Published date: Dec 31 2022

Journal Title: Sudan Journal of Medical Sciences

Issue title: Sudan JMS: Volume 17 (2022), Issue No. 4

Pages: 444–458

DOI: 10.18502/sjms.v17i4.12544

Yasin Çilhorozyasincilhoroz@gmail.comDepartment of Health Care Management, Faculty of Economics and Administrative Sciences, Hacettepe University, Ankara, Turkey

Gülnur İlgünDepartment of Health Care Management, Faculty of Economics and Administrative Sciences, Hacettepe University, Ankara, Turkey

Background: Patient safety is a high priority for healthcare systems worldwide. It is considered an indicator of the quality of care. Establishing a patient safety attitude is the first priority in order to create a patient safety culture. Nurses play a critical role in protecting and supporting patients because of the nature of their job. In this way, especially nurses’ attitudes about patient safety will be determined, and threats to patient safety that may arise in the future will be prevented.
Methods: In this regard, this study aimed to examine the nurses’ attitudes about patient safety according to certain sociodemographic characteristics. To accomplish this goal, the relevant data of the nurses were obtained by using the Patient Safety Attitude Scale consisting of 6 dimensions and 46 items. The research population consists of 245 nurses working in a University hospital in Ankara. The sample was not calculated, and a questionnaire was distributed to all employees of which 215 nurses completed the questionnaire. Data were collected between 1-30 April 2021. Ethics committee approval was obtained from the hospital. The data obtained were subjected to multivariate regression analysis.
Results: The scale used was reliable (r=0.80). The mean of the general patient safety attitude scale is 3.22 with a standard deviation of 0.54. The majority of the participants were found to be between the age groups of 19-26 (38.1%), women (84.7%), and single (52.1%). We also found that the weekly working time of nurses and whether they got patient safety training or no had a statistically significant effect on patient safety attitudes (p<0.05). Therefore, it could be said that as the working time of nurses increased, a decrease in patient safety attitudes were observed, and they exhibited more patient safety attitudes as they got patient safety training.
Conclusion: From this point of view, determining the weekly working hours of nurses more appropriately and making them more trained about patient safety may play a key role in creating a higher level of patient safety attitude.

Keywords: healthcare, nurse, patient safety, patient safety culture, patient safety attitude

[1] Yılmaz, A., Işık, O., & Akca, N. (2017). The level of hospital employees’ patient safety attitude perception determinated. Hacettepe Journal of Health Administration, 20(1), 69–80.

[2] IOM (Institute of Medicine). (2000). To err is human: building a safer health system (Vol. 6). National academy press.

[3] Çiftlik, E., Kesmezacar, O., Kurt, M. (2010). Perception of the patient safety culture training and research hospitals and in state hospitals. In: H. Kırılmaz (Ed.), The 2nd international congress on quality and performance in healthcare proceeding book (pp. 3–11). Ankara: Baydan Publishing.

[4] Tunçer Ünver, G., & Harmanci Seren, A. K. (2018). Defining the patient safety attitudes and influencing factors of health professionals working at maternity hospitals. Journal of Nursing Management, 26(5), 579–586. https://doi.org/10.1111/jonm.12585

[5] Sammer, C. E., Lykens, K., Singh, K. P., Mains, D. A., & Lackan, N. A. (2010). What is patient safety culture? A review of the literature. Journal of Nursing Scholarship, 42(2), 156–165. https://doi.org/10.1111/j.1547-5069.2009.01330.x

[6] Baykal, U., Sahin, N. H., & Altunas, S. (2020). Turkish adaptation of patient safety attitude questionnaire. Journal of Education and Research in Nursing, 7(1), 39–46.

[7] WHO. (2019). Patient safety. https://www.who.int/patientsafety/en/. Accessed on 21.02.2019.

[8] Wolf, Z. R., Serembus, J. F., Smetzer, J., Cohen, H., & Cohen, M. (2000). Responses and concerns of healthcare providers to medication errors. Clinical Nurse Specialist CNS, 14(6), 278–287. https://doi.org/10.1097/00002800-200011000-00011

[9] Uribe, C. L., Schweikhart, S. B., Pathak, D. S., Dow, M., & Marsh, G. B. (2002). Perceived barriers to medical-error reporting: An exploratory investigation. Journal of Healthcare Management, 47(4), 263–279. https://doi.org/10.1097/00115514- 200207000-00009

[10] Karaca, A., & Arslan, H. (2014). A study for evaluation of patient safety culture in nursing services. Journal of Health and Nursing Management, 1(1), 9–18. https://doi.org/10.5222/SHYD.2014.009

[11] Reis, C. T., Paiva, S. G., & Sousa, P. (2018). The patient safety culture: A systematic review by characteristics of hospital survey on patient safety culture dimensions. International Journal for Quality in Health Care, 30(9), 660–677. https://doi.org/10.1093/intqhc/mzy080

[12] Sexton, J. B., Helmreich, R. L., Neilands, T. B., Rowan, K., Vella, K., Boyden, J., Roberts, P. R., & Thomas, E. J. (2006). The safety attitudes questionnaire: Psychometric properties, benchmarking data, and emerging research. BMC Health Services Research, 6(1), 44. https://doi.org/10.1186/1472-6963-6-44

[13] Griethuijsen, R. A. L. F., Eijck, M. W., Haste, H., den Brok, P. J., Skinner, N. C., Mansour, N., Gencer, A. S., & BouJaoude, S. (2014). Global patterns in students’ views of science and interest in science. Research in Science Education, 45(4), 581–603. https://doi.org/10.1007/s11165-014-9438-6

[14] Nehring, A., Nowak, K. H., Belzen, A. U., & Tiemann R. (2015). Predicting students’ skills in the context of scientific inquiry with cognitive, motivational, and sociodemographic variables. International Journal of Science Education, 37(9), 1343–1363. https://doi.org/10.1080/09500693.2015.1035358

[15] Rogers, A. E., Hwang, W. T., Scott, L. D., Aiken, L. H., & Dinges, D. F. (2004). The working hours of hospital staff nurses and patient safety. Health Affairs (Project Hope), 23(4), 202–212. https://doi.org/10.1377/hlthaff.23.4.202

[16] Son, Y. J., Lee, E. K., & Ko, Y. (2019). Association of working hours and patient safety competencies with adverse nurse outcomes: A cross-sectional study. International Journal of Environmental Research and Public Health, 16(21), 4083– 4094. https://doi.org/10.3390/ijerph16214083

[17] Griffiths, P., Dall’Ora, C., Simon, M., Ball, J., Lindqvist, R., Rafferty, A. M., Schoonhoven, L., Tishelman, C., Aiken, L. H., & the RN4CAST Consortium. (2014). Nurses’ shift length and overtime working in 12 European countries: The association with perceived quality of care and patient safety. Medical Care, 52(11), 975–981. https://doi.org/10.1097/MLR.0000000000000233

[18] Jarrar, M., Minai, M. S., Al-Bsheish, M., Meri, A., & Jaber, M. (2019). Hospital nurse shift length, patient-centered care, and the perceived quality and patient safety. The International Journal of Health Planning and Management, 34(1), e387–e396. https://doi.org/10.1002/hpm.2656

[19] Filiz, E. (2009). Determining the perception of patient safety culture in the hospital and the attitude of healthcare professionals and society towards patient safety. Doctoral dissertation, Selcuk University, Konya.

[20] Landrigan, C. P., Rothschild, J. M., Cronin, J. W., Kaushal, R., Burdick, E., Katz, J. T., Lilly, C. M., Stone, P. H., Lockley, S. W., Bates, D. W., & Czeisler, C. A. (2004). Effect of reducing interns’ work hours on serious medical errors in intensive care units. The New England Journal of Medicine, 351(18), 1838–1848. https://doi.org/10.1056/NEJMoa041406

[21] Clarke, S. P. (2007). Hospital work environments, nurse characteristics, and sharps injuries. American Journal of Infection Control, 35(5), 302–309. https://doi.org/10.1016/j.ajic.2006.07.014

[22] Dembe, A. E., Erickson, J. B., Delbos, R. G., & Banks, S. M. (2005). The impact of overtime and long work hours on occupational injuries and illnesses: New evidence from the United States. Occupational and Environmental Medicine, 62(9), 588–597. https://doi.org/10.1136/oem.2004.016667

[23] Keller, S. M., Berryman, P., & Lukes, E. (2009). Effects of extended work shifts and shift work on patient safety, productivity, and employee health. American Association of Occupational Health Nurses (AAOHN) Journal, 57(12), 497–502. https://doi.org/10.1177/216507990905701204

[24] Olds, D. M., & Clarke, S. P. (2010). The effect of work hours on adverse events and errors in health care. Journal of Safety Research, 41(2), 153–162. https://doi.org/10.1016/j.jsr.2010.02.002

[25] Caruso, C. C. (2014). Negative impacts of shiftwork and long work hours. Rehabilitation Nursing, 39(1), 16–25. https://doi.org/10.1002/rnj.107

[26] Di Muzio, M., Dionisi, S., Di Simone, E., Cianfrocca, C., Di Muzio, F., Fabbian, F., Barbiero, G., Tartaglini, D., & Giannetta, N. (2019). Can nurses’ shift work jeopardize the patient safety? A systematic review. European Review for Medical and Pharmacological Sciences, 23(10), 4507–4519.

[27] Chao, W. Y., Chen, S. C., Geerdes, E., Hsiung, J.-C., Li, C.-H., Lee, C.-C., Tanoue, H., & Yamazaki, M. (2019). Long working hour related medical errors and patient outcomes among physicians: A systematic review. Emergency Medicine Open Journal (EMOJ), 4(1), 25–35. https://doi.org/10.17140/EMOJ-4-151

[28] . Teleki, S. S., Damberg, C. L., Sorbero, M. E., Shaw, R. N., Bradley, L. A., Quigley, D. D., Fremont, A. M., & Farley, D. O. (2009). Training a patient safety work force: The patient safety improvement corps. Health Services Research, 44(2p2), pp. 701-716.

[29] Balçık Akman, A. (2010). A study to evaluate the factors affecting the culture of patient safety and the perceptions of nurses working in a university hospital about patient safety culture. Master’s thesis, Istanbul University, Istanbul.

[30] Demirel, G., Akgün, Ö., & Doğaner, A. (2020). A The effect of patient safety attitudes and cultures on medical errors of intern students. Acıbadem University Health Sciences Journal, 11(2), 276–283.