Nurses' Perceptions of Patient Safety Culture During the Pandemic in Covid-19 Referral Hospitals

Annisa Rahmi Galleryzki; RR  Tutik Sri Hariyati; Kuntarti; Janes  Jainurakhma

doi:10.33086/jhs.v15i03.2885

Authors

Annisa Rahmi Galleryzki STIKes Kepanjen
RR Tutik Sri Hariyati University of Indonesia
Kuntarti University of Indonesia
Janes Jainurakhma Sekolah Tinggi Ilmu Kesehatan Kepanjen (STIKES Kepanjen), University of Indonesia

DOI:

https://doi.org/10.33086/jhs.v15i03.2885

Abstract

Patient safety culture is essential in creating a safe and healthy hospital environment. This study aims to portray nurses' perceptions of patient safety culture during the Pandemic in COVID-19 Referral Hospitals. This paper was a descriptive study. The population was nurses working in inpatient, Covid-19 isolation, intensive, and emergency rooms. In addition, the sample was 268 nurses with a stratified random sampling. Data collection used a questionnaire using Google Forms. It consisted of the demographic characteristics of respondents (name, gender, age, marital status, working time, education, nurse position, levels of nursing, and patient safety training) also nurses' perception of patient safety culture. The Hospital Survey on Patient Safety Culture (HSOPC) was an instrument to assess patient safety culture. Data analysis used IBM SPSS Statistics version 22.0 to describe the mean, median, minimum, and maximum values and presentation. Results showed that the mean patient safety culture among nurses in COVID-19 referral hospitals was 147.09 (62.55%). In addition, the lowest dimension of patient safety culture was feedback and communication (31.75%), while the highest was an organizational improvement (73.16%). Thus, the patient safety culture in the COVID-19 referral hospital still needed improvement. A good patient safety culture can increase patient safety and the quality of health services. Therefore, hospital management should optimize all dimensions of patient safety culture to ensure patient safety. Future research could explore predisposing factors of patient safety culture

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References

Abdulmohsen, B. et al. (2019) 'Perceptions of postoutbreak management by management and healthcare workers of a Middle East respiratory syndrome outbreak in a tertiary care hospital: a qualitative study', British Medical Journal [Preprint]. Available at: https://doi.org/10.1136/bmjopen-2017-017476. DOI: https://doi.org/10.1136/bmjopen-2017-017476

AHRQ (2021) Hospital Survey 1.0: 2021 User Database Report.

Ahsan, A., Noviyanti, L.W. and Primanoviasari, T.S. (2018) ‘Hubungan beban kerja perawat dengan penerapan prinsip tujuh benar dalam pemberian obat pada pasien di ruang rawat inap’, Jurnal Kesehatan Mesencephalon, 4(2). Available at: https://doi.org/10.36053/mesencephalon.v4i2.85. DOI: https://doi.org/10.36053/mesencephalon.v4i2.85

Alonazi, W.B. (2021) 'Building learning organizational culture during COVID-19 outbreak: a national study', BMC Health Services Research, 21(1), pp. 1–8. Available at: https://doi.org/10.1186/s12913-021-06454-9. DOI: https://doi.org/10.1186/s12913-021-06454-9

Altmiller, G. (2012) 'The Role of Constructive Feedback in Patient Safety and Continuous Quality Improvement', Nursing Clinics of North America, 47(3), pp. 365–374. Available at: https://doi.org/10.1016/j.cnur.2012.05.002. DOI: https://doi.org/10.1016/j.cnur.2012.05.002

Anderson, J.E. and Kodate, N. (2015) 'Learning from patient safety incidents in incident review meetings: Organisational factors and indicators of analytic process effectiveness', Safety Science, 80, pp. 105–114. Available at: https://doi.org/10.1016/j.ssci.2015.07.012. DOI: https://doi.org/10.1016/j.ssci.2015.07.012

Arini, T. (2018) Budaya Keselamatan Pasien Berbasis Pemberdayaan Struktural dengan Kepuasan Kerja Perawat. Master thesis, Universitas Airlangga.

Asadi, H. et al. (2020) 'The Status of Patient Safety Culture in Nurses of Imam Khomeini Hospital in Ardabil, Iran during the Outbreak of COVID-19, in 2020', Journal of Military Medicine, 22(11), pp. 1162–1170. Available at: https://doi.org/10.30491/JMM.22.11.1162.

Ballantyne, H. (2017) 'Undertaking effective handovers in the healthcare setting', Nursing Standard, 31(45), pp. 53–62. Available at: https://doi.org/10.7748/ns.2017.e10598. DOI: https://doi.org/10.7748/ns.2017.e10598

Brindley, P.G. et al. (2014) 'Improving medical communication with patients and families: Skills for a complex (and multilingual) clinical world', Canadian respiratory journal, 21(2), pp. 89–91. Available at: https://doi.org/10.1155/2014/780270. DOI: https://doi.org/10.1155/2014/780270

Chegini, Z. et al. (2020) 'The impact of patient safety culture and the leader coaching behaviour of nurses on the intention to report errors: A cross-sectional survey', BMC Nursing, 19(1), pp. 1–9. Available at: https://doi.org/10.1186/s12912-020-00472-4. DOI: https://doi.org/10.1186/s12912-020-00472-4

Chen, H.Y. et al. (2021) 'Article post-pandemic patient safety culture: A case from a large metropolitan hospital group in Taiwan', International Journal of Environmental Research and Public Health, 18(9). Available at: https://doi.org/10.3390/ijerph18094537. DOI: https://doi.org/10.3390/ijerph18094537

Clark, K. (2020) 9 Steps for Communicating with Employees during the COVID-19 Crisis, Ragan Consulting Group. Available at: https://www.ragan.com/9-steps-for-communicating-with-employees-during-the-covid-19-crisis/ (Accessed: 22 July 2021).

Danielsson, M. et al. (2019) 'A National Study of Patient Safety Culture in Hospitals in Sweden', Journal of Patient Safety, 15(4), pp. 328–333. Available at: https://doi.org/10.1097/PTS.0000000000000369. DOI: https://doi.org/10.1097/PTS.0000000000000369

Denning, M. et al. (2020) 'What has been the impact of COVID-19 on safety culture?: A case study from a large metropolitan healthcare trust', International Journal of Environmental Research and Public Health, 17(19), pp. 1–12. Available at: https://doi.org/10.3390/ijerph17197034. DOI: https://doi.org/10.3390/ijerph17197034

Fatonah, S. and Yustiawan, T. (2020) ‘Supervisi Kepala Ruangan dalam Menigkatkan Budaya Keselamatan Pasien’, Jurnal Keperawatan Silampari, 4(1), pp. 151–161. Available at: https://doi.org/10.31539/jks.v4i1.1408. DOI: https://doi.org/10.31539/jks.v4i1.1408

Ha, S. and Lee, M. (2019) 'A study on patient safety culture, incident reporting and safety care activities of clinical nurses in a University-Affiliated Hospital', Journal of muscle and joint health, 26(1), pp. 35–45. Available at: https://doi.org/10.5953/JMJH.2019.26.1.35.

Han, M.-Y. and Jung, M.-S. (2017) 'Effect of Hospital Nurses' Perceptions of Organizational Health and Patient Safety Culture on Patient Safety Nursing Activities', Journal of Korean Academy of Nursing Administration, 23(2), p. 127. Available at: https://doi.org/10.11111/jkana.2017.23.2.127. DOI: https://doi.org/10.11111/jkana.2017.23.2.127

Hardavella, G. et al. (2017) 'How to give and receive feedback effectively', Breathe, 13(4), pp. 327–333. Available at: https://doi.org/10.1183/20734735.009917. DOI: https://doi.org/10.1183/20734735.009917

Herawati, Y.T. (2015) ‘Budaya Keselamatan Pasien Di Ruang Rawat Inap Rumah Sakit X Kabupaten Jember’, Jurnal IKESMA, 11(1), pp. 52–60.

Hou, Y. et al. (2020) 'Preparedness of our emergency department during novel coronavirus pneumonia from the nurses' perspectives: A qualitative research study', Journal of Emergency Nursing, 46(6). Available at: https://doi.org/https://doi.org/10.1016/j.jen.2020.07.008. DOI: https://doi.org/10.1016/j.jen.2020.07.008

Hughes, V. (2018) 'What are the Barriers to Effective Nurse Leadership? A Review', Athens Journal of Health, 5(1), pp. 7–20. Available at: https://doi.org/10.30958/ajh.5-1-1. DOI: https://doi.org/10.30958/ajh.5-1-1

Hwang, J.-I. and Ahn, J. (2015) 'Teamwork and Clinical Error Reporting among Nurses in Korean Hospitals', Asian Nursing Research, 9(1), pp. 14–20. Available at: https://doi.org/https://doi.org/10.1016/j.anr.2014.09.002. DOI: https://doi.org/10.1016/j.anr.2014.09.002

Im, S. and Park, M.J. (2018) 'The effects of patient safety culture perception and organizational commitment on patient safety management activities in general hospital nurses', Journal of Digital

Convergence, 16(6), pp. 259–270. Available at: https://doi.org/https://doi.org/10.14400/JDC.2018.16.6.259.

Jankelová, N. et al. (2021) 'Leading employees through the crises: Key competences of crises management in healthcare facilities in coronavirus pandemic', Risk Management and Healthcare Policy, 14, pp. 561–573. Available at: https://doi.org/10.2147/RMHP.S288171. DOI: https://doi.org/10.2147/RMHP.S288171

Kakemam, E. et al. (2021) 'Nurses' perception of teamwork and its relationship with the occurrence and reporting of adverse events: A questionnaire survey in teaching hospitals', Journal of Nursing Management, pp. 1–10. Available at: https://doi.org/10.1111/jonm.13257. DOI: https://doi.org/10.1111/jonm.13257

KARS (2019) Instrumen survei standar nasional akreditasi rumah sakit. Jakarta: KARS.

Lee, J.Y., Hong, J.H. and Park, E.Y. (2020) 'Nurses' experiences caring for patients with Middle East respiratory syndrome: A phenomenological study', Journal of Clinical Nursing [Preprint]. Available at: https://doi.org/10.1111/jocn.15366. DOI: https://doi.org/10.1111/jocn.15366

Lee, Y. mi and Oh, H. (2020) 'The Influence of Patient Safety Culture and Patient Safety Error Experience on Safety Nursing Activities of Emergency Nurses in South Korea', Journal of Emergency Nursing [Preprint]. Available at: https://doi.org/10.1016/j.jen.2020.05.019. DOI: https://doi.org/10.1016/j.jen.2020.05.019

Longenecker, C.O. and Longenecker, P.D. (2014) 'Why hospital improvement efforts fail: A view from the front line', Journal of Healthcare Management, 59(2), pp. 147–157. Available at: https://doi.org/10.1097/00115514-201403000-00010. DOI: https://doi.org/10.1097/00115514-201403000-00010

Lotfi, Z. et al. (2018)' Relationship between ethical leadership and organisational commitment of nurses with perception of patient safety culture', Journal of Nursing Management, 26(6), pp. 726–734. Available at: https://doi.org/10.1111/jonm.12607. DOI: https://doi.org/10.1111/jonm.12607

Lum, B.X. et al. (2020) ‘Establishing a New Normal for Hospital Care: A Whole of Hospital Approach to Coronavirus Disease 2019 (COVID-19)’, Clinical Infectious Diseases [Preprint]. Available at: https://doi.org/10.1093/cid/ciaa1722. DOI: https://doi.org/10.1093/cid/ciaa1722

Manapragada, A. et al. (2019) 'When safety climate is not enough: Examining the moderating effects of psychosocial hazards on nurse safety performance', Journal of Advanced Nursing, 75(6), pp. 1207–1218. Available at: https://doi.org/10.1111/jan.13911. DOI: https://doi.org/10.1111/jan.13911

Methangkool, E. et al. (2019) ‘Communication: Is There a Standard Handover Technique to Transfer Patient Care?’, International Anesthesiology Clinics, 57(3), pp. 35–47. Available at: https://doi.org/10.1097/AIA.0000000000000241. DOI: https://doi.org/10.1097/AIA.0000000000000241

Moon, S. and Lee, J. (2017) 'Correlates of patient safety performance among nurses from hospitals with less than 200 beds', Korean Journal of Adult Nursing, 29(4), pp. 393–405. Available at: https://doi.org/10.7475/kjan.2017.29.4.393. DOI: https://doi.org/10.7475/kjan.2017.29.4.393

Nazri, F., Juhariah S, S. and Arif S, M. (2015) ‘Implementasi Komunikasi Efektif Perawat-Dokter dengan Telepon di Ruang ICU Rumah Sakit Wava Husada’, Jurnal Kedokteran Brawijaya, 28(2), pp. 174–180. Available at: https://doi.org/10.21776/ub.jkb.2015.028.02.11. DOI: https://doi.org/10.21776/ub.jkb.2015.028.02.11

Nurlindawati and Jannah, N. (2018) ‘Budaya Keselamatan Pasien Oleh Perawat Dalam Melaksanakan Pelayanan di Ruang Rawat Inap’, Jurnal Ilmia Mahasiswa Fakultas Keperawatan, 3(4), pp. 185–189.

O'connor, P. et al. (2016) 'A mixed-methods study of the causes and impact of poor teamwork between junior doctors and nurses', International Journal for Quality in Health Care, 28(3), pp. 339–345. Available at: https://doi.org/10.1093/intqhc/mzw036. DOI: https://doi.org/10.1093/intqhc/mzw036

Paguio, J.T. and Yu, D.S.F. (2020) 'A mixed methods study to evaluate the effects of a teamwork enhancement and quality improvement initiative on nurses' work environment', Journal of Advanced Nursing, 76(2), pp. 664–675. Available at: https://doi.org/10.1111/jan.14270. DOI: https://doi.org/10.1111/jan.14270

Pattabi, A. et al. (2018) 'Effective Communication between Nurses and Doctors: Barriers as Perceived by Nurses', Journal of Nursing & Care, 07(03). Available at: https://doi.org/10.4172/2167-1168.1000455. DOI: https://doi.org/10.4172/2167-1168.1000455

Robbins, S.P. and Judge, T.A. (2017) 'Organizational Behavior, Seventeenth Edition, Global Edition', Pearson Education Limited, p. 747.

Robertson, E.R. et al. (2014) 'Interventions employed to improve intrahospital handover: A systematic review', BMJ Quality and Safety, 23(7), pp. 600–607. Available at: https://doi.org/10.1136/bmjqs-2013-002309. DOI: https://doi.org/10.1136/bmjqs-2013-002309

Saudi Patient Safety Center (2020) National Recommendations for Hospital Survey on Patient Safety Culture.

Swarjana, I.K. (2016) Statistik Kesehatan. CV Andi Offset.

Syam, N.S. (2017) ‘Implementasi Budaya Keselamatan Pasien oleh Perawat di Rumah Sakit Ibnu Sina Makassar’, 11(2), pp. 169–174. Available at: https://doi.org/10.12928/kesmas.v11i2.7140.

Syam, N.S. and Hastuti, S.K.W. (2018) 'Relationship Between Knowledge and Attitude with Implementation of Patient Safety Targets in RSUD Yogyakarta', Jurnal Medicoeticolegal dan Manajemen Rumah Sakit, 7(3), pp. 205–211. Available at: https://doi.org/10.18196/jmmr.7374. DOI: https://doi.org/10.18196/jmmr.7374

Taylor, M. et al. (2020) 'Patient Safety Concerns in COVID-19–Related Events: A Study of 343 Event Reports From 71 Hospitals in Pennsylvania', Patient Safety, (June), pp. 16–27. Available at: https://doi.org/10.33940/data/2020.6.3. DOI: https://doi.org/10.33940/data/2020.6.3

Tlili, M.A. et al. (2021) 'A baseline assessment of patient safety culture and its associated factors from the perspective of critical care nurses: Results from 10 hospitals', Australian Critical Care, 34(4), pp. 363–369. Available at: https://doi.org/https://doi.org/10.1016/j.aucc.2020.09.004. DOI: https://doi.org/10.1016/j.aucc.2020.09.004

Ulrich, B. and Kear, T. (2014) 'Patient Safety and Patient Safety Culture: Foundations of Excellent Health Care Delivery.', Nephrology nursing journal: journal of the American Nephrology Nurses' Association, 41(5), pp. 447–456.

Umberfield, E. et al. (2019) 'Using Incident Reports to Assess Communication Failures and Patient Outcomes', Physiology & behavior, 176(3), pp. 139–148. Available at: https://doi.org/10.1016/j.jcjq.2019.02.006.Using.

Wang, K.Y., Chou, C.C. and Lai, J.C.Y. (2019) 'A structural model of total quality management, work values, job satisfaction and patient-safety-culture attitude among nurses', Journal of Nursing Management, 27(2), pp. 225–232. Available at: https://doi.org/10.1111/jonm.12669. DOI: https://doi.org/10.1111/jonm.12669

White, J.H. (2021) 'A Phenomenological Study of Nurse Managers' and Assistant Nurse Managers' Experiences during the COVID-19 Pandemic in the United States', Journal of Nursing Management [Preprint]. Available at: https://doi.org/10.1111/jonm.13304. Yesilyaprak, T. and Demir Korkmaz, F. (2021) 'The relationship between surgical intensive care unit nurses' patient safety culture and adverse events', Nursing in Critical Care, (February 2020), pp. 1–9. Available at: https://doi.org/10.1111/nicc.12611 DOI: https://doi.org/10.1111/nicc.12611