AIM: To explore nurses' and physicians' attitudes and perceptions relevant to safety culture and to elicit strategies to promote safety culture in an intensive care unit. BACKGROUND: A strong safety culture is essential to ensure patient safety in the intensive care unit. METHOD: This case study adopted a mixed method design. The Safety Attitude Questionnaire (SAQ-ICU version), assessing the safety climate through six domains, was completed by nurses and physicians (n = 42) in an academic intensive care unit. Twenty semi-structured interviews and document analyses were conducted as well. Interviews were analysed using a framework analysis method. RESULT: Mean scores across the six domains ranged from 52.3 to 72.4 on a 100-point scale. Further analysis indicated that there were statistically significant differences between physicians' and nurses' attitudes toward teamwork (mean scores: 64.5/100 vs. 52.6/100, d = 1.15, t = 3.69, P < 0.001) and job satisfaction (mean scores: 78.2/100 vs. 57.7/100, d = 1.5, t = 4.8, P < 0.001). Interviews revealed several safety challenges including underreporting, failure to learn from errors, lack of speaking up, low job satisfaction among nurses and ineffective nurse-physician communication. CONCLUSION: The results indicate that all the domains need improvements. However, further attention should be devoted to error reporting and analysis, communication and teamwork among professional groups, and nurses' job satisfaction. IMPLICATIONS FOR NURSING MANAGEMENT: Nurse managers can contribute to promoting a safety culture by encouraging staff to report errors, fostering learning from errors and addressing inter-professional communication problems.
AIM: To explore nurses' and physicians' attitudes and perceptions relevant to safety culture and to elicit strategies to promote safety culture in an intensive care unit. BACKGROUND: A strong safety culture is essential to ensure patient safety in the intensive care unit. METHOD: This case study adopted a mixed method design. The Safety Attitude Questionnaire (SAQ-ICU version), assessing the safety climate through six domains, was completed by nurses and physicians (n = 42) in an academic intensive care unit. Twenty semi-structured interviews and document analyses were conducted as well. Interviews were analysed using a framework analysis method. RESULT: Mean scores across the six domains ranged from 52.3 to 72.4 on a 100-point scale. Further analysis indicated that there were statistically significant differences between physicians' and nurses' attitudes toward teamwork (mean scores: 64.5/100 vs. 52.6/100, d = 1.15, t = 3.69, P < 0.001) and job satisfaction (mean scores: 78.2/100 vs. 57.7/100, d = 1.5, t = 4.8, P < 0.001). Interviews revealed several safety challenges including underreporting, failure to learn from errors, lack of speaking up, low job satisfaction among nurses and ineffective nurse-physician communication. CONCLUSION: The results indicate that all the domains need improvements. However, further attention should be devoted to error reporting and analysis, communication and teamwork among professional groups, and nurses' job satisfaction. IMPLICATIONS FOR NURSING MANAGEMENT: Nurse managers can contribute to promoting a safety culture by encouraging staff to report errors, fostering learning from errors and addressing inter-professional communication problems.
Authors: Sabrina da Costa Machado Duarte; Ana Beatriz Azevedo Queiroz; Andreas Büscher; Marluci Andrade Conceição Stipp Journal: Rev Lat Am Enfermagem Date: 2015 Nov-Dec
Authors: Nina Granel; Josep Maria Manresa-Domínguez; Carolina Eva Watson; Rebeca Gómez-Ibáñez; Maria Dolors Bernabeu-Tamayo Journal: BMC Health Serv Res Date: 2020-06-26 Impact factor: 2.655
Authors: Nancy Berduzco-Torres; Begonia Choquenaira-Callañaupa; Pamela Medina; Luis A Chihuantito-Abal; Sdenka Caballero; Edo Gallegos; Montserrat San-Martín; Roberto C Delgado Bolton; Luis Vivanco Journal: Front Psychol Date: 2020-03-25