Putra Kuswantoro R, Hany Alfrina, Ningrum Evi, Arisetijono Eko, Taji Mohamad, Vatmasari Ratih
Department of Nursing, Faculty of Health Sciences, Universitas Brawijaya, Kota Malang, Jawa Timur, Indonesia.
Neuroscience, Faculty of Medicine, Universitas Brawijaya, Kota Malang, Jawa Timur, Indonesia.
Iran J Nurs Midwifery Res. 2025 May 8;30(3):349-355. doi: 10.4103/ijnmr.ijnmr_210_23. eCollection 2025 May-Jun.
Patient safety culture, which reflects fundamental assumptions and actions related to patient safety, remains unchanged after accreditation. Missed nursing care is prevalent in university hospitals and affects the occurrence of adverse events. This study aims to determine the effect of patient safety culture on missed nursing care and adverse events as perceived by nurses at university hospitals.
This cross-sectional study was conducted using an online survey at six university hospitals in Indonesia from September to November 2021. The survey included the Safety Attitude Questionnaire (SAQ), the missed nursing care instrument by the international RN4Cast consortium, and the adverse event instrument by the International Hospital Outcomes Research Consortium. A total of 330 nurses completed the survey.
A total of 330 nurses participated in this study, resulting in an 89% response rate. The findings show a significant correlation between safety culture and missed nursing care (r = 0.153; < 0.001) and between safety culture and adverse events (r = 0.001 < 0.001). The positive coefficient value indicates that a better safety culture was associated with reduced missed nursing care. Additionally, there was a significant relationship between missed nursing care and adverse events (r = 0.146, < 0.001), indicating that a higher incidence of missed nursing care leads to more adverse events.
This study indicates that modification on patient safety culture correlates with changes in missed nursing care and adverse events as quality of nursing services.
患者安全文化反映了与患者安全相关的基本假设和行为，在医院认证后保持不变。护理缺失在大学医院中普遍存在，并影响不良事件的发生。本研究旨在确定大学医院护士所感知的患者安全文化对护理缺失和不良事件的影响。
本横断面研究于2021年9月至11月在印度尼西亚的六所大学医院通过在线调查进行。该调查包括安全态度问卷（SAQ）、国际RN4Cast联盟的护理缺失评估工具以及国际医院结局研究联盟的不良事件评估工具。共有330名护士完成了调查。
共有330名护士参与了本研究，回复率为89%。研究结果显示，安全文化与护理缺失之间存在显著相关性（r = 0.153；<0.001），安全文化与不良事件之间也存在显著相关性（r = 0.001 <0.001）。正系数值表明，更好的安全文化与减少护理缺失相关。此外，护理缺失与不良事件之间存在显著关系（r = 0.146，<0.001），这表明护理缺失发生率越高，不良事件就越多。
本研究表明，患者安全文化的改进与护理缺失和不良事件的变化相关，而护理缺失和不良事件是护理服务质量的体现。
