Nurses’ Perceptions Regarding Patient Safety Culture at Selected Hospitals in Egypt ns Saudi Arabia

Hala Y. Sayed- Umm Al Qura University & Orban R. Bayoumi Pediatric Nursing Administration –Ain Shams University/ Egypt.

BACKGROUND The scale includes 48 items that measure 9 areas, or Table( 1): Frequency distribution of nurses’ perceptions in relation to
composites, of patient safety culture; work area (18 items), patient safety culture dimensions (No. =157)
Patient safety is a critical component of improving the supervisor / manager (4 items ), communication (6 items),
quality of healthcare worldwide as defined by the World Health frequent of events reported ( 3 items ), patient safety grade (1
item ), hospital (11 items ), number of events reported ( 1 item), P-   Disagree Neither Agree  
Organization (WHO). Health care team recognizes the
importance of patient safety and they emphasis on background information (6).Scoring System: A five point liker Value X2 % No % No % No Patient Safety Dimensions
implementing systems of care delivery that prevent errors, learn scale will be used for the scale ranging from (5=strongly agree,
from errors and promote a culture of safety that involves health 4=agree, 3=neither, 2=disagree, 1=strongly disagree). **0.0 20.1 0 0 32 32 68 68 1. Communication openness.
professionals and the organization as a whole to prevent harm 2. Feedback and communication
**0.0 20.7 0 0 19 19 81 81
in health care. Patient safety is one of the crucial aspects of
quality of health care and a determining factor in patients’
RESULTS about error.
**0.0 31.1 6 6 45 45 49 49 3. Frequency of events reported.
health and lives. In developed countries patient safety is now Figure (1): Distribution of nurses’ percentage regarding of 4. Handoffs and transitions.
recognized as a top priority in their health care systems, the patient safety grade (No. =157) **0.0 21.5 25 25 51 51 24 24
5. Management support for
medical adverse events still remain as a global challenge and no **0.0 12.2 0 0 18 18 82 82
patient safety.
country has yet overcome all of its patient safety problems .
**0.0 20.5 7 7 27 27 66 66 6. Nonpunitive response to error.
7. Organizational learning—
SIGNIFICANT OF THE STUDY **0.0 19.2 0 0 11 11 89 89
continuous improvement.
Patient safety is critical to health care quality which **0.0 13.7 0 0 41 41 59 59 8. Overall perceptions of patient
remains a developmental challenge especially for developing safety.
countries. Achieving quality of care and patient safety are **0.0 23.6 3 3 25 25 74 74 9. Staffing.
challenges for health care organizations. In order to effectively **0.0 19.1 2 2 25 25 75 75 10.Supervisor/manager
improve all aspects of health care quality, it is believed that expectations and actions
establishing a culture of patient safety within health care promoting safety.
organization is the best strategy. As well, achieve a culture of **0.0 19.1 3 3 34 34 63 63 11. Teamwork across units.
safety, hospitals and their employees must understand the **0.0 20.2 2 2 7 7 91 91 12. Teamwork within units.
prevailing values, beliefs, norms, attitudes and behaviors with
regard to patient safety in their facility.
 
AIM CONCLUSION
The aim of this study was to assess nurses’ perceptions Figure (2): Distribution of nurses as regards number of Based on the study findings it is concluded that teamwork
regarding patient safety culture at selected hospitals in Egypt reporting adverse events at the last year (No. =157) within units was the highest rate with positive perception of
and Saudi Arabia.
nurses followed by organizational learning and continuous
improvement. While the lowest rate with positive perception
SUBJECTS AND METHODS was handoffs and transitions followed by frequency of events
reported.
Design. Descriptive cross-sectional design was carried out in There were statistically significant differences between bachelor
the selected hospitals affiliated to the Ministry of Health in nurses and diploma nurses regarding to patient safety culture in
Egypt & Saudi Arabia. Subjects. The subjects consisted of 157 two dimensions: Communication openness, Supervisor/manager
nurses recruited through multi-stage stratified random expectations and actions promoting safety.
sampling. Tools. The tools of data collection used in this study
were included: Assessment Sheet: It was designed by the
investigators to collect demographic data of the studied nurses RECOMMENDATIONS
such as (age, gender, level of education, years of experience). • Proper guidelines on patient safety awareness for staff through
Hospital Patient Safety Scale: It was adopted from (13), to continuous education are mandatory.
assess hospital staff opinions about patient safety issues,
• Providing the new staff with educational sessions on patient
medical errors, and event reporting.
safety at the beginning of their work.
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