Ibrahim Mudasir Mohammed, Abdul-Rahaman Fatima, Sayibu Mohammed Sherif, Alhassan Dora Nyamekye, Awudu Ruhaima Tunteya, Sisala Iddrisu Mohammed, Wuni Abubakari, Abdulai Abdul-Malik
Department of Internal Medicine (M3), Tamale Teaching Hospital, Tamale, Ghana.
Department of Nursing, Nurses' and Midwives' Training College, Tamale, Ghana.
BMC Health Serv Res. 2025 Sep 2;25(1):1176. doi: 10.1186/s12913-025-13384-3.
Despite significant advancements in healthcare, patient safety remains a persistent global concern. Nurses' competency in patient safety is essential for minimizing errors and improving key performance indicators (KPIs) related to patient outcomes.
This study assessed the impact of nurses' patient safety competency (PSC) on KPIs for patient safety outcomes at Tamale Teaching Hospital.
A multi-method research design was employed, comprising quantitative data collected from 291 nurses using structured questionnaires and qualitative data from 10 in-depth interviews. Quantitative data were analyzed using SPSS Statistics and AMOS, while qualitative data were analyzed using QDA Miner Lite.
Majority of nurses (61.2%) demonstrated high PSC, with the highest scores recorded in professional characteristics (M = 3.04, SD = 0.74). PSC was significantly associated with age, educational level, work experience, rank, and prior exposure to quality and safety programs (p < 0.05). Among the KPIs, medication safety recorded the highest performance (M = 3.82, SD = 0.86). Structural equation modeling (SEM) revealed that nurses' PSC significantly predicted KPIs for patient safety outcomes (β = 0.628, p < 0.001), with the leadership role in patient safety partially mediating this relationship (β = 0.218, p < 0.001). Qualitative findings identified key barriers to PSC development, including inadequate integration of patient safety into nursing education, lack of training and standardized protocols, limited career advancement opportunities, and limited scope of practice.
Strengthening nurses' patient safety competencies and addressing barriers are essential strategies for improving patient safety outcomes, particularly in resource-constrained healthcare settings.
尽管医疗保健取得了重大进展，但患者安全仍然是全球持续关注的问题。护士在患者安全方面的能力对于最大限度地减少错误和改善与患者结果相关的关键绩效指标（KPI）至关重要。
本研究评估了护士的患者安全能力（PSC）对塔马利教学医院患者安全结果关键绩效指标的影响。
采用多方法研究设计，包括通过结构化问卷从291名护士收集的定量数据和10次深入访谈的定性数据。定量数据使用SPSS Statistics和AMOS进行分析，而定性数据使用QDA Miner Lite进行分析。
大多数护士（61.2%）表现出较高的PSC，在专业特征方面得分最高（M = 3.04，SD = 0.74）。PSC与年龄、教育水平、工作经验、职级以及先前参与质量和安全计划显著相关（p < 0.05）。在关键绩效指标中，用药安全表现最佳（M = 3.82，SD = 0.86）。结构方程模型（SEM）显示，护士的PSC显著预测了患者安全结果的关键绩效指标（β = 0.628，p < 0.001），患者安全中的领导作用部分介导了这种关系（β = 0.218，p < 0.001）。定性研究结果确定了PSC发展的关键障碍，包括患者安全在护理教育中的整合不足、缺乏培训和标准化方案、职业发展机会有限以及实践范围受限。
加强护士的患者安全能力并消除障碍是改善患者安全结果的重要策略，特别是在资源有限的医疗保健环境中。
