Patient safety incident reporting behavior and its associated factors among healthcare professionals in Hadiya zone, Ethiopia: A facility based cross-sectional study

IF 3.1 Q1 NURSING
Amina Shemsu , Abebe Dechasa , Mulatu Ayana , Meseret Robi Tura
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引用次数: 0

Abstract

Background

Incidents affecting patient safety can cause unnecessary injury to a patient. It is generally accepted that incident reporting can improve patient safety. In Ethiopian public hospitals, especially in the Hadiya zone, patient safety-related incidents are commonly witnessed, but there is no evidence of reporting behavior among healthcare professionals.

Purpose

This study aimed to assess patient safety incident reporting behavior and its associated factors among healthcare professionals working in public hospitals in the Hadiya zone, South Nation's, Nationalities, and Peoples’ Region, Ethiopia, in 2021.

Method

A cross-sectional study design was employed, among 345 healthcare professionals working in public hospitals in the Hadiya zone from August 1–30, 2021. A simple random sampling technique was used to select study participants, and a structured self-administered questionnaire which is adapted from a Hospital survey on patient safety survey and literature was used to collect the data. The data were entered into a data attraction template prepared using the Epi data software and then exported to the SPSS version 25 software for analysis. Descriptive analyses were conducted to determine the general characteristics and distributions of the data collected. An inferential statistical analysis was conducted using the logistic regression model to identify associations between outcome and predictor variables. The odds ratio with the 95 % confidence interval was used to test the associations between the outcome variable and predictor variables. Finally, statistical significance was set at p-value < 0.05.

Results

From the total of 354 healthcare professionals expected, 334 participants, which gave a response rate of 94.4 %, had completed and returned the questionnaire. The result shows that overall patient safety incident reporting behavior among healthcare professionals was 28.7 % (95 % Confidence Interval (CI): (24.6, 33.2). Being a nurse professional [Adjusted Odd Ratio (AOR): 5.48, 95 % CI: (1.67, 17.80)], having job training [AOR: 2.87, 95 % CI: (1.46, 6.28)], having a team within the units [AOR=2.79, 95 %CI: (1.23, 6.28)], communication openness [AOR=2.78, 95 %CI: (1.44, 5.37)], and management support [AOR=2.8, 95 %CI; (1.40, 5.60)] were found to factor significantly associated with patient safety incident reporting behaviour.

Conclusion

This study revealed that the incident-reporting behavior among healthcare professionals was low compared to previous studies. Being a nurse professional, having an on -job training, having a team within the unit, communication openness, perception of the time reporting takes, fear of administration sanction and management support were factors associated with their patient safety incident reporting behavior. Managers should focus on patient safety incidents, prepare continuous training programs, and provide open communication to improve patient safety incident reporting.

埃塞俄比亚哈迪亚区医护人员的患者安全事故报告行为及其相关因素:基于医疗机构的横断面研究
背景影响患者安全的事故会对患者造成不必要的伤害。人们普遍认为,事故报告可以改善患者安全。本研究旨在评估 2021 年在埃塞俄比亚南部民族和人民区哈迪亚地区公立医院工作的医护人员的患者安全事故报告行为及其相关因素。方法采用横断面研究设计,从 2021 年 8 月 1 日至 30 日在哈迪亚地区公立医院工作的 345 名医护人员中进行调查。研究采用简单随机抽样技术选取参与者,并使用一份结构化自填问卷收集数据,该问卷改编自医院患者安全调查和文献。数据被输入使用 Epi 数据软件编制的数据吸引模板,然后导出到 SPSS 25 版软件中进行分析。进行了描述性分析,以确定所收集数据的一般特征和分布情况。使用逻辑回归模型进行推理统计分析,以确定结果与预测变量之间的关联。使用带有 95% 置信区间的几率来检验结果变量与预测变量之间的关联。结果在预计的 354 名医护人员中,有 334 人完成并交回了问卷,回复率为 94.4%。结果显示,医护人员的总体患者安全事件报告行为为 28.7%(95% 置信区间(CI):(24.6, 33.2)。作为一名专业护士[调整后奇数比(AOR):5.48,95 % CI:(1.67,17.80)]、接受过岗位培训[AOR:2.87,95 % CI:(1.46,6.28)]、单位内有一个团队[AOR=2.79,95 %CI:(1.23,6.28)]、沟通开放性[AOR=2.78,95 %CI:(1.44,5.结论本研究显示,与之前的研究相比,医护人员的事故报告行为较低。作为一名专业护士、接受过在职培训、在科室内有一个团队、沟通开放性、对报告所需时间的看法、对行政处罚的恐惧以及管理层的支持是与患者安全事故报告行为相关的因素。管理者应关注患者安全事件,准备持续的培训计划,并提供开放式沟通,以改善患者安全事件的报告。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.80
自引率
0.00%
发文量
45
审稿时长
81 days
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