Elhoseny Taghareed A, Kandil Mohamed A, Mosallam Rasha A
Department of Health Administration and Behavioural Sciences, High Institute of Public Health, University of Alexandria, Alexandria, Egypt.
Department of Emergency Medical Care, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
J Egypt Public Health Assoc. 2025 May 14;100(1):11. doi: 10.1186/s42506-025-00190-2.
Continuous safety culture assessment, especially in high-risk areas as the intensive care unit (ICU) is one of the requirements for patient safety. This study aimed to assess patient safety attitude in the intensive care units of four public hospitals in Egypt, compare it with benchmarking data, and identify opportunities for improvement.
A cross-sectional design was used. The Safety Attitudes Questionnaire (SAQ) was distributed in March 2024 to a total of 543 physicians and nurses involved in direct patient care in eight ICU of four public hospitals. A response rate of 85% was achieved (65.12% for physicians and 89.28% for nurses). Safety culture score (ranges from 0 to 100) and percent-positive scores (percentage of respondents with a mean score of > 75 where 100 is best) were calculated according to the tool scoring key. The scores were also compared with the benchmarking scores.
The overall mean scale score was 63.7 ± 13.4 and the percentage of positive responses was 58.1%. Job satisfaction was the dimension with the highest total mean and percentage of positive responses (70.0 and 65.1%, respectively). On the other hand, stress recognition was the dimension with the lowest mean score and percentage of positive responses (59.4 ± 23.8 and 53.6%, respectively). Physicians attained a significantly higher total mean scale score for the teamwork climate, job satisfaction, perceptions of management and work conditions dimensions compared to nurses (73.8 ± 10.4, 81.7 ± 14.6, 72.5 ± 19.4, 70.6 ± 18.1 for physicians compared to 61.0 ± 15.4, 68.4 ± 23.0, 60.8 ± 22.4, 61.8 ± 22.3 for nurses, respectively) (p < 0.05) while "stress recognition'' was significantly higher among nurses (mean scale score for nurses was 60.4 ± 23.6, p < 0.05 compared to 52.0 ± 24.0, p < 0.05 for physicians). The dimensions "teamwork climate'', "safety climate'' and "stress recognition'' attained lower scores in the current study compared to the benchmark data.
The dimensions "teamwork climate'', "safety climate'', and "stress recognition'' attained relatively low scores which calls for interventions such as team trainings, limitation of work hours and senior executive safety rounds. Physicians had significantly higher scores than nurses in four out of six domains which needs further research to identify the reasons and plan the appropriate improvement strategies. Future studies should track changes over time.
持续进行安全文化评估，尤其是在重症监护病房（ICU）等高危领域，是保障患者安全的要求之一。本研究旨在评估埃及四家公立医院重症监护病房的患者安全态度，将其与基准数据进行比较，并确定改进机会。
采用横断面设计。2024年3月，向四家公立医院八个ICU中直接参与患者护理的543名医生和护士发放了安全态度问卷（SAQ）。应答率为85%（医生为65.12%，护士为89.28%）。根据工具评分标准计算安全文化得分（范围为0至100）和阳性得分百分比（平均得分>75的受访者百分比，100分为最佳）。还将得分与基准得分进行了比较。
总体平均量表得分为63.7±13.4，阳性应答百分比为58.1%。工作满意度是总体平均得分和阳性应答百分比最高的维度（分别为70.0和65.1%）。另一方面，压力认知是平均得分和阳性应答百分比最低的维度（分别为59.4±23.8和53.6%）。与护士相比，医生在团队合作氛围、工作满意度、对管理的认知和工作条件维度上的总体平均量表得分显著更高（医生分别为73.8±10.4、81.7±14.6、72.5±19.4、70.6±18.1，护士分别为61.0±15.4、68.4±23.0、60.8±22.4、61.8±22.3）（p<0.05），而护士的“压力认知”得分显著更高（护士的平均量表得分为60.4±23.6，与医生的52.0±24.0相比，p<0.05）。与基准数据相比，本研究中“团队合作氛围”“安全氛围”和“压力认知”维度得分较低。
“团队合作氛围”“安全氛围”和“压力认知”维度得分相对较低，这需要采取诸如团队培训、限制工作时间和高级管理人员安全巡查等干预措施。在六个领域中的四个领域，医生的得分显著高于护士，这需要进一步研究以确定原因并制定适当的改进策略。未来的研究应跟踪随时间的变化。
