Patient Safety Culture, Missed Nursing Care, and Adverse Events in University Hospitals: A Cross-Sectional Study.

IF 1.2 Q3 NURSING
Iranian Journal of Nursing and Midwifery Research Pub Date : 2025-05-08 eCollection Date: 2025-05-01 DOI:10.4103/ijnmr.ijnmr_210_23
Kuswantoro R Putra, Alfrina Hany, Evi Ningrum, Eko Arisetijono, Mohamad Taji, Ratih Vatmasari
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引用次数: 0

Abstract

Background: Patient safety culture, which reflects fundamental assumptions and actions related to patient safety, remains unchanged after accreditation. Missed nursing care is prevalent in university hospitals and affects the occurrence of adverse events. This study aims to determine the effect of patient safety culture on missed nursing care and adverse events as perceived by nurses at university hospitals.

Materials and methods: This cross-sectional study was conducted using an online survey at six university hospitals in Indonesia from September to November 2021. The survey included the Safety Attitude Questionnaire (SAQ), the missed nursing care instrument by the international RN4Cast consortium, and the adverse event instrument by the International Hospital Outcomes Research Consortium. A total of 330 nurses completed the survey.

Results: A total of 330 nurses participated in this study, resulting in an 89% response rate. The findings show a significant correlation between safety culture and missed nursing care (r = 0.153; p < 0.001) and between safety culture and adverse events (r = 0.001 p < 0.001). The positive coefficient value indicates that a better safety culture was associated with reduced missed nursing care. Additionally, there was a significant relationship between missed nursing care and adverse events (r = 0.146, p < 0.001), indicating that a higher incidence of missed nursing care leads to more adverse events.

Conclusions: This study indicates that modification on patient safety culture correlates with changes in missed nursing care and adverse events as quality of nursing services.

大学医院患者安全文化、护理缺失与不良事件:一项横断面研究。
背景:患者安全文化反映了与患者安全相关的基本假设和行动,在认证后保持不变。高校医院护理缺失现象普遍存在,影响不良事件的发生。本研究旨在探讨大学医院护士对病人安全文化对护理失察及不良事件的影响。材料和方法:本横断面研究于2021年9月至11月在印度尼西亚的六所大学医院进行在线调查。调查内容包括安全态度问卷(SAQ)、国际RN4Cast联盟的漏护量表、国际医院结局研究联盟的不良事件量表。共有330名护士完成了调查。结果:共有330名护士参与本研究,有效率89%。结果显示,安全文化与护理失察有显著相关(r = 0.153;P < 0.001)和安全培养与不良事件之间的关系(r = 0.001 P < 0.001)。正系数值表明良好的安全文化与减少护理遗漏有关。此外,护理缺失与不良事件之间存在显著相关(r = 0.146, p < 0.001),表明护理缺失发生率越高,不良事件越多。结论:本研究表明,患者安全文化的改变与护理服务质量的缺失和不良事件的变化相关。
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来源期刊
CiteScore
1.80
自引率
0.00%
发文量
79
审稿时长
46 weeks
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