Culture Influence and Predictors for Behavioral Involvement in Patient Safety Among Hospital Nurses in Taiwan

Chiang, Hui‐Ying; Lin, Shu‐Yuan; Hsiao, Ya-Chu; Chang, Yuanmay

doi:10.1097/ncq.0b013e31825ba89e

Cited by 7 publications

(4 citation statements)

References 27 publications

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“…This is consistent with other studies. An agreeable safety culture could encourage nurses to engage in safety surveillance, prevention of safety risk, team collaboration and error management (Chiang et al, ; Vogus & Sutcliffe, ). In addition, the study findings illustrated that the nursing safety practices were supportive to their VIR.…”

Section: Discussionmentioning

confidence: 99%

“…The reporting culture is characterized by non‐punitive learning, system‐driven error management and effective feedback and quality improvement from the reporting, which has been broadly used to measure the organizational culture of patient safety (Kohn et al, ; Sammer et al, ). Researchers found that the reporting culture positively contributed to generic safety acts among nurses (Chiang, Lin, Hsiao, & Chang, ; Vogus & Sutcliffe, ). Similarly, a positive reporting culture can shape and enhance nurses’ safety‐related practices and reporting behaviours.…”

Section: Introductionmentioning

confidence: 99%

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Factors contributing to voluntariness of incident reporting among hospital nurses

et al. 2019

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Purpose This study aimed to (a) test the hypothesized model for hospital nurses’ voluntariness of incident reporting (VIR) and (b) determine the extent to which reporting culture factors, nursing safety practices and perceptions of work predict VIR. Design and Methods A cross‐sectional survey was applied to 1,380 frontline nurses recruited from six teaching hospitals in Taiwan. Data were collected using self‐administered questionnaires. Correlation analyses and path analyses using structured equation modelling were used. Findings More than half of the nurses did not display a voluntary attitude towards reporting. VIR was correlated with factors of reporting culture, nursing safety practices and perceptions of work. Through path analyses, the safety practices mediated on the relationship between the reporting culture and VIR. Conclusions Nurses still have modest willingness of reporting. The factors of reporting culture and nursing safety practices are critical determinants of VIR. Within more behavioural involvement in the safety practices, the reporting culture can support nurses to report voluntarily. Implications for Nursing Management Strengthening nurses’ engagement in safety practices can advance the reporting voluntariness and agreement with reporting culture concurrently. Nurse leaders should continue to optimize workload management and job satisfaction, which is advantageous to the safety practices enacted.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Factors contributing to voluntariness of incident reporting among hospital nurses

et al. 2019

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“…A reporting culture, summarized from the studies 27 , 28 by Chiang et al, 29 is a combination of the “shared values, attitudes, and behavioral patterns that determine the observable degree of efforts with which all healthcare workers direct their attentions and actions toward incident management and safety assurance at workplace.” 29 The reporting culture and patient safety culture are closely connected. On the one hand, a reporting culture facilitates organization members’ communication and action on patient safety.…”

Section: Discussionmentioning

confidence: 99%

“…On the one hand, a reporting culture facilitates organization members’ communication and action on patient safety. 29 – 32 On the other hand, a healthy patient safety culture helps increase incident reporting. 33 Thus, the high reporting rate in HKUSZH might be consistent with an acceptable patient safety culture in the hospital, which is, in turn, consistent with positive perceptions of overall patient safety culture.…”

Section: Discussionmentioning

confidence: 99%

Changing patient safety culture in China: a case study of an experimental Chinese hospital from a comparative perspective

Xu¹,

Deng²,

Gu³

et al. 2018

RMHP

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BackgroundThe World Health Organization highlights that patient safety interventions are not lacking but that the local context affects their successful implementation. Increasing attention is being paid to patient safety in Mainland China, yet few studies focus on patient safety in organizations with mixed cultures. This paper evaluates the current patient safety culture in an experimental Chinese hospital with a Hong Kong hospital management culture, and it aims to explore the application of Hong Kong’s patient safety strategies in the context of Mainland China.MethodsA quantitative survey of 307 hospital staff members was conducted using the Hospital Survey on Patient Safety Culture questionnaire. The findings were compared with a similar study on general Chinese hospitals and were appraised with reference to the Manchester Patient Safety Framework.ResultsLower scores were observed among participants with the following characteristics: males, doctors, those with more work experience, those with higher education, and those from the general practice and otolaryngology departments. However, the case study hospital achieved better scores in management expectations, actions and support for patient safety, incident reporting and communication, and teamwork within units. Its weaknesses were related to non-punitive responses to errors, teamwork across units, and staffing.ConclusionsThe case study hospital contributes to a changing patient safety culture in Mainland China, yet its patient safety culture remains mostly bureaucratic. Further efforts could be made to deepen the staff’s patient safety culture mind-set, to realize a “bottom-up” approach to cultural change, to build up a comprehensive and integrated incident management system, and to improve team building and staffing for patient safety.

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Predictors of Hospital Nurses' Safety Practices

Chiang

Hsiao

Lee

2017

Journal of Nursing Care Quality

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Nurses' safety practices of medication administration, prevention of falls and unplanned extubations, and handover are essentials to patient safety. This study explored the prediction between such safety practices and work environment factors, workload, job satisfaction, and error-reporting culture of 1429 Taiwanese nurses. Nurses' job satisfaction, error-reporting culture, and one environmental factor of nursing quality were found to be major predictors of safety practices. The other environment factors related to professional development and participation in hospital affairs and nurses' workload had limited predictive effects on the safety practices. Increasing nurses' attention to patient safety by improving these predictors is recommended.

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Culture Influence and Predictors for Behavioral Involvement in Patient Safety Among Hospital Nurses in Taiwan

Cited by 7 publications

References 27 publications

Factors contributing to voluntariness of incident reporting among hospital nurses

Factors contributing to voluntariness of incident reporting among hospital nurses

Changing patient safety culture in China: a case study of an experimental Chinese hospital from a comparative perspective

Predictors of Hospital Nurses' Safety Practices

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