A comparative study of patient safety in the intensive care units

Atashzadeh‐Shoorideh, Foroozan; Farahani, Azam Shirinabadi; Pishgooie, Amir Hosein; Babaie, Mohadese; Hadi, Nazanin; Beheshti, M H; Zadeh, Ensieh Fathollah

doi:10.1002/nop2.1252

Cited by 8 publications

(5 citation statements)

References 32 publications

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“…Nurses working in intensive care units are particularly vulnerable to occupational burnout syndrome and belong to high-risk groups. The work, the essence of which is the care and nursing of a person in a life-threatening condition, such as after an accident, after surgery, in an advanced stage of illness or in a terminal state, exhausts psychologically primarily by constantly moving around final, critical issues, exhausts by its intensity ( 26 ).…”

Section: Introductionmentioning

confidence: 99%

Relationships between job satisfaction, occupational burnout and rationing of care among intensive care unit nurses

Tomaszewska,

Kowalczuk,

Majchrowicz

2024

Front. Public Health

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IntroductionRationing of nursing care is referred to as overlooking aspects of required patient care. Its result is incomplete or delayed services provided to the patient. Anesthesia nurses employed in an intensive care unit are exposed to a significant workload. Particularly heavy is the psychological burden leading in many cases to the onset of burnout syndrome and a decrease in job satisfaction.The aim of this paperWas to determine the relationship between occupational burnout, job satisfaction and rationing of care among anesthesia nurses employed in intensive care units.Materials and methodsThe study group consisted of 477 anesthesia nurses employed in intensive care units in Poland. The study was conducted between December 2022 and January 2023. The research tools were BERNCA-R questionnaire, Job Satisfaction Scale questionnaire and Maslach Burnout Inventory questionnaire, which were distributed to selected hospitals with a request to be forwarded to intensive care units and completed. In the statistical analysis, correlations were calculated using Spearman’s rho coefficient, reporting the intensity of the relationship and its positive or negative direction. The analysis was performed using the IBM SPSS 26.0 package with the Exact Tests module.ResultsThe mean score of the BERNCA questionnaire was 1.65 ± 0.82. The mean score of occupational burnout was 60.82 ± 10.46. The level of emotional exhaustion, which significantly affects occupational burnout, was 26.39 ± 6.07, depersonalization was 14.14 ± 3.21 and lack of personal achievement was 20.29 ± 4.70. All the scores obtained exceeded the threshold of 50% of total points, which indicates the presence of occupational burnout at a significant level. The job satisfaction of the nurses surveyed was above mean at 23.00 ± 5.2 out of 35 total points.ConclusionThe results proved that there is a statistically significant, although with a weak strength of association, correlation between occupational burnout and rationing of care by anesthesia nurses. As the limitation of anesthesia nurses’ ability to perform certain activities increases, their job satisfaction decreases. In a work environment that is conducive to nurses, there are fewer job responsibilities that are unfulfilled. Therefore, it is essential to create a friendly work environment for nursing staff that will promote the provision of services at the highest possible level.

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Section: Introductionmentioning

confidence: 99%

Relationships between job satisfaction, occupational burnout and rationing of care among intensive care unit nurses

Tomaszewska,

Kowalczuk,

Majchrowicz

2024

Front. Public Health

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“…The prevalence of error and patient harm in NICUs has been increasing in recent years; even minor errors can lead to short-term and long-term devastating consequences, prolonged hospital stays, temporary disorders, or disability [ 3 ]. In Iran, despite the great emphasis on providing safe and quality care [ 4 ], the rate of errors and traumatic events harming patients is still reported to be high [ 5 ]. While 56% of all adverse events that occur are preventable.…”

Section: Introductionmentioning

confidence: 99%

Psychometric evaluation of the Persian version of the Hospital Survey on Patient Safety Culture Questionnaire (HSOPSC) in neonatal intensive care units: a methodological study

Babaie,

Nourian,

Atashzadeh-Shoorideh

et al. 2023

BMC Nurs

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Background A valid and reliable tool compatible with the culture is needed to evaluate the safety culture as one of the vital and promotional components in improving the quality of safety and health care. This study aimed to investigate the psychometric properties of the Persian version of the “Hospital Survey on Patient Safety Culture (HSOPSC)” in physicians and nurses working in Neonatal Intensive Care Units. Methods In this methodological research, the qualitative face, content validity, and construct validity were performed by Confirmatory Factor Analysis to the psychometric evaluation of the HSOPSC questionnaire. Based on convenience sampling and the inclusion criteria, 360 individuals completed the questionnaire. Internal consistency and stability were measured. Data analysis was performed using SPSS 21 and LISREL. Results In examining the construct validity, fit indices were not appropriate for the 12-dimension model of the Persian version. According to T-value, six heterogeneous items and a dimension were omitted. The 11-dimension model with 36 items showed an appropriate fit with the data. Cronbach’s alpha was evaluated at 0.79, and the stability was 0.82 (p˂0.001). Conclusion The Persian version of HSOPSC with 11 dimensions and 36 items has favorable validity and reliability and can be used in NICUs.

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“…Patients hospitalized in emergency [19], Intensive care [10,20], internal [21] and gastroenterology [22][23][24] departments are more exposed to adverse events and complications of diagnostic or surgical procedures, misdiagnosis, and drug complications than other patients [25].…”

Section: Introductionmentioning

confidence: 99%

Patient safety improvement in the gastroenterology department: An action research

Sadeghi,

Masjedi Arani,

Karami Khaman

et al. 2023

PLoS ONE

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Background Patient safety is a global concern. Safe and effective care can shorten hospital stays and prevent or minimize unintentional harm to patients. Therefore, it is necessary to continuously monitor and improve patient safety in all medical environments. This study is aimed at improving patient safety in gastroenterology departments. Methods The study was carried out as action research. The participants were patients, nurses and doctors of the gastroenterology department of Ayatollah Taleghani Hospital in Tehran in 2021–2022. Data were collected using questionnaires (medication adherence tool, patient education effectiveness evaluation checklist, and medication evidence-based checklist), individual interviews and focus groups. The quantitative data analysis was done using SPSS (v.20) and qualitative data analysis was done through content analysis method using MAXQDA analytic pro 2022 software. Results The majority of errors were related to medication and the patient’s fault due to their lack of education and prevention strategy were active supervision, modification of clinical processes, improvement of patient education, and promotion of error reporting culture. The findings of the research showed that the presence of an active supervisor led to the identification and prevention of more errors (P<0.01). Regarding the improvement of clinical processes, elimination of reworks can increase satisfaction in nurses (P<0.01). In terms of patient education, the difference was not statistically significant (P>0.01); however, the mean medication adherence score was significantly different (P<0.01). Conclusion The improvement strategies of patient safety in Gastroenterology department included the modification of ward monitoring processes, improving/modification clinical processes, improvement of patient education, and development of error reporting culture. Identifying inappropriate processes and adjusting them based on the opinion of the stakeholders, proper patient education regarding self-care, careful monitoring using appropriate checklists, and presence of a supervisor in the departments can be effective in reducing the incidence rate. A comprehensive error reporting program provides an opportunity for employees to report errors.

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A comparative study of patient safety in the intensive care units

Cited by 8 publications

References 32 publications

Relationships between job satisfaction, occupational burnout and rationing of care among intensive care unit nurses

Relationships between job satisfaction, occupational burnout and rationing of care among intensive care unit nurses

Psychometric evaluation of the Persian version of the Hospital Survey on Patient Safety Culture Questionnaire (HSOPSC) in neonatal intensive care units: a methodological study

Patient safety improvement in the gastroenterology department: An action research

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