Atalla Amal Diab Ghanem, Bahr Rwan Ragab Rabea, El-Sayed Ahmed Abdelwahab Ibrahim
Nursing Administration Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
Abbas Helmy Center for Addiction and Mental Health, Alexandria Health Directorate, Alexandria, Egypt.
BMC Nurs. 2025 Jan 31;24(1):114. doi: 10.1186/s12912-025-02717-6.
Patient safety remains a global priority, with nurses playing a crucial role in minimizing errors and improving patient outcomes. System thinking, which involves understanding how various components of a healthcare system interact, is increasingly recognized as essential for enhancing patient safety competencies.
This study investigates the impact of systems thinking on patient safety competencies among nurses in critical care units, exploring the relationship between systems thinking and various subdomains of patient safety competencies.
A cross-sectional study was conducted at all critical care units of Alexandria Main University Hospital, Egypt. Data were collected from a convenience sample of 289 nurses using the system thinking scale and the patient safety competency self-evaluation questionnaire. Correlation and regression analyses were performed to examine the relationship between systems thinking and patient safety competencies, controlling for demographic factors such as age, qualifications, and years of experience.
Nurses demonstrated moderate to high levels of systems thinking (mean = 82.36 ± 12.14) and patient safety competencies (mean = 162.74 ± 23.56). Strong positive correlations were found between systems thinking and patient safety competencies (r = 0.605, p < 0.05), particularly in areas such as error reporting, communication, and infection prevention. Regression analysis revealed that systems thinking significantly predicted patient safety competencies, increasing the explained variance from 58.8 to 67.7%.
The findings highlight the critical role of systems thinking in enhancing nurses' patient safety competencies. Nurses with higher systems thinking skills are better equipped to prevent errors and improve communication, ultimately enhancing patient care quality.
Nursing schools should integrate system thinking into nursing curricula to prepare future nurses for complex healthcare environments. Healthcare organizations should incorporate system thinking into professional development programs to enhance the competencies of practicing nurses. Nurse managers can foster a culture of safety by promoting interdisciplinary collaboration and reflective practice. Broader adoption of system thinking can improve patient outcomes, especially in resource-constrained environments.
Not applicable.
患者安全仍是全球关注的重点，护士在减少差错和改善患者治疗结局方面发挥着关键作用。系统思维涉及理解医疗系统的各个组成部分如何相互作用，越来越被认为是提高患者安全能力的关键。
本研究调查系统思维对重症监护病房护士患者安全能力的影响，探讨系统思维与患者安全能力各子领域之间的关系。
在埃及亚历山大主大学医院的所有重症监护病房进行了一项横断面研究。使用系统思维量表和患者安全能力自评问卷，从289名护士的便利样本中收集数据。进行相关性和回归分析，以检验系统思维与患者安全能力之间的关系，并控制年龄、资质和工作年限等人口统计学因素。
护士表现出中等至高水平的系统思维（均值 = 82.36 ± 12.14）和患者安全能力（均值 = 162.74 ± 23.56）。系统思维与患者安全能力之间存在强正相关（r = 0.605，p < 0.05），特别是在差错报告、沟通和感染预防等方面。回归分析显示，系统思维显著预测患者安全能力，使解释方差从58.8%增加到67.7%。
研究结果凸显了系统思维在提高护士患者安全能力方面的关键作用。具有较高系统思维技能的护士更有能力预防差错和改善沟通，最终提高患者护理质量。
护理学院应将系统思维纳入护理课程，为未来护士应对复杂的医疗环境做好准备。医疗机构应将系统思维纳入专业发展项目，以提高在职护士的能力。护士长可通过促进跨学科协作和反思性实践来营造安全文化。更广泛地采用系统思维可改善患者结局，尤其是在资源有限的环境中。
不适用。
