Volume 27, Issue 88 (June 2014)                   IJN 2014, 27(88): 77-87 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Sharifi S, Izadi-tame A, Hatamipour K, Sadeghigooghary N, Safabakhsh L. Patient Safety Culture from Mazandaran Clinical Nurses’ Perspective. IJN 2014; 27 (88) :77-87
URL: http://ijn.iums.ac.ir/article-1-1810-en.html
1- Doctoral student, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences (International Branch) and Lecturer, Faculty of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran (Corresponding Author) Tell: 021- 88655379 Email: siminsharifi1@gmail.com
2- Assistant professor, Human Sciences Department. Imam Hussein University. Tehran,Iran
3- Doctoral student , and faculty member, Dept of Nursing, Tonekabon branch, Islamic Azad University, Mazandaran, Iran
4- Doctoral student. Gerontology department. University of Social Welfare and Rehabilitation Sciences, Tehran and Faculty member, School of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran
5- Doctoral student, Medical education department. Isfahan University of Medical Sciences and Instructor, Faculty of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran
Abstract:   (8121 Views)

  Abstract

  Background & Aim: Nurses are one the important groups in patients’ recovery and safety and have an important role in the reduction of their mortality. The aim of the study was to identify nurses’ perceptions of patient safety culture in Mazandaran‘s hospitals.

  Material & Methods: It was a descriptive correlational study which has been done in a two month period in the hospitals of Tonekabon, Chaloos, and Ramsar. The sample was recruited by census (n= 456). Data was collected by Persian version of HSOPS, developed by Agency for Healthcare Research and Quality (AHRQ) that measures 12 dimensions of patient safety culture, and analysed by descriptive statistics and t- test, one way ANOVA, and Pearson correlation coefficient using SPSS-PC (v. 16).

  Results: Amongst the 12 dimensions of AHRQ, the nurses assigned the highest score to "team work within units" (4/02 ± 0/98) and "Organizational learning-continuous development" (4/06± 0/75). They assigned the least score to “Staff” (2/39±1/11) and “non-punitive response to error” (2/53±0/98). Nurses (%53/7) reported 1-2 errors during the last year. There were significant negative correlations between the dimension of "team work within units”, age, and years of experience (P< 0/05).

Conclusion: It seems the patient safety culture requires some modifications to be able to create a safer clinical environment. It is suggested that punitive culture be replaced with non -punitive culture so that health care staff share their clinical errors.
Full-Text [PDF 1346 kb]   (2503 Downloads)    
Type of Study: Research | Subject: nursing
Received: 2014/03/29 | Accepted: 2014/06/14 | Published: 2014/12/16

References
1. Mahfoozpour S, Ainy E, Mobasheri F, Faramarzi A. [Patients' safety culture status among educational hospitals of Shahid Beheshti University of Medical Sciences in 2011.] Pajoohandeh J. 2012;17(3):134-41.
2. French J. Medical Errors and Patient Safety in Health Care. Canadian Journal of Medical Radiation Technology.2006; 37(4):9-13 [DOI:10.1016/S0820-5930(09)60192-4]
3. Zali A. ["Still in the "registration system for medical error" not real / half percent of medical error statistics in Iran"]. Available from: www.yjc.ir/fa/news/4668018. Accessed February 12, 2014.
4. Mirzaei M, Khatony A, Safari Faramani R, Sepahvand E. [Prevalence, Types of Medication errors and Barriers to Reporting Errors by Nurses in an Educational Hospital in Kermanshah.] Hayat. 2014;19(3):28-37.
5. Seidi M, Zardosht R. [Survey of Nurses' Viewpoints on Causes of Medicinal Errors and Barriers to Reporting in Pediatric Units in Hospitals of Mashhad University of Medical Sciences]. J Fasa Univ Med Sci. 2012;2(3):142–7.
6. Hughes CM, Lapane KL. Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. Int J Qual Health Care. 2006;18(4):281-6. [DOI:10.1093/intqhc/mzl020] [PMID]
7. Jolaee S, Hajibabaee F, Peyravi H, Haghani H. [Nursing medication errors and its relationship with work condition in Iran University of Medical Sciences.] Iranian Journal of Medical Ethics and History of Medicine. 2009;3(1):65-76.
8. Baghaei R, Nourani D, Khalkhali H, Pirnejad H. [Evaluating Patient Safety Culture in Personnel of Academic Hospitals in Urmia University of Medical Sciences in 2011]. Journal of Urmia Nursing & Midwifery Faculty. 2012;10(2).
9. Mirfakhr Aldini S H, Farid D, Sayadi Touranlou H. [Use of EFQM in analysis of organizational culture dimensions (Case Study: Yazd Health Care Institutions)]. Journal of Shahid Sadoughi Unversity of Medical Sciences and Health Services.2010; 17(2):30-42.
10. Nasiripour AA, Raeisi P, Hedayati P. [The Relationship between Organizational Cultures and Employees Productivity in Ecucayional Hospital of Iran University Medical Sciences]. Journal of Health Administration. 2009.12(35):17-24.
11. Hoseini Sh, Yarmohamadian MH, Ajami S. [The Relationship between organizational culture and organizational maturity of staff in Isfahan Medical University Hospitals]. Journal of Hospital. 2009; 8(2).37-44.
12. El-Jardali F, Dimassi H, Jamal D, Jaafar M, Hemadeh N. Predictors and outcomes of patient safety culture in hospitals. BMC Health Serv Res. 2011;11(1):45. [DOI:10.1186/1472-6963-11-45] [PMID] [PMCID]
13. Laschinger HKS, Leiter MP. The impact of nursing work environments on patient safety outcomes: The mediating role of burnout engagement. J Nurs Adm. 2006;36(5):259-67. [DOI:10.1097/00005110-200605000-00019]
14. Aiken LH, Clarke SP, Sloane DM, Lake ET, Cheney T. Effects of hospital care environment on patient mortality and nurse outcomes. J Nurs Adm. 2008;38(5):223-9 [DOI:10.1097/01.NNA.0000312773.42352.d7] [PMID] [PMCID]
15. Singla AK, Kitch BT, Weissman JS, Campbell EG. Assessing patient safety culture: a review and synthesis of the measurement tools. J Patient Saf. 2006;2(3):105-15. [DOI:10.1097/01.jps.0000235388.39149.5a]
16. Moghri J, Ghanbarnezhad A, Moghri M, Rahimi Forooshani A, Akbari Sari A, Arab M. [Validation of Farsi version of hospital survey on patient Safety culture questionnaire, using confirmatory factor analysis method]. Hospital. 2012;11(2):19-30.
17. Rezapoor A, Tanoomand Khoushehmehr A, Bayat R, Arabloo J, Rezapoor Z. [Study of patients' safety culture in Selected Training hospitals affiliated whith Tehran university of medical sciences.] Hospital. 2012;11(2):55-64.
18. Alahmadi H. Assessment of patient safety culture in Saudi Arabian hospitals. Qual Saf Health Care. 2010;19(5):1-5. [DOI:10.1136/qshc.2009.033258]
19. Bodur S, Filiz E. Validity and reliability of Turkish version of "Hospital Survey on Patient Safety Culture" and perception of patient safety in public hospitals in Turkey. BMC Health Serv Res. 2010; 10:28. [DOI:10.1186/1472-6963-10-28] [PMID] [PMCID]
20. Chen I-C, Li H-H. Measuring patient safety culture in Taiwan using the Hospital Survey on Patient Safety Culture (HSOPSC). BMC Health Serv Res. 2010;10(1):152. [DOI:10.1186/1472-6963-10-152] [PMID] [PMCID]
21. Hellings J, Schrooten W, Klazinga N, Vleugels A. Challenging patient safety culture: survey results. Int J Health Care Qual Assur. 2007;20(7):620-32. [DOI:10.1108/09526860710822752] [PMID]
22. Smits M, Christiaans-Dingelhoff I, Wagner C, van der Wal G, Groenewegen PP. The psychometric properties of the'Hospital Survey on Patient Safety Culture'in Dutch hospitals. BMC Health Serv Res. 2008;8(1):230. [DOI:10.1186/1472-6963-8-230] [PMID] [PMCID]
23. Sorra J, Famolaro T, Dyer N, et al. Hospital Survey on Patient Safety Culture: 2009 Comparative Database Report.Rockville, MD: AHRQ Publication.No.10-0026; 2009.
24. Nasiripour A.A, Raeissi P, Tabibi S.J, Keikavoosi Arani L. [Hidden threats inducing medical errors in Tehran public hospitals]. Journal of Hormozgan University of Medical Sciences. 2011; 15(2):152-62.
25. Dehghan nayeri N, Nazari AA, Salsali M, Ahmadi F. [Wok force role in nursing productivity: qualitative research]. Hayat. 2006; 12(3):5-15.
26. Rostami H, Montazam H, Ghagramanian A, Mirghafoorvand M.[nurses' and patients ' viewpoint about patient education barriers]. Scientific Journal of Hamadan Nursing & Midwifery Faculty.2010; 18(1):50-5.
27. Sharifi S, Mohamad Alizade S. [Attitudes and Perceived Barriers to Carry Out Research among Hospital Nurse Administrator in hospitals of Kerman]. I J N. 2009; 59(22):51-9.
28. Burns N, Grove. K. The practice of nursing research : conduct, critique and utilization. 5th ed. Philadelphia: WB. Saunders Company; 2005

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2015 All Rights Reserved | Iran Journal of Nursing

Designed & Developed by : Yektaweb