养老院之间患者安全文化的差异，并评估患者安全文化维度在多大程度上解释了对患者安全的整体认知。对1080份问卷（回复率为44%）的分析显示，患者安全文化在各个维度和养老院之间存在异质性，管理支持、组织学习和主管期望对整体安全认知有显著影响。尽管存在一些令人担忧的领域，但整体安全认知令人满意。然而，各个维度与安全总体评分之间的相关性为中等，这表明需要提高患者安全文化的成熟度。促进患者安全文化的转变可以提高透明度、将居民安全放在首位、增强护理人员的能力，并提高家庭对养老院提供护理的满意度。管理层对患者安全文化的支持似乎对于影响养老院工作人员对患者安全的认知至关重要。
