A systematic integrative review of specialized nurses' role to establish a culture of patient safety: A modelling perspective

Abstract

AimsTo understand specialized nurses' role in the culture of patient safety and their ability to promote and enforce it within healthcare.DesignA systematic integrative review using the approach of Whittemore and Knafl.MethodsSystematic literature search for qualitative, quantitative and mixed‐methods studies, followed by data evaluation, quality assessment, analysis and research synthesis with a narrative perspective. Findings were contextualized within a ‘framework for understanding the development of patient safety culture’.Data SourcesSearches were conducted in PubMed [including MEDLINE], Scopus, CINAHL, Web of Science and EMBASE from Jan 2013 until Sep 2023.ResultsSixteen studies published in English from six different countries were selected and used for research synthesis. Diverse enabling factors and enacting behaviours influencing specialized nurses' roles to promote patient safety culture were identified, mainly focusing on nurses' workload, professional experiences and organizational commitment. Patient safety outcomes focused on medication management, infection prevention, surveillance process in critical care, oversight on quality and safety of nurses' practice, patient care management, continuity of care, adherence to the treatment plan and implementation of a specialized therapeutic procedure.ConclusionSpecialized nurses can make a significant contribution to promote patient safety culture and support organizational initiatives to prevent adverse events.Implications for the Profession and/or Patient CareStronger participation and leadership of specialized nurses in initiatives to improve patient safety culture requires appropriate investments and support by policy makers and managers in terms of resources and training.ImpactThere is a gap in existing literature on the contribution that specialized nurses can make in promoting patient safety culture. Review results highlight the importance of interprofessional collaboration and teamwork by involving specialized nurses. They inform healthcare policy makers about recognizing their roles and competencies in patient safety culture.Preferred reporting items for systematic reviews and meta‐analysis.No patient or public contribution.

Patient Safety Culture from a Nursing Perspective in a Chilean Hospital

“…Additionally, all questions were worded positively. Its psychometric properties, such as content validity (S-CVI global content validity index > 0.982) [ 18 ], construct validity [ 22 ] (RMSEA = 0.048, SRMR = 0.064; ), and reliability measured with McDonald’s Omega coefficient were considered adequate. The HSOPS 2.0 adapted to the Chilean population can be consulted in Supplementary Material Table S1 .…”

“…Another study related to Turkey highlights the responsibility of managers in the culture of patient safety since providing an environment where errors are discussed without fear of punishment will improve the work environment and, therefore, the quality of the care supplied [ 17 ]. A systematic literature search study aimed at understanding the evolution of patient safety culture in Western countries, such as Australia, England, Canada, and the United States, highlights the fundamental contribution of specialized nurses’ competencies in establishing and reinforcing a culture of patient safety in nursing, both in hospitals and in outpatient care [ 18 ]. Within the scope of Latin America, a study related to Brazil states that patient safety is directly related to the quality of the processes and prevention of infections associated with health care in nursing teams, negatively highlighting the factors of difficulty in internal communication and learning from mistakes [ 19 ].…”