Evaluation of the association between Nursing Home Survey on Patient Safety culture (NHSOPS) measures and catheter-associated urinary tract infections: results of a national collaborative

Smith, Shawna N.; Greene, M. Todd; Mody, Lona; Banaszak-Holl, Jane; Petersen, Laura; Meddings, Jennifer

doi:10.1136/bmjqs-2017-006610

Cited by 24 publications

(48 citation statements)

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“…and 'compliance with procedures' dimensions are the priority areas to be improved in nursing homes, as they had the lowest scores and the lowest PRRs. A similar situation was found in other countries, such as the USA (Smith et al, 2018), Belgium (Desmedt et al, 2018) and Norway (Ree & Wiig, 2019). The majority of staff are reported to be under-educated, lack experience and are only temporarily employed, which was confirmed in a similar study (Yang et al, 2019).…”

Section: Discussionsupporting

confidence: 83%

“…Moreover, the relationship between patient safety culture and adverse events in nursing homes remains controversial. Some studies reported that an improvement in safety culture was associated with a decrease in rates of adverse events (Abusalem et al, 2019;Li et al, 2019), but no association found between them in a large national collaborative study (Smith et al, 2018…”

Section: Discussionmentioning

confidence: 97%

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Patient safety culture and obstacles to adverse event reporting in nursing homes

et al. 2020

J. Nurs. Manag.

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The rapid increase in the elderly population has challenged the aged care system in China. Statistics showed that the number of people in China over the age of 60 years had reached 249.5 million in 2018 (Ministry of Civil Affairs of the People's Republic of China, 2019). The elderly population in Hunan amounted to 12.8 million, accounting for 18.5% of the total population of Hunan province. Nearly 20% of elderly people over the age of 60 years are disabled or partially disabled and unable to participate in daily living activities in Hunan (Hunan Bureau of Statistics, 2019). The demand for safe care for the elderly population is greater than ever (Wang et al., 2018). The

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 97%

Patient safety culture and obstacles to adverse event reporting in nursing homes

et al. 2020

J. Nurs. Manag.

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“…Despite this vulnerability among nursing home patients, most of the patient safety research has so far focused on hospital settings as reflected in the literature [8][9][10][11][12]. Literature regarding patient safety issues in primary care [13] and LTC settings and especially in nursing homes is currently emerging [14][15][16][17][18][19], yet there is an urgent need for more studies in diverse contexts. Some current studies indicate that a positive patient safety culture is associated with patient safety outcomes such as reports of falls and restraint use, though the findings are not consistent [14][15][16].…”

Section: Introductionmentioning

confidence: 99%

“…Literature regarding patient safety issues in primary care [13] and LTC settings and especially in nursing homes is currently emerging [14][15][16][17][18][19], yet there is an urgent need for more studies in diverse contexts. Some current studies indicate that a positive patient safety culture is associated with patient safety outcomes such as reports of falls and restraint use, though the findings are not consistent [14][15][16]. In a recent study of staff perceptions of patient safety culture in Norwegian nursing homes, we found a positive awareness of patient safety culture among frontline staff together with an established confidence in nursing managers' attention to patient safety issues [17].…”

Section: Introductionmentioning

confidence: 99%

Variability in staff perceptions of patient safety culture in Norwegian nursing homes—a longitudinal cross-sectional study

2018

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Background: Patients in nursing homes are at risk of adverse events, representing a highly vulnerable group that is chronically weak and cognitively or physically reduced. To prevent adverse events, knowledge of patient safety culture can act as a basis for nursing homes' own organizational improvement initiatives. There is scarcity of longitudinal studies exploring the sustainability or variability of safety culture in nursing homes. This study therefore describes the variability in staff perceptions of patient safety culture over time in a cross-sectional sample of Norwegian nursing homes, and tests the influence of nursing homes' own organizational initiatives. Methods: The study applied a cross-sectional and prospective longitudinal design collecting data on staff perceptions of patient safety culture in nine Norwegian nursing homes based on the Norwegian version of the Nursing Home Survey on Patient Safety Culture (NHSOPSC) instrument. Data collection took place through a baseline survey (June-September 2013) and through a follow-up survey (March-April 2015). Data were analyzed by descriptive statistics, t-test, and hierarchical regression analysis. Results: The response rate was 70% at baseline and 69% at follow-up. Variability, measured by changes in the average percentage of positive responses per safety culture dimension, showed a high degree of stability for the nine nursing homes in total with more variability across each single nursing home. When comparing mean scores for the total patient safety culture score, only one of the nursing homes improved significantly from the baseline to the follow-up. After adjusting for the facility level (single nursing home), nursing homes' own organizational initiatives explained 29.5% of the variance in the total patient safety culture score (F [4, 263] = 27.53, p < 0.001). Conclusion: Our results demonstrate that patient safety culture is relatively stable in the Norwegian sample of nursing homes over a 20-month period. Our findings indicate that organizational initiatives tailored to local needs are predictors for the total patient safety culture score. Furthermore, there is a need for an extensive and sustained level of effort as only one nursing home (NH6) showed a significant improvement in the total patient safety culture score.

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“…Per the recently enacted Patient Safety Act, Korea has also established an external reporting system to which relevant hospitals report patient safety incidents. The 'Patient Safety Reporting Learning System' was utilized as evidence for governmental policymaking and macroscopic improvement activities to enhance patient safety and quality of care by establishing and analyzing a patient safety information database, containing data electronically submitted by hospitals [50]. The reporting system for LTC facilities should also be reinforced to examine the state of safety incidents and relevant problems, based on which appropriate safety improvement activities should be launched.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Patient Safety Activities among Registered Nurses and Nurse Aides in Long-term Care Facilities

Lee¹,

Cho²

2020

Preprint

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Background In Korea, registered nurses (RNs) and nurse aides (NAs) are legally permitted as substitutes for long-term care (LTC) facilities, even though they have very different levels of education and standards of qualifications. This study aimed to explore the factors that influence patient safety activities of the RNs and NAs working in LTC facilities and to identify the relationship between patient safety culture (PSC) and patient safety activities. Methods This was a cross-sectional, descriptive study. The study participants were 88 RNs and 71 NAs who worked at 33 LTC facilities for more than three months. The questionnaires were collected by e-mail or mobile application and kept confidential. Data were analyzed using SPSS version 25.0. Results The mean scores of PSC and patient safety activities were 4.03 ± 0.51 points, 4.29 ± 0.49 points out of 5, respectively. There was significant correlation between PSC and patient safety activities (r = .23, p = .004). Factors influencing patient safety activities among RNs and NAs in LTC facilities were registered nurse (β = .377, p < .001), organizational system of PSC (β = .314, p < .010), and work sift type (fixed night shift, on-call, 24-hour shift) (β = − .264, p = .004), which explained about 36.0% of total variance (F = 5.69, p < .001). Conclusion The findings indicate the need for the mandatory placement of RNs by improving current domestic regulations that can be replaced without distinctions between the level of education and qualifications of RNs and NAs to strengthen patient safety activities at LTC facilities. Additionally, the importance of an organizational safety system and effective working shift types to prevent residents’ safety accidents in LTC facilities is indicated.

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Evaluation of the association between Nursing Home Survey on Patient Safety culture (NHSOPS) measures and catheter-associated urinary tract infections: results of a national collaborative

Abstract: This large national collaborative of nursing homes saw declining CAUTI rates as well as improvements in several NHSOPS domains. However, no association was found between initial or over-time NHSOPS scores and CAUTI rates.

Cited by 24 publications

References 50 publications

Patient safety culture and obstacles to adverse event reporting in nursing homes

Patient safety culture and obstacles to adverse event reporting in nursing homes

Variability in staff perceptions of patient safety culture in Norwegian nursing homes—a longitudinal cross-sectional study

Predictors of Patient Safety Activities among Registered Nurses and Nurse Aides in Long-term Care Facilities

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