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Evaluation of patient safety culture as perceived by nurses during the COVID-19 pandemic Cover

Evaluation of patient safety culture as perceived by nurses during the COVID-19 pandemic

Open Access
|Mar 2023

Figures & Tables

The correlation between socio-demographic data and the PSC level (n = 315)_

ItemsMean ± Stdt/FP
Gender a −0.130.897
    Male2.85 ± 0.68
    Female2.88 ± 0.76
Nationality a −4.3990.000*
    Saudi3.15 ± 0.74
    Non-Saudi2.76 ± 0.73
Hospital a −0.4010.689*
    KFGH2.85 ± 0.74
    EJGH2.89 ± 0.76
Age b, years 7.9170.000*
    20–302.89 ± 0.76
    30–402.76 ± 0.81
    ≥403.32 ± 0.52
Marital status b 0.6440.526
    Single2.82 ± 0.74
    Married2.92 ± 0.76
    Divorced2.80 ± 0.75
    Diploma2.82 ± 0.73
Education level b 2.7670.064
    Bachelor2.94 ± 0.77
    Master and above2.46 ± 0.65
Years of experience b, years 3.7600.024*
    1–52.98 ± 0.75
    5–102.73 ± 0.74
    ≥102.97 ± 0.76
Workings department b 1.8650.066
    Medical2.78 ± 0.75
    Surgical2.87 ± 0.50
    Isolation section2.88 ± 0.94
    ICU2.95 ± 0.72
    ER2.73 ± 0.75
    OPD3.32 ± 0.75
    Delivery room2.75 ± 0.82
    Antenatal room2.60 ± 0.50
    Operation room3.04 ± 0.76
    Postnatal care2.92 ± 1.00

The socio-demographic characteristics of studied nurses (n = 315)_

VariablesFrequency%
Age, years
    20–301150.365
    30–401680.533
    ≥40  320.102
Gender
    Male  160.051
    Female2990.949
Marital status
    Single1110.353
    Married1840.584
    Divorced  200.063
Nationality
    Saudi2170.689
    Non-Saudi  980.311
    Diploma1060.337
Education level (Diploma)
    Bachelor1970.625
    Master and above  120.038
Years of experience, years
    1–5  710.226
    5–102450.774
    ≥101220.387
Workings units
    Medical  500.159
    Surgical  180.057
    Isolation unit    80.025
    Intensive care unit1070.340
    Emergency room  340.108
    Outpatient department  230.073
    Delivery room  320.102
    Antenatal room  110.035
    Operation room  130.041
    Postnatal care  190.060
Hospital
    KFGH  850.270
    EJGH2300.730

Nurses’ responses regarding PSC statements or items (n = 315)_

Composites and statements of PSCWeighted meanSDOverall Response
Perceptions of overall safety
    Getting more work done never means compromising patient safety.4.37±0.73Strongly agree
    Our systems and procedures are effective at avoiding errors from occurring.4.16±0.82Agree
    Here, we have a very low serious error rate just by chance.3.61±0.93Agree
    In this unit, we have issues with patient safety.4.18±0.75Agree
The rate of incidents stated
    When a mistake is made, it is recognized and corrected before it has an impact on the patient.4.18±0.75Agree
    When a mistake is made but has no risk of injury to the patient.3.61±0.93Agree
    When an error has been made that could have a serious impact on the patients but it does not.4.23±0.91Strongly agree
Handoffs and transitions
    Problems frequently arise during information flow around hospital departments.”3.42±1.37Agree
    Throughout handovers, important patient care data is frequently lost.3.82±0.97Agree
    Patients in this hospital have a hard time adjusting to changes in shifts.3.91±1.04Agree
While moving clients from one department to a different unit, things “slip between the cracks.”4.19±0.79Agree

The frequency for nurses regarding the levels of PSC (n = 315)_

Overall PSC levelMean rangeWeighted mean rangeNo%
Very Low37 < 66.6    1 < 1.80  170.0540
Low66.7 < 96.21.81 < 2.60  520.1651
Medium96.3 < 125.82.61 < 3.401340.4254
High125.9 < 155.43.41 < 4.20  880.2794
Very high  155.5 to 185    4.21 to 5  240.0761

The nurses’ responses regarding the overall level of PSC and its composites (n = 315)_

PSC compositesMeanWeighted meanSDRelative weightsLevel
Perceptions of overall safety  20.614.12±0.480.8543High
The rate of incidents stated  34.242.85±0.870.5707Medium
Handoffs and transitions  22.832.85±0.860.5709Medium
Staffing  19.453.57±0.550.7134High
Expectations and behaviors of managers that promote patient safety  20.663.89±0.540.7779High
Teamwork within units  15.543.11±0.910.6217Medium
Cross-unit collaboration  16.453.29±0.750.6582Medium
Transparency in communication  13.112.62±0.940.5246Medium
Organizational learning    4.322.16±1.160.4321Low
Communication and feedback on faults  14.174.10±0.670.8263High
Errors are handled in a non-punitive manner  92.723.54±0.350.7086High
Support from management for patient safety  20.613.86±0.540.7726High
Overall PSC294.702.88±0.760.5757Medium
DOI: https://doi.org/10.2478/fon-2023-0013 | Journal eISSN: 2544-8994 | Journal ISSN: 2097-5368
Language: English
Page range: 125 - 133
Submitted on: Jun 29, 2022
Accepted on: Oct 18, 2022
Published on: Mar 20, 2023
Published by: Shanxi Medical Periodical Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2023 Anood M. Alabbas, Abdulhameid S. Althubyani, Mysara Alfaki, Faisal A. Alharthi, Ahmed AlKarani, published by Shanxi Medical Periodical Press
This work is licensed under the Creative Commons Attribution 4.0 License.