Tasbihi Navid, Moghri Javad, Ghavami Vahid, Raesi Rasoul, Janghorban Ali, Tabatabaee Seyed Saeed
School of Health, Student research committee, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Health Economics and Management, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
Sci Rep. 2025 May 13;15(1):16602. doi: 10.1038/s41598-025-01775-9.
Patient safety competence, teamwork, and psychological safety are fundamental components in emergency patient care, as these elements can affect the quality of nursing care and patient safety. Therefore, the present study aimed to assess the level of patient safety competence and explore its correlations with teamwork and psychological safety among emergency department nurses in Iran. This cross-sectional descriptive-analytical study was conducted using stratified sampling proportional to the research community, involving 472 nurses from public hospitals affiliated with Mashhad University of Medical Sciences, Iran, in 2023. Data were collected using questionnaires on patient safety, teamwork, and psychological safety and analyzed with independent the Mann-Whitney U test, Pearson correlation, and linear regression analysis in SPSS-26 at a significance level of 0.05. Patient safety competence and teamwork among nurses were at a high level, while their psychological safety was at a moderate level. There was a significant inverse relationship between nurses' age and patient safety competence (p = 0.04). Patient safety competence varied significantly among nurses from different hospitals (p < 0.001). A direct and significant relationship existed between teamwork and psychological safety with patient safety competence, as well as between teamwork and psychological safety among nurses (p < 0.001). A multiple linear regression with teamwork, psychological safety, work experience and hospital type as independent variables explained 43.1% of the variance in patient safety competency (R = 0.431). Regression analysis revealed that teamwork (B = 0.169, 95% CI 0.139, 0.199, p < 0.001) and psychological safety (B = 0.252, 95% CI 0.205, 0.299, p < 0.001) were significant positive predictors for patient safety competency. Patient safety competency in teaching hospitals was more than not-teaching hospitals (B = 0.773, 95% CI 0.052, 1.494, p = 0.036). Work experience did not have a significant association with patient safety competency (p = 0.294). The model explained 43.1% of the variance in patient safety competency (R = 0.431). While nurses demonstrated high levels of patient safety and teamwork competence, their psychological safety was moderate, indicating the need to create a supportive work environment. So, increased teamwork and psychological safety can influence patient safety competence.
患者安全胜任力、团队协作和心理安全是急诊患者护理的基本要素，因为这些因素会影响护理质量和患者安全。因此，本研究旨在评估伊朗急诊科护士的患者安全胜任力水平，并探讨其与团队协作和心理安全之间的相关性。本横断面描述性分析研究采用与研究群体成比例的分层抽样方法，于2023年对伊朗马什哈德医科大学附属医院的472名护士进行了调查。使用关于患者安全、团队协作和心理安全的问卷收集数据，并在SPSS-26中采用独立样本曼-惠特尼U检验、皮尔逊相关性分析和线性回归分析进行分析，显著性水平设定为0.05。护士的患者安全胜任力和团队协作水平较高，而心理安全处于中等水平。护士年龄与患者安全胜任力之间存在显著的负相关关系（p = 0.04）。不同医院的护士在患者安全胜任力方面存在显著差异（p < 0.001）。团队协作和心理安全与患者安全胜任力之间存在直接且显著的关系，护士之间的团队协作和心理安全之间也存在这种关系（p < 0.001）。以团队协作、心理安全、工作经验和医院类型为自变量的多元线性回归解释了患者安全胜任力方差的43.1%（R = 0.431）。回归分析显示，团队协作（B = 0.169，95%置信区间0.139, 0.199，p < 0.001）和心理安全（B = 0.252，95%置信区间0.205, 0.299，p < 0.001）是患者安全胜任力的显著正向预测因素。教学医院的患者安全胜任力高于非教学医院（B = 0.773，95%置信区间0.052, 1.494，p = 0.036）。工作经验与患者安全胜任力没有显著关联（p = 0.294）。该模型解释了患者安全胜任力方差的43.1%（R = 0.431）。虽然护士表现出较高的患者安全和团队协作胜任力，但他们的心理安全处于中等水平，这表明需要营造一个支持性的工作环境。因此，增强团队协作和心理安全可以影响患者安全胜任力。
