Attitudes of Critical Care Nurses towards Teamwork and Patient Safety in Saudi Arabia: A Descriptive Cross-Sectional Assessment

Moussa, Fatchima Laouali; Moussa, Mahaman; Sofyani, Hussain Ahmed; Alblowi, Bander Hammad; Oqdi, Yahia Ahmad; Khallaf, Saleh; Alharbi, Hamad S.; Albarqi, Ahmed

doi:10.3390/healthcare10101866

Cited by 5 publications

(7 citation statements)

References 33 publications

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“…This data collection tool was developed considering the research objectives and relevant literature. 10,17 The form comprises a total of six questions designed to ascertain personal characteristics (such as gender, marital status, age, etc.) and professional characteristics (including the unit worked in and the hospital).…”

Section: Descriptive Characteristics Formmentioning

confidence: 99%

“…Effective collaboration among nurses facilitates the care process, boosts job satisfaction, and yields efficient results. [8][9][10] The TeamSTEPPS (Team strategies and tools to enhance performance and patient safety) framework was improved based on the "Big Five" Salas model, which encompasses the core elements of effective teamwork, including supportive behavior, harmony, team orientation, mutual performance monitoring, and team leadership. [11][12][13] These components, as defined by TeamSTEPPS, are crucial for ensuring patient safety, enhancing quality, and developing, improving, and optimizing effective team processes.…”

Section: Introductionmentioning

confidence: 99%

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Adaptation of the TeamSTEPPS® Teamwork Perceptions Questionnaire into Turkish for a Nurse Sample: A Methodological Study

Yerköy Ateş

2024

J Educ Res Nurs

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Background: Teamwork is an essential building block in the healthcare system, where team members' perceptions significantly affect teamwork dynamics. Thus, a valid and reliable questionnaire is crucial for evaluating team members' perceptions. Aim:The purpose of this study is to adapt and psychometrically test the TeamSTEPPS® Teamwork Perceptions Questionnaire for a nurse sample. Methods:This cross-sectional validation study included a sample of 365 nurses working in both a university and a private hospital from November to December 2019. The study utilized the Guidelines for Reporting Reliability and Agreement Studies (GRRAS) checklist. The questionnaire was initially translated into Turkish using the back-translation method. Item analysis, an expert panel for content validity, confirmatory factor analysis for construct validity, internal consistency, the test-retest method, and item-total correlation coefficients were employed to verify the questionnaire's psychometric properties. Results:The participating nurses, aged between 25-40 years (63.8%), primarily worked in intensive care units (29.6%). The questionnaire was deemed adequate in terms of language and content. Confirmatory factor analysis of the five-dimensional questionnaire indicated a good fit. The Cronbach's alpha for the entire questionnaire was 0.93, with sub-dimensions ranging from 0.91 to 0.94. The five-dimensional model demonstrated acceptable goodnessof-fit indices. The two-way mixed intraclass correlation coefficient for the five-dimensional questionnaire indicated excellent test-retest reliability. Conclusion:The questionnaire proved to be an acceptable instrument for measuring nurses' perceptions of individual teamwork within their groups.

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Section: Descriptive Characteristics Formmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Adaptation of the TeamSTEPPS® Teamwork Perceptions Questionnaire into Turkish for a Nurse Sample: A Methodological Study

Yerköy Ateş

2024

J Educ Res Nurs

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“…Learning about attitudes concerns medical staff, including nurses and midwives, who need to form an attitude of professional response to clinical adverse events in the course of developing knowledge, skills and safe practices [ 2 ]. A wide variety of definitions of attitude can be found in the literature, and this is related to the fact that the concept has overtones in the terminology of many social sciences, such as psychology, pedagogy, sociology; the humanities, which includes philosophy [ 3 ]; or the health sciences, which includes nursing [ 4 ]. Attitudes are usually defined as the tendency to react positively or negatively to an object, person, or event.…”

Section: Introductionmentioning

confidence: 99%

Attitudes of Internal Medicine Nurses, Surgical Nurses and Midwives towards Reporting of Clinical Adverse Events

Majda,

Majkut,

Wróbel

et al. 2024

Healthcare

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Understanding the attitudes of medical staff contributes to shaping a culture of safety in health care. The aim of this study was the measurement of attitudes of nurses and midwives towards reporting clinical adverse events. Various research tools were used, including the Reporting of Clinical Adverse Events Scale (RoCAES; Polish: P-RoCAES), the Justice Sensitivity Inventory, the Feelings in Moral Situations Scale, the Perceived Stress at Work Scale and the Author’s Survey Questionnaire. The cross-sectional survey was conducted from October 2022 to April 2023. The study used assessment-based sampling. The study included 745 midwives and nurses working in internal medicine—surgical wards in nine hospitals in a large provincial city in Poland. One-way analysis of variance ANOVA, post hoc test (Fisher’s NIR), and r-Spearman correlation test were used. The level of significance (p) did not exceed 0.05. Respondents did not differ in terms of sensitivity to justice, moral feelings, and perceived stress at work, all of which variables were at moderate levels. Respondents’ attitudes towards reporting clinical adverse events in the P-RoCAES were positive (surgical nurses 71.10; internal medicine nurses 72.04; midwives 71.26; F(2.741) = 1.14, p = 0.319), especially those with a master’s degree, longer work experience and older age. Respondents with a master’s degree were most likely to perceive a benefit from reporting adverse events (P-RoCAES subscale) (F(2.737) = 8.45, p = 0.001). The longer employment tenure (F(3.716) = 4.63, p = 0.003) and having a master’s degree (F(2.737) = 3.10, p = 0.045) were associated with a higher feeling of guilt among the respondents (P-RoCAES subscale). The longer the participants worked, the more positive their attitude became towards the importance of transparency in procedures (F(2.741) = 3.56, p = 0.029), but the more negative their attitude was towards the benefits of reporting adverse events (P-RoCAES subscale) (r(686) = −0.08, p = 0.037). Individual attitudes of nurses and midwives as well as their age, length of service or education can influence the formation of a culture of safety in health care (including the reporting of clinical adverse events). Attitudes can motivate corrective action, can be reinforced and shaped by educational programs, good quality management and monitoring system solutions.

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“…Despite implementing strategies to promote and achieve efficient teamwork among their employees, many hospitals in Saudi Arabia struggle with factors such as the lack of accountability, poor decision making, and inadequate conflict management that challenge their efforts and prevent developing collaborating teams that effectively manage DPHEs (Sweis et al 2013 ; Al Thobaity and Alshammari 2020 ; Sultan et al 2020 ; Zajac et al 2021 ). Against this background, the Saudi Health Ministry has launched multiple initiatives to improve teamwork among medical professionals (Moussa et al 2022 ). Nevertheless, collaborative activities are needed to adequately prepare HCWs to manage the ramifications of DPHEs (Alenazi et al 2020 ) and to develop a team-building framework that involves all employees in a cross-disciplinary manner.…”

Section: Introductionmentioning

confidence: 99%

Disaster Collaborative Exercises for Healthcare Teamwork in a Saudi Context

Sultan

Khorram‐Manesh

Sørensen

et al. 2023

Int J Disaster Risk Sci

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This study aimed to evaluate the development of healthcare teamwork during and after the collaboration tabletop exercises, through observation and interview methods. Integration and maturity theoretical models were employed to explain the collaborative challenges in teams that may suffer from unequally distributed power, hierarchies, and fragmentation. Using three-level collaboration tabletop exercises and the Command and control, Safety, Communication, Assessment, Treatment, Triage, Transport (CSCATTT) instrument, 100 healthcare workers were observed during each step in the implementation of the CSCATTT instrument using two simulated scenarios. The results show a lack of integration and team maturity among participants in the first scenario, leading to the delayed start of the activity, task distribution, and decision making. These shortcomings were improved in the second scenario. In-depth interviews with 20 participants in the second phase of the study revealed improved knowledge and practical skills, self-confidence, and ability in team building within trans-professional groups in the second scenario, which in concordance with the integration theory, was due to the attempts made in the first scenario. Additionally, there was an improvement in the team’s maturity, which in concordance with the maturity theory, was due to the knowledge and practical skills during scenario plays. These results indicate the importance of continuous tabletop training, and the use of CSCATTT as a collaborative instrument, to promote the development of collaboration and to test the concept of preparedness.

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Attitudes of Critical Care Nurses towards Teamwork and Patient Safety in Saudi Arabia: A Descriptive Cross-Sectional Assessment

Cited by 5 publications

References 33 publications

Adaptation of the TeamSTEPPS® Teamwork Perceptions Questionnaire into Turkish for a Nurse Sample: A Methodological Study

Adaptation of the TeamSTEPPS® Teamwork Perceptions Questionnaire into Turkish for a Nurse Sample: A Methodological Study

Attitudes of Internal Medicine Nurses, Surgical Nurses and Midwives towards Reporting of Clinical Adverse Events

Disaster Collaborative Exercises for Healthcare Teamwork in a Saudi Context

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