Determining nurses’ perceptions of patient safety culture in palliative care centres

Dinçer, Metin; Torun, Nazan; Aksakal, Hurişah

doi:10.1080/10376178.2018.1492350

Cited by 7 publications

(7 citation statements)

References 23 publications

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“…Weaknesses in work environments have been shown to be associated with an increase in patient mortality, readmissions, and the risk of adverse events. 32,33 In this study, rates for the working conditions domain were unsatisfactory, which corroborates findings in relevant literature. 23,26 Moreover, participants indicated they were disappointed and exhausted by their work.…”

Section: Discussionsupporting

confidence: 90%

Patient safety attitudes among critical care nurses: A case study in North Cyprus

Al‐Mugheed

Bayraktar

2020

Health Planning & Management

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Introduction: Patient safety has become a crucial priority in quality healthcare. Adverse events and serious errors involving critically ill patients are common and can be potentially life-threatening. Thus, this study aimed to examine patient safety attitudes among critical care nurses. Methods: This cross-sectional study was conducted in two hospitals in North Cyprus. Eighty nurses working in critical care units participated in the study. Following ethical approval, data were collected between September and October 2018, using the Demographic Characteristics Questionnaire and Safety Attitudes Questionnaire. Findings: Nurses' overall scores regarding patient safety attitudes were found to be negative. The highest positive rate was for safety climate, followed by perception of management, teamwork, working conditions, job satisfaction, and stress recognition, respectively. There were significant differences among working conditions, perception of management, and stress recognition based on participants' positions and event reporting. Conclusion: Our findings indicate safety culture needs to be improved in the hospitals included in the study. Healthcare managers and decision-makers should foster patient safety culture through in-service education, management support, institutional regulations, and updated guidelines.

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Section: Discussionsupporting

confidence: 90%

Patient safety attitudes among critical care nurses: A case study in North Cyprus

Al‐Mugheed

Bayraktar

2020

Health Planning & Management

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“…Palliative care clinicians in this study strongly perceived that error reporting was encouraged and expected in their service, and stated they felt safe to do so. However, the non-punitive error reporting culture identified in this study differs from other studies in health care services (Boyer, McPherson, Deshpande, & Smith, 2009;Castel, Ginsburg, Zaheer, & Tamim, 2015;Dincer, Torun, & Aksakal, 2018;Khalil & Lee, 2018). A Turkish study of palliative care nurses' perceptions of safety culture found almost half (48%) reported that hospital management response to an error was punitive (Dincer et al, 2018).…”

Section: Discussioncontrasting

confidence: 82%

“…However, the non-punitive error reporting culture identified in this study differs from other studies in health care services (Boyer, McPherson, Deshpande, & Smith, 2009;Castel, Ginsburg, Zaheer, & Tamim, 2015;Dincer, Torun, & Aksakal, 2018;Khalil & Lee, 2018). A Turkish study of palliative care nurses' perceptions of safety culture found almost half (48%) reported that hospital management response to an error was punitive (Dincer et al, 2018). These nurses perceived that errors reflected an inability to carry out their professional role and thought they would be judged by their peers and punished by management (Dincer et al, 2018).…”

Section: Discussioncontrasting

confidence: 73%

“…A Turkish study of palliative care nurses' perceptions of safety culture found almost half (48%) reported that hospital management response to an error was punitive (Dincer et al, 2018). These nurses perceived that errors reflected an inability to carry out their professional role and thought they would be judged by their peers and punished by management (Dincer et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

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Mitigating opioid errors in inpatient palliative care: A qualitative study

et al. 2020

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Background: Opioids are a high-risk medicine used in high doses and volumes in specialist palliative care inpatient services to manage palliative patients' pain and other symptoms. Despite the high volume of opioid use in this care setting, serious errors with opioids are exceedingly rare. However, little is known about the factors that mitigate opioid errors in specialist palliative care inpatient services. Aim: To explore palliative care clinicians' perceptions of factors that mitigate opioid errors in specialist palliative care inpatient services. Methods: Design: A qualitative study using focus groups and semi-structured interviews. Participants and setting: Registered nurses, doctors, and/or pharmacists ('clinicians') who were involved with and/or had oversight of the services' opioid delivery and/or opioid quality and safety processes, employed by one of three specialist palliative care inpatient services in metropolitan NSW. Findings: Fifty-eight participants took part in this study, three-quarters (76%) of which were palliative care nurses. A positive opioid safety culture was central to mitigating opioid errors in specialist palliative care inpatient services. This culture of opioid safety was founded on clear and consistent safety messages from leadership, clinicians empowered to work together and practise safely, and a non-punitive approach to errors when they occurred. The clinical nurse educator was seen as pivotal to shaping, driving and reinforcing safe opioid delivery practices across the palliative care service. Conclusion: Creating and sustaining a positive opioid safety culture, and promoting a nonpunitive approach to opioid error and reporting, is essential to mitigating opioid errors in the specialist palliative care inpatient setting.

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“…Zaten PB merkezlerinde yatan hastaların büyük çoğunluğunun karar verme kapasiteleri azalmış durumdadır. 27 Eğer hukuki bir düzenlemeye ihtiyaç varsa bu noktadan öncesini yani karar verme kapasitesinin azalmasından öncesini kapsamalıdır.…”

Section: Discussionunclassified

The Experiences of Health Workers Applying Resuscitation to the Patients in Palliative Care

Dinçer¹

2019

Ankara Medical Journal

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Bu çalışmanın amacı palyatif bakım merkezinde çalışan doktor ve hemşirelerin resüsitasyon (CPR) deneyimlerini ortaya koymaktır. Materyal ve Metot: Çalışma fenomenolojik olarak tasarlamış tanımlayıcı nitel bir çalışmadır. Çalışmada amaçlı örnekleme yöntemi kullanılmıştır. Görüşmeyi kabul eden altı doktor ve dört hemşire ile yarı yapılandırılmış görüşmeler yapılmıştır. Daha sonra bu görüşmeler çözümlenmiştir. Bu çözümlemelerden elde edilen verilerin analizinde tematik analiz kullanılmıştır. Bulgular: Palyatif bakım merkezlerinin sayısının artması ile birlikte, bu merkezlerden hizmet alan yaşam sonundaki hastaların sayısında da belirgin bir artış yaşanmaya başlamıştır. Palyatif bakımda amaç ne yaşamı uzatmaktır ne de ölümü hızlandırmaktır. Yaşam sonu bakım hizmeti alan hasta ölünce CPR yapılması etik ikilemler ve hukuki sorunlar oluşturmaktadır. Bu ikilemlere ve sorunlara rağmen doktorlar ve hemşireler CPR yapmaya devam etmektedirler. Bu duruma neden olan dört alt tema tespit edilmiştir. Bu temalar şu şekildedir: "Hastamın durumunu biliyorum. Ama…", "Empati kuruyorum. Ama…", "Hasta yakınından korkuyorum.", "Hukuki düzenlemelerdeki eksikliklerden korkuyorum.". Bu alt temaların oluşturduğu ana tema ise "kendimi güvende hissetmiyorum" dur. Sonuç: Araştırma bulgularına göre temel problem, sağlık çalışanları CPR yapılmaması gerektiğini düşündükleri yaşam sonu bakımı alan hastaya, kendilerini güvende hissetmedikleri için CPR yapmak zorunda kalmalarıdır. Bu durum hem hukuki hem de etik tartışmaları beraberinde getirmektedir. Ayrıca etik ikilemlere de neden olmaktadır. Palyatif bakım merkezlerinde yaşam sonu hizmet alan hastalara ne tür hizmetlerin verileceği, PB hizmet rehberleri ile belirlenmeli ve bu hizmetlerin kapsamı ve içerikleri sağlık personeli ve vatandaşlarla paylaşılmalıdır. Yaşam sonu bakım alan hastalar için CPR uygulamaları hakkında ortaya konacak hukuki ve etik düzenlemelere ihtiyaç bulunmaktadır.

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Determining nurses’ perceptions of patient safety culture in palliative care centres

Cited by 7 publications

References 23 publications

Patient safety attitudes among critical care nurses: A case study in North Cyprus

Patient safety attitudes among critical care nurses: A case study in North Cyprus

Mitigating opioid errors in inpatient palliative care: A qualitative study

The Experiences of Health Workers Applying Resuscitation to the Patients in Palliative Care

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