Development of a Croatian version of the US Hospital Survey on Patient Safety Culture questionnaire: dimensionality and psychometric properties

Brborović, Hana; Šklebar, Ivan; Brborović, Ognjen; Brumen, Vlatka; Mustajbegović, Jadranka

doi:10.1136/postgradmedj-2013-131814

Cited by 30 publications

(66 citation statements)

References 10 publications

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“…It has shown moderate-tostrong validity and reliability (26). The results of psychometric analyses for the Croatian version of HSOPSC have been presented and discussed elsewhere (27). Our translation of the US questionnaire consists of 42 items grouped in 12 dimensions and two single-item measures.…”

Section: Survey and Data Collectionmentioning

confidence: 99%

Are nurse presenteeism and patient safety culture associated: a cross-sectional study

Brborović

Brumen

et al. 2014

Archives of Industrial Hygiene and Toxicology

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Working as a nurse involves great dedication and sacrifice: working night shifts, working overtime, and coming to work sick. The last is also known as presenteeism. Research has shown that poor nurse performance can affect both caregiver's and patient's safety. The aim of this cross-sectional study was to investigate whether nurse presenteeism affected patient safety culture and to look deeper into the characteristics of nurse presenteeism and patient safety culture in Croatia. The study was conducted in one general hospital in Croatia over April and May 2012 and specifically targeted medical nurses as one of the largest groups of healthcare professionals. They were asked to fill two questionnaires: the six-item Stanford Presenteeism Scale (SPS-6) and the Hospital Survey on Patient Safety Culture (HSOPSC). We found no association between presenteeism and patient safety culture. Overall positive perception of safety was our sample's strength, but other dimensions were positively rated by less than 65 % of participants. The lowest positive response concerned "nonpunitive response to error", which is consistent with previous studies. Presenteeist nurses did not differ in their characteristics from nurses without presenteeism (gender, age, years of experience, working hours, contact with patients and patient safety grades). Our future research will have to include a broader healthcare population for us to be able to identify weak spots and suggest improvements toward high-quality and cost-effective health care.

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Section: Survey and Data Collectionmentioning

confidence: 99%

Are nurse presenteeism and patient safety culture associated: a cross-sectional study

Brborović

Brumen

et al. 2014

Archives of Industrial Hygiene and Toxicology

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confidence: 99%

“…Unwanted events or medical errors tend to be downplayed and underreported. Patient safety culture (PSC), on the other hand, is a more reliable measure of health workers' individual and group knowledge, beliefs, values, perception, competencies, behavioural patterns, and attitudes towards health and safety management in a healthcare organisation and it often serves as a proxy measure of patient safety (30)(31)(32).So far, this issue has received modest attention (33-35), especially in Croatia (30), and the main objective of our study was to establish the association between presenteeism and absenteeism on the one hand and patient safety culture on the other. We also wanted to check again our previous negative findings (30) -no association between presenteeism and patient safety culture -on a much larger sample.…”

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confidence: 99%

Patient safety culture shapes presenteeism and absenteeism: a cross-sectional study among Croatian healthcare workers

Brborović

2017

Archives of Industrial Hygiene and Toxicology

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Healthcare workers have high rates of injuries and illnesses at the workplace, and both their absence from work due to illness (absenteeism) or working ill (presenteeism) can compromise patient safety and the quality of health care delivered. Following this premise, we wanted to determine whether presenteeism and absenteeism were associated with patient safety culture (PSC) and in what way. Our sample consisted of 595 Croatian healthcare workers (150 physicians and 445 nurses) who answered the short-form WHO Health and Work Performance Questionnaire and the Hospital Survey on Patient Safety Culture. The results have confirmed the association with both presenteeism and absenteeism in several PSC dimensions, but not as we expected based on the premise from which we started. Opposite to our expectations, lower job performance (as a measure of presenteeism) was associated with higher PSC instead of lower PSC. Absenteeism, in turn, was associated with lower PSC, just as we expected. These findings suggest that it is the PSC that shapes presenteeist and absenteeist behaviour and not the other way around. High PSC leads to presenteeism, and low PSC to absenteeism. We also believe that the presenteeism questionnaires should be adjusted to health care and better define what lower performance means both quantitatively and qualitatively in a hospital setting. KEY WORDS: nurses; physicians; work performancePresenteeism and absenteeism are rather widespread and present a growing public health concern (1-3). Presenteeism is summarily defined as working ill instead of having taken leave (4) and entails lower performance at work due to health problems (3,5,6). Absenteeism is defined as absence from work (7) due to valid (sick-leave) or less valid reasons (taking a day-off) (8). Both have a very similar negative effect on business, such as expenses and losses in work hours, production, and work morale (9, 10). Presenteeism is often a hidden cost, as workers are physically present, but their performance/productivity is poor (3,11). A large study (12) reported presenteeismrelated production losses of 72 % compared with 28 % of those caused by absenteeism. Other studies also reported higher costs of presenteeism than of absenteeism (13,14).Two longitudinal studies have indicated that presenteeism may increase the risk of future health disorders (15, 16), as it stands in the way of recovery (3, 17). In fact, presenteeism can lead to more sickness absence, as indicated by the positive correlation between the two in several studies (4,18,19).The extent of presenteeism is perhaps best illustrated by a Dutch study (20) reporting that 70 % of the randomly selected participants had claimed to have worked sick at least once a year (20). With physicians, this prevalence soars to 90 % (21-25).In medical profession, presenteeism not only affects the quality of work (3, 11, 26) but puts patients, colleagues, and visitors at the risk of contagion (3,27). In other words, it compromises the very purpose of their work -patient safety. However, pa...

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“…Interventions in this area should be planned and carried out with special care and patience, while respecting the cultural nuances of a given community. In addition to healthcare organizations, nursing schools, medical schools, and professional associations should all be considered as targets for this re-education initiative 15,32 .…”

Section: Discussionmentioning

confidence: 99%

“…Th e continuing democratization of eastern European transitional countries has contributed to the interest in the subject of PSC in both healthcare workers and public at large 13,14 . In recent years, this tendency has been further aided by initiatives from the World Health Organization (WHO) 15 . In Croatia, a typical transitional country, not enough is yet known about the importance of patient safety and the state of PSC in hospitals.…”

Section: Introductionmentioning

confidence: 99%

How to Improve Patient Safety Culture in Croatian Hospitals?

Šklebar

Mustajbegović

Šklebar³

et al. 2016

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SUMMARY -Patient safety culture (PCS) has a crucial impact on the safety practices of healthcare delivery systems. Th e purpose of this study was to assess the state of PSC in Croatian hospitals and compare it with hospitals in the United States. Th e study was conducted in three public general hospitals in Croatia using the Croatian translation of the Hospital Survey Th is suggests that a more comprehensive system for the improvement of patient safety within the framework of the Croatian healthcare system needs to be developed. Our fi ndings also help confi rm that HSOPSC is a useful and appropriate tool for the assessment of PSC. HSOPSC highlights the PSC components in need of improvement and should be considered for use in national and international benchmarking.

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Development of a Croatian version of the US Hospital Survey on Patient Safety Culture questionnaire: dimensionality and psychometric properties

Cited by 30 publications

References 10 publications

Are nurse presenteeism and patient safety culture associated: a cross-sectional study

Are nurse presenteeism and patient safety culture associated: a cross-sectional study

Patient safety culture shapes presenteeism and absenteeism: a cross-sectional study among Croatian healthcare workers

How to Improve Patient Safety Culture in Croatian Hospitals?

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