Original Article

The Perceptions of Physicians and Nurses Regarding the Establishment of Patient Safety in a Regional Teaching Hospital in Taiwan

Abstract

Background: Physicians and nurses are core staff who are the first points of contact in care provision to patients. We aimed to examine physicians’ and nurses’ perceptions of patient safety in a case hospital by administering the Chinese Safety Attitude Questionnaire (CSAQ), developed from the Taiwan Joint Commission on Hospital Accreditation, in order to provide the patients with a safe environment and excellent medical service.

Methods: An intra-organizational online survey was conducted. Confirmatory factor analysis (CFA) was first performed on the assessment of the measures for patient safety culture and seven dimensions with 33 items were identified. Pearson correlation analysis was subsequently used to examine the strength and direction of the relationships between seven dimensions of patient safety culture.

Results: A total of 800 questionnaires were issued and 405 valid questionnaires were collected, the effective response rate being 50.6%. The findings highlighted that safety climate (SC) was positively and significantly related to teamwork climate (TC) and perception of management (PM), whereas stress recognition (SR) was negatively related to burnout (BUR).

Conclusion: Patient safety culture in healthcare organizations has been considered a critical issue for improving the quality of healthcare. This study further focused on the contribution of a better patient safety culture for healthcare organizations in Taiwan.

 

 

Lee YC, Wu HH, Hsieh WL et al (2015). Applying importance-performance analy-sis to patient safety culture. Int J Health Care Qual Assur, 28: 826-840.

Ewing M (2013). The patient-centered medi-cal home solution to the cost-quality co-nundrum. J Healthc Manag, 58: 258-266.

Wilson DS (2013). Registered nurses’ collec-tive safety organising behaviours: The as-sociation with perceptions of patient safety culture. J Res Nurs, 18: 320-333.

Sexton J, Helmreich R, Neilands T et al (2006). The safety attitudes questionnaire: Psychometric properties, benchmarking data, and emerging research. BMC Health Serv Res, 6: 44.

Gabrani A, Hoxha A, Simaku A, Gabrani J (2015). Application of the safety attitudes questionnaire (SAQ) in Albanian hospi-tals: A cross-sectional study. BMJ Open, 5: e006528.

Hamdan M (2013). Measuring safety culture in Palestinian neonatal intensive care units using the safety attitudes questionnaire. J Crit Care, 28: 886.e7-14.

Lee LJ, Hsu CH, Hong JC (2012). Explore the impact of hospital restructuring medi-cal practitioners of patient safety culture attitudes. J Health Manag, 10: 189-199.

European Union Network for Quality in Health Care (2006). Use of patient safety culture instrument and recommendations. European Network for Quality in Health Care, Office for Quality Indicators.

Kiaei MZ, Ziaee A, Mohebbifar R et al (2016). Patient safety culture in teaching hospitals in Iran: Assessment by the Hospital Survey on Patient Safety Culture (HSOPSC). J Health Man Info, 3: 51-56.

Bairami F, Ghorbanpoor M, Bairami A, Mostofian F (2016). Assessment of pa-tient safety friendly hospital initiative in three hospitals affiliated to Tehran Uni-versity of medical sciences. Patient Saf Qual Improv, 4: 334-339.

Ahmed NG, Adam SM, Al-Moniem IIA (2011). Patient safety: Assessing nurses’ perception and developing an improve-ment plan. Life Sci J, 8: 53-64.

Cliff B (2012). The evolution of patient-centered care. J Healthc Manag, 57: 86-88.

Agnew C, Flin R, Mearns K (2013). Patient safety climate and worker safety behav-iours in acute hospitals in Scotland. J Safe-ty Res, 45: 95-101.

Huang CH, Wu HH, Lee YC (2018). The perceptions of patient safety culture: A difference between physicians and nurses in Taiwan. Appl Nurs Res, 40: 39-44.

Ulrich B, Kear T (2014) Patient safety and patient safety culture: Foundations of ex-cellent health care delivery. Nephrol Nurs J, 41: 447-456.

Lee YC, Weng SJ, Huang CH et al (2017). A longitudinal study of identifying critical factors of patient safety culture in Taiwan. J Test Eval, 45: 1029-1044.

Zuniga F, Schwappach D, De Geest S, Schwendimann R (2013). Psychometric properties of the Swiss version of the nursing home survey on patient safety culture. Safety Sci, 55: 88-118.

Lee, YC, Huang, CH, Wu, HH (2016). A case study of using importance-agreement analysis to analyze patient safe-ty culture based on the safety attitudes questionnaire in Taiwan. Int J Innov Tec Manag, 7: 213-218.

Gonzalez JFZ, Wolf G, Dudjak L, Jordan B (2015). Impact of magnet culture in main-taining quality outcomes during periods of organizational transition. J Nurs Care Qual, 30: 323-330.

Lee YC, Hsu CL, Wu HH, Hsieh LP, Weng SJ, Huang CH (2013). Evaluating patient safety culture from viewpoints of physi-cians and registered nurses–A case of a regional hospital in Taiwan. Proceedings of the 3rd International Conference on Application of Information and Com-munication Technology and Statistics in Economy and Education; Bulgaria, Sofia.

Abdou HA, Saber KM (2011). A baseline assessment of patient safety culture among nurses at student university hos-pital. World J Med Sci, 6: 17-26.

Göras C, Wallentin FY, Nilsson U, Ehren-berg A (2013). Swedish translation and psychometric testing of the safety atti-tudes questionnaire. BMC Health Serv Res, 13: 104.

Poghosyan L, Aiken LH, Sloane DM (2009). Factor structure of the Maslach Burnout Inventory: An analysis of data from large scale cross-sectional surveys of nurses from eight countries. Int J Nurs Stud, 46: 894-902.

Blunsdon B, Blyton P, Reed K, Dastmal-chian A (2006). Work, life and the work-life issue in Work-life integration, interna-tional perspectives on the balancing of multiple roles, in Dastmalchian A, Blunsdon B, Reed K, Blyton P (Eds). New York: Palgrave Macmillan, (pp.1-16).

Feldtead A, Jewson N, Phizacklea A, Walter S (2002). Opportunities to work at home in the context of work-life balance. Hu-man Resour Manag J, 12: 54-76.

Pinheiro J.P.A., A.S Uva (2016). Safety Cli-mate in the Operating Room – Transla-tion, Validation and Application of the Safety Attitudes Questionnaire. Rev Port Saúde Pública, 34(2): 107-116.

Joy A, Dittmar PC (2017). Interprofessional collaboration. In: Hospital medicine: Perspectives, practices and professional development. Eds, R Habicht, M Gulati. Springer International Publishing AG, Switzerland, pp. 95-104.

Mann S, Pratt S (2008). Team approach to care in labor and delivery. Clin Obstet Gynecol, 51: 666-679.

Hwang JI, Ahn J (2015). Teamwork and clinical error reporting among nurses in Korean hospitals. Asian Nurs Res (Korean Soc Nurs Sci), 9: 14-20.

Lee YC, Huang SC, Huang CH, Wu HH (2016). A new approach to identify high burnout medical staffs by kernel k-means cluster analysis in a regional teaching hospital in Taiwan. Inquiry, 53.0046958016679306.

Files
IssueVol 47 No 6 (2018) QRcode
SectionOriginal Article(s)
Keywords
Patient safety Organizational culture Safety attitude questionnaire Confirmatory factor analysis Pearson correlation analysis

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
HUANG C-H, WU H-H, CHOU CY, DAI H, LEE Y-C. The Perceptions of Physicians and Nurses Regarding the Establishment of Patient Safety in a Regional Teaching Hospital in Taiwan. Iran J Public Health. 2018;47(6):852-860.